Posted: April 29th, 2018

Racial Inequities in Health Outcomes and the Healthcare System

Racial Inequities in Health Outcomes and the Healthcare System

Racial inequities in health outcomes and the healthcare system are a serious and persistent problem in many countries, including the United States. Racism, both interpersonal and structural, negatively affects the mental and physical health of millions of people, preventing them from attaining their highest level of health, and consequently, affecting the health of the nation [1].

One of the areas where racial inequities are most evident is maternal mortality rates for Black women. According to the Centers for Disease Control and Prevention (CDC), Black women are **three times more likely** to die from pregnancy-related causes than white women, regardless of their income, education, or access to prenatal care [2]. Some of the factors that contribute to this disparity include **implicit bias** among health care providers, **lack of culturally competent care**, **chronic stress** from exposure to racism and discrimination, and **underlying health conditions** such as hypertension, diabetes, and obesity [3].

To address this issue, some possible solutions include:

– Increasing the diversity and representation of Black women in the health care workforce, especially in obstetrics and gynecology [4].
– Providing implicit bias training and anti-racism education for health care providers and staff [5].
– Implementing standardized protocols and quality improvement initiatives to prevent and manage obstetric emergencies [6].
– Enhancing access to affordable and comprehensive health care services for Black women before, during, and after pregnancy [7].
– Supporting community-based programs and organizations that provide social, emotional, and practical support for Black women and their families [8].

By implementing these solutions, the health care system can reduce racial inequities in maternal mortality rates and improve the health and well-being of Black women and their children.

References:

[1] CDC. (2023). Racism and Health. Retrieved from https://www.cdc.gov/minorityhealth/racism-disparities/index.html
[2] Petersen EE, Davis NL, Goodman D, et al. (2019). Racial/Ethnic Disparities in Pregnancy-Related Deaths — United States, 2007–2016. MMWR Morb Mortal Wkly Rep 2019;68:762–765. DOI: http://dx.doi.org/10.15585/mmwr.mm6835a3
[3] The Century Foundation. (2019). Racism, Inequality, and Health Care for African Americans. Retrieved from https://tcf.org/content/report/racism-inequality-health-care-african-americans/
[4] Ray V. (2020). How We Can Address Racial Disparities in Maternal Mortality. Harvard Business Review. Retrieved from https://hbr.org/2020/01/how-we-can-address-racial-disparities-in-maternal-mortality
[5] Hardeman RR, Medina EM, Kozhimannil KB. (2016). Structural Racism and Supporting Black Lives — The Role of Health Professionals. N Engl J Med 2016; 375:2113-2115. DOI: 10.1056/NEJMp1609535
[6] Main EK, Markow C, Gould J. (2018). Addressing Maternal Mortality And Morbidity In California Through Public-Private Partnerships. Health Affairs 2018;37(9):1484-1493. DOI: 10.1377/hlthaff.2018.0463
[7] Howell EA, Brown H, Brumley J, et al. (2018). Reduction of Peripartum Racial and Ethnic Disparities: A Conceptual Framework and Maternal Safety Consensus Bundle. Obstet Gynecol 2018;131:770–782. DOI: 10.1097/AOG.0000000000002585
[8] Collins JW Jr., Bryant AS. (2020). Reducing Black maternal health disparities: A community-centered approach to research on racism as a social determinant of health disparities. Semin Perinatol 2020;44(7):151290. DOI: 10.1016/j.semperi.2020.151290

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