Studies Plumb Depths of Black Maternal Health Woes
Studies Plumb Depths of Black Maternal Health Woes
(WOMENSENEWS)--Black women are twice as likely as white women to give birth prematurely and five times more likely to do so in Southern states such as
A black woman is 3.7 times more likely to die during pregnancy than a white woman and six times more likely to do so in some urban areas such as
Researchers at the Atlanta-based Centers for Disease Control and Prevention found college-educated black women twice as likely as other women to deliver premature or underweight babies. Scientists found subjects' birth outcomes resembled those of unemployed, uninsured white women with low education levels.
These are among the findings of five landmark reports released today by the Washington-based Joint Center for Political and Economic Studies that draw together existing data in a comprehensive review that calls for an end to the inequities.
The center concludes that African American babies--who are twice as likely as white infants to die before their first birthday--will have a better shot at life if the health inequities plaguing black mothers, such as less prenatal care and adequate nutrition, are corrected.
"The health disparities affecting African American women are nothing less than shocking, and we need to address the social causes behind them," says Alexine Jackson, board president of the Black Women's Agenda.
Stress, Racism, Poverty Implicated
The center's 19-member Courage to Love: Infant Mortality Commission--funded by the W.K. Kellogg Foundation and partnering with the UCLA School of Public Affairs and the
Released during the Congressional Black Caucus Foundation Annual Legislative Conference from Sept. 26 to 29, the reports also coincide with a meeting organized by the Joint Center and the Washington-based Black Women's Agenda for 250 representatives of black women's organizations in Washington, D.C. Attendees will discuss the reports and preview "Unnatural Causes: Is Inequality Making Us Sick?" an upcoming PBS television series that explores race and health.
In the five reports--one on breastfeeding, one on nutrition, two on infant mortality and one summarizing the others--commission members address the possible reasons for black women's negative birth outcomes.
Only 75 percent of African American women have prenatal care compared to 89 percent of white women.
Black women are more likely than their peers to have hypertension and diabetes, which can leave the fetus undernourished.
"Black women's eating habits also play a role," notes commission member Dr. Michael C. Lu, an associate professor of obstetrics and gynecology at the David Geffen School of Medicine at UCLA. "Only 1 in 4 African American women meets the recommended daily allowance for calcium, magnesium, zinc and vitamin E and 1 in 3 does not meet the RDA for iron and folate. Among low-income women, approximately 1 in 3 is anemic in the third trimester of pregnancy. And among low-income African American women, only 40 percent enter pregnancy with normal weight, and less than 30 percent achieve ideal weight gain during pregnancy."
Economic, Social Factors
Black women are more likely to work part time and to go without health benefits. They are 20 percent more likely to be uninsured, and three times more likely to live below the federal poverty line.
Research shows black women are under more stress than their peers, and that stress can compromise the immune system, disrupt the hormonal balance and threaten vascular function.
The reports also implicate racism.
For instance, authors note recent studies at
"For black women, the effects of racism, sexism and class are multiplicative rather than additive," says Vijaya Hogan, director of the Health Disparities Curriculum at the
Contributions to Overall Crisis
Experts say the same problems causing poor birth outcomes for black women are likely contributing to an overall crisis in their health.
Black women are twice as likely as white women to be overweight, have heart attacks, develop diabetes or fail to get the recommended 30 minutes of exercise daily, reports the CDC.
They account for 72 percent of new AIDS cases even though they represent just 6 percent of the population, reports the Los Angeles-based Black AIDS Institute.
Their life expectancy is 69 years, eight years less than for white women, reports the Census.
Black-white health disparities explain why 40,000 African American women die of treatable causes each year, notes the office of the U.S. Surgeon General.
Authors of the center's reports call for better health care access and education to improve birth outcomes. They also call for sweeping social change such as legislation that will work to end economic and educational disparities.
On Sept. 29, the Chicago-based advocacy group African American Women Evolving is holding its own 100-member symposium on black women's health at Malcolm X College in Chicago.
"We need to pay attention to--and address--high infant mortality and other health problems affecting black women," says Gina E. Wood, deputy director of the Joint Center's Health Policy Institute. "This is broader than a medical issue. It's about the total environment--and the total life--of African American women."
Molly M. Ginty is a freelance writer based in New York City.