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State of Black Family Maternal and Child Health and Focus Group Results

This research study examines the state of maternal and child health within the Black community in the United States. Through focus group discussions, key themes such as access to healthcare, quality of services, health disparities, and misconceptions about medications were identified. The findings highlight the need for improved healthcare services and increased awareness to address the unique challenges faced by Black families.

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State of Black Family Maternal and Child Health and Focus Group Results

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  1. State of Black Family Maternal and Child Healthand Focus Group Results Carolyn M. Springer, Ph.D. Research funded by the MCH Bureau, HRSA Grant #: G97MC04454 Grantee: Today’s Child Communications

  2. Research Team • Carolyn M. Springer, Ph.D. • Michelle H. Pigott, MA • Vaschele Williams, MA • Cristina Boquin • Kari Lundwall, MA • Lauren Springer, JD

  3. Black Americans • 36 million; 13 % of US population • The poorest health status of any American demographic • Race and Ethnicity as major determinants of health • Poverty • Increased morbidity • Increased mortality • Inadequate health insurance • Limited access to health care

  4. Maternal and Child Health • IMR 2004:13.6 for Blacks; 5.7 for Whites • Black infants are twice as likely • to die in infancy • to be born pre-term • to be low birth weight • Black women • More than 2x likely to receive late or no pre-natal care • 3 to 4x as likely to die from pregnancy and related complications

  5. Life Expectancy at Birth 1999-2005

  6. Infant Mortality Rate by Mother’s Race 1999-2005

  7. Low-birth weight 1999-2000 by Race

  8. Insurance • Rates of insurance have risen for Black children (9% in 2003; down from 14% in 1998) but still below rates for white children (6% in 2003)

  9. National Black Family Promotions Coalition: Partners to Promote Maternal and Child Health Initiative • 5 year project (2005-2010) • Supported by funding from HRSA’s MCH Bureau; part of the Alliance for Information on Maternal and Child Health • Address racial disparities in maternal child health through education, advocacy, social marketing and program and policy development.

  10. Focus Groups • Provide a forum for participants to have a dialogue about Black families and health • Topics: Value placed on health; health disparities; health care treatment; health behaviors; heath barriers and facilitators; health literacy; pre-natal care • 3 regions (Washington DC; Chicago, IL; New York City Tristate Area)

  11. Focus Groups • 3 groups in each city • Coed • Male Only • Pregnant Women • About 10-15 people in each group • Participant Criteria: • Black, African-American, Caribbean or African • Over 18 years, • Currently pregnant or moms and dads with children under 5 years • Sample • Six groups in Washington D.C. and Chicago, Illinois • 67 participants (37 women, 30 men)

  12. Major Themes • Access to health care services • Quality of services • Issues related to health insurance • Issues related to health disparities • Misconceptions about medications • Relationships with health care providers • Images of African-American fathers • Competing demands which make it difficult for health to be a priority.

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