Disparity Of Infant Mortality

Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births. Describe the impact of extremely low birth weight babies on the family and on the community (short-term and long-term, including economic considerations, on-going care considerations, and co-morbidities associated with prematurity). Identify at least one support service within your community for preterm infants and their family. Provide the link for your colleagues to view. Does the service adequately address needs of this population? Explain your answer.

There is a very low infant mortality rate, 2.8 in a thousand, and a relatively low birth rate as well, at 7.41 births in a thousand. However, the death rate, 9.83 deaths in a thousand, is

Moreover, in 2008, it has significantly dropped to 8.4 infant deaths per 1000 live births. Major risk factors associated with these high mortality rates are due to poverty, limited access to health care services, and cultural dislocation. With limited access to health care, infants are “four times more likely to die from pneumonia or influenza. Sudden infant death syndrome and unintentional injuries were also more common among American Indians/Alaska Natives infants.” (American Indian and Alaska Native, 2014). Within adult mortality rates, heart disease is not exceptionally high among the American Indians, but it is still the second leading cause of death among their population. According to MMWR, American Indians/Alaska Natives had a rate of 46.7%, with the highest rate among the age group of 50-64. American Indians are more prone to getting cardiovascular disease due to their lifestyle factors, such as smoking, physical inactivity, and unhealthy diets. Discrimination, family history, and cultural differences are also key factors to having a higher risk of cardiovascular disease. With the lack of health care services, many individuals cannot get tested and treated, which results in

Infant mortality rate constitutes the death of a baby before their first birthday. Mortality rates around the world differ tremendously with America leading the first world countries at an alarming rate of 6.1 deaths per 1,000 births. Conversely, Finland and Japan secure the last, most desirable position, with deaths totaling 2.3 per 1,000 births, as of 2010. (Ovaska-Few, 2015) In 2014, over 23,000 babies died in the United States. (CDC, 2016) Exploring the mortality rates in America brings light to a dire need for additional interventions and research as to why this developing nation has the highest rate of infant deaths before the age of 1 year old. African Americans face the worst outcomes of infant death compared to whites, Latino, and their Native American peers in North Carolina. (Ovaska-Few, 2015) This paper will explore why African American are the leading race for infant mortality and the steps that health communities need to take to address this devastating occurrence.

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

After a great deal of research and strong evidence to support such claims, I have come to the conclusion that the cause of the black and white infant mortality gap can be attributed to the near two-fold increased rates of low birth weight and preterm births, and the near three-fold increased rates of very low birth weight and very preterm births among black infants. However, the cause of the racial disparities between such birth outcome rates remains largely unexplained. Most studies focus on differential exposures to risk, such as high teen pregnancy rates, single motherhood, lower education levels, poverty, and even genetic causes, but these factors do not adequately account for the racial disparities in birth outcomes. Based off of the studies previously mentioned, the lack of prenatal support, social support, and high allostatic load appear to be some of the main factors that contribute to accounting for the black and white infant mortality gap. As a result, researches have recently proposed an alternative approach to examining racial-ethnic disparities in birth outcomes using a “life course perspective”. A life course perspective, as defined by scientist Michael Lu, is known to “conceptualize birth outcomes as the end product of not only the nine months of pregnancy but the entire life course of the mother before the pregnancy.”

The first problem that needs to be addressed is simply the lack of access for women in vulnerable populations to prenatal care. This is a major problem because we see that the rate of women who

Major disparities continue to exist in spite of America’s “Affordable Care Act”, Although minorities suffer disease five times greater than the rest of the nation, minorities represent the majority of the disparity. Infant Mortality has always been America’s indicator as to the state of the countries health status. America is one of the wealthiest and most powerful nations in the world, However, America ranks number 24th in the world for infant mortality. Puerto Rican and Indian women rank highest among ethnic classes with low infant mortality rates. Some researchers have found lack of prenatal access as the key contributing factor to low mortality and birth weights among these two ethnic classes.

Death and illnesses among women, infant, and child are preventable. In pregnancy, existing health risks can distinguish or prevent any future health problems for women and their children. According to U.S. Department of Health and Human Services (2016), some high-risk factors that may consider are the following: hypertension, heart disease, diabetes, depression, genetic conditions, sexually transmitted diseases, tobacco and alcohol abuse, inadequate nutrition and unhealthy weight. By having this government Healthy 2020 initiative, factors that can affect the pregnancy and childbirth such as poverty,

Diversity within the United States has been growing progressively within the past century. About 36 percent of the U.S. population is a part of a minority group, according to the 2010 U.S. Census (CDC, 2017). According to the U.S. Census, a “majority-minority” country is projected by the middle of 21st century, resulting in the white population becoming less than 50% of the population (Elchoufani, 2018). Overall, the life expectancy and child mortality in the U.S. has bettered; however, the minority undergo unequal distribution of illness, disease, disability, and death in comparison to non-minority (CDC, 2017). According to the U.S. Department of Health and Human Services (HHS), even with all the attempts help diminish health care disparities for minorities, the minorities continue to face these unequal disparities (BLH, 2015).

Reduced infant disparities; patients have lower rates of low birth rate (U.S. low income low birth rate percentage 8.2% vs Health Centers 7.5%).

Discuss disparities related to ethnic and cultural groups relative to low birth weight infants and preterm births.

The black infant mortality rate in 2010, (11.8) was similar to the white infant mortality rate in 1980 (11.7); an unbelievable thirty year difference for a balance measure (Florida Vital Statistics Annual Report, 2012). Currently, in the local community of Orange County, Florida the infant mortality rate exceeds that of the US at 7.5, and the rate is also doubled in African American women at 13.5, wheres it is 5.6 for births by white women (Florida Charts, 2014). Per Florida Charts (2014), disorders related to short gestation (pre-term birth – less than 37 weeks of pregnancy) and low birth weight, followed by sudden infant death syndrome (SIDS) are the leading causes of infant deaths in African American births in Orange County, which is relative to the rest of the

Oddly enough, even with all the medical technological brought forth by the US we are still ranked with a higher infant death rate than Japan. In a study published by the Robert Wood Johnson Foundation and titled "America's Health Starts with Healthy Children: How do States Compare?” the report found that the high infant death rate is correlated with the lack of education of the mother. Access to healthcare is another correlation to the problem since about 45 million Americans, or 15 percent of the population, are now estimated to be without any form of health insurance (O'Connor, 2008).

In his article, "Why are so many U.S. women dying during childbirth?", Munz (2012) pointed out that U.S. is experiencing a rise in maternal mortality. It has doubled for the last 25 years and the experts are uncertain about the increase. Experts are not entirely clear for the rise in the maternal deaths in the U.S., but there are some aspects that may be link to this.