The Social Determinants Of Infant Mortality And Birth Outcomes

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.”

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,

A variety of challenges including personal, social, economic, and environmental factors can determine the health of an individual as well as its community. Others determinants of health include genetics, access to medical care, and socioeconomic measures such as education and poverty. Any interference among these factors can often lead to health disparities, which are health gaps that exist between different communities and populations. Health disparities can affect communities based on gender, age, race, social status, economic status, or special care needs. Therefore to understand which factors affect the health of a community, it is necessary to examine the social and economic conditions in which people live in, as well as the rates of diseases

Socioeconomic status and gender is considered a cause of racial disparities in health since it constrains access to power, social and psychological resources, and economic capital. Those with low socioeconomic status and in segregated areas have less access to quality elementary and high school education since they normally have less qualified teachers, lower test scores, and fewer connections to colleges. These individuals also experience less employment opportunities because employers discriminate based on the residence of the job applicants since they view individuals in low-income areas as being drug users, having poor communication skills, low reading levels, and family issues. This leaves the residents in racially segregated neighborhoods jobless so they cannot increase their socioeconomic status (Takeuchi et al. 2010). The state of poverty is likely to continue for these individuals because they do not possess the necessary means to reduce their

How socio-economic disadvantaged moms, results in their inability to good communication and less support systems in their environment, therefore reducing access to prenatal health care. Low education levels creates a barrier to accessibility of prenatal information and education, therefore, hampering mother's knowledge for good prenatal care.

Epidemiology is the study of the relationships between disease and causation in human populations. It utilizes research and scientific methods to identify risk factors and approaches to decrease disease risk and to promote healthy habits. Community health nurses use this science to assess, diagnose, plan, and evaluate health improvement initiatives (Nies & McEwen, 2015-a). Ecosocial epidemiology is a newer, more complex approach as it focuses on the role of social, environmental, political and economic factors along with biological processes to understand health and illness (Nies & McEwan, 2015-b). In this post, I will discuss the rate of infant mortality among the African-American population in Franklin County and apply the ecosocial

When looking at infant mortality rates in the lowest class evidence shows that double the amount of babies die in comparison to the highest class this can be linked to poverty the poorer you are the worse your chances are even at birth. These following factors increase the risk of infant death; the age of the mother aged less than 18 years is the highest and the lowest for mothers between 30 and 34. With the high teenage pregnancy epidemic and women from lower social class background the most at risk from losing their baby.

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

-Race or ethnicity: Historically, minority populations in the United States have had higher rates of preterm delivery. In 2007, non-Hispanic White women accounted for the lowest number of preterm births in the United States, accounting for only 11.5% of all preterm births (MacDorman, 2011). In contrast, non-Hispanic Blacks, Puerto Ricans, American Indians and Hispanic women had preterm birth levels of 18.3%, 14.5%, 13.9% and 12.3% respectively (MacDorman, 2011). The Asian minority had the lowest risk at 10.9% (MacDorman, 2011). Some studies have attributed such significant differences to racial disparities in resources and health care (Dominguez, 2008; Vanderbilt & Wright, 2013). However, other studies such as Menon’s et al, which looked at differences in White versus Black women, suggest that racial disparities in preterm birth may

One of the most persisting health disparities is the birth outcomes between African Americans and White Americans. A significant portion in infant mortality is the increase of low birth weight, and preterm birth among black infants. The socially and economically disadvantaged population affects the maternal and child health outcomes. “The life course perspective “is the women’s life -course experiences that links to the maternal health and pregnancy outcome. It is used to understand how transitions and trajectories factors impact one’s life. The cumulative pathway mechanism how stress, exposures to the physical and the social environment in different life stages that accumulates over time affect health and causes dysfunction. Racial

We’ve come to an understanding that the traditional approaches to tackling health issues aren’t very effective due to the varying factors that are embedded in social and economic barriers that certain communities and populations may experience because their sex, gender, race, disabilities etc. A prevention strategy that is focused at the macro/societal level, would be through taking a social determinants of health approach to reducing health inequalities. The social determinants of health influence the health of populations and acknowledges the factors that shape health is by the living conditions they experience. These influencing factors include, income and social status; social support networks; education; employment/working conditions;

Every society has a class whether that be lower-middle, upper-middle or high class. Differences between children that grow up in favorable conditions and those who grow up in poverty are noticeable around 9 months (Moore, McDonald, Carlon, & O’Rourke, 2015). The class you are in sometimes can have effects on your health and lifetime. This article Early childhood development and the social determinants of health inequities points out the indicators pertaining to children and families. It is said that poor children worsen in health as they progress while those in higher class improve.

A mother’s socioeconomic status impacts all aspects of not only her life, but that of her child. Where she is situated on the social ladder will influence where she lives, her access to employment opportunities, and to support networks within a community, the availability of reliable private or public transport can greatly limit access as well. It may have also influenced the quality of education she herself received, and the education her child will go on to receive. Poor education, will impact the type of employment she is able to get, which may lead