Audio Transcript Auto-generated
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Good evening dr Gordon in class.
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My name is Chelsea Hartwell and tonight I want to talk to you guys about
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how structural and social cultural
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barriers as well as mistreatment by
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healthcare providers impact the difference between
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uh black and white women in the United States.
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In regards to reproductive reproductive health experiences.
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To start off, I wanted to introduce the topic and say that
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in the United States alone,
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black women are 3 to 4 more times likely to die from childbirth and
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have a two fold greater risk of maternal morbidity than their white counterparts.
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This led me to
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create my PICO topic.
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My PICO question and the population is african american women.
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That intervention is perinatal care
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comparison is white women in the outcome. Um as you see is my
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maternal mortality rate.
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That led to my pickle question being.
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How does perinatal care impact the maternal
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mortality rate in african american women.
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To obtain the search results, I use the jerry Falwell library. I was able to filter
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um peer reviewed articles within the past five years which was the requirement for
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the course and the assignments ah search topics such as health care experiences,
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a black woman,
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military health care for black women and perinatal discrimination.
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Uh Those topics allowed me to find articles that supported my research topic
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and I was able to find common themes from searching these articles.
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The purpose of this study was to
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to analyze how prenatal patient provider interactions
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and access to health care impact the
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maternal mortality rate in african american women
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As an African American woman.
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I understand that these are things that May one day impact me.
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So I think it was important to do this research.
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Some of the common themes that I uncovered were patient provider interactions
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and access to health care.
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Uh
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None of these studies were contradictory that, you know,
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I was able to study and they all documented that people of
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color had poor health care outcomes when compared to their white counterparts.
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Um
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an example,
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it was from
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Atstanasio and Hartman 2019.
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They revealed that declining procedures can cause women to see
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to be seen as a non compliant patient feeling that angry black woman stereotype.
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It was revealed that women who reported declining
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care for themselves or their infant during the
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child of hospitalization were more likely to report
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poor treatment based on race and ethnicity.
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Uh insurance status are having a difference of opinion with healthcare provider.
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That's just one example of that patient patient provider interaction that could,
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you know, cause a negative
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impact or shed a negative light on those interactions and
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cause women to not want to do family care planning.
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Studies revealed that, you know,
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women's description of the patient provider interaction show
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how providers can positively or negatively affect their cultural
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health capital.
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Um I think it's important that providers and patients
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have great interactions so women can get the care
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that they need for their for themselves and their
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unborn child and that they can be healthy,
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thriving human beings once they're born.
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Another common thing was access to healthcare
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a lot of
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times when health disparities are brought up and things of that nature.
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It's because they say that, you know,
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certain populations don't have that access to health care to
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be able to get the treatment and prevent these,
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these types of situations from happening as far as,
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you know, mortality rate and things of that nature.
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My research discovered that access to health care,
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ah,
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those claims are invalid.
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Um,
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one study found that despite universal access to
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healthcare and the military health care system,
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disparities were still present in maternal outcomes
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for black women in the United States.
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Uh, you know, in the military system, everyone has the same access
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every to the same doctor is the same treatments and things of that nature. So
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that claim is invalid because they're the
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same outcomes for african american women.
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So regardless, we found that, you know, women have poor health
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health outcomes, you know, regardless of that socioeconomic status,
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Galatians 3 28 reminds us that there is neither jew nor greek,
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there is neither slave nor free.
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There is no male and female. For you are all one in christ.
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This verse reminds us that we should all be treated equal.
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There's no
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one better than than the other black women, white women.
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We all deserve that same healthcare.
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And you know,
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studies concluded that health care and social services,
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uh providers, they have to offer
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more holistic care that prioritizes rather than
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ignores the racial components of health.
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Um, races is a huge issue in health and it seems
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in treatments and how patients are treated in these patient outcomes.
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On the right, I have a picture
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and that is,
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you know,
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she's saying that there's a lot of prejudging that
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definitely goes on and it needs to be addressed.
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You know, that serena Williams with that quote.
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And it's absolutely true. And that that pretty much sums up that
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this this topic
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in this research.
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Thank you for your time.
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Uh, this last page here is a reference page for
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all of the sources that I used.
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God bless and happy end of the semester.