Health Disparities Project

Good morning.

Good afternoon.

Good evening.

My name is Mashaei Banks.

I'm working with Chanel Wilkins and we'll be doing our

presentation on black health disparities and prenatal care.

So first health disparities are the differences and or gaps

in the quality of health and health care.

Our population specific and there are racial or ethnic differences

in the quality of health care, presence of disease, health

outcomes or access to care that are not due to

access related factors or clinical needs.

The emphasis inappropriateness of the intervention according to healthy people.

2020 racial and ethnic groups aren't the only groups that

can experience health disparities.

Individuals can be grouped together by gender, age or mental

health status.

And here's a more expansive list.

And unfortunately, health disparities came to be as a result

of racism, which is described as structural policies, practices and

norms assign value and determine opportunities based on the way

people look at the results and conditions are unfairly.

Adventure some and disadvantage others and at least people color

at greater risk for poor health outcomes and differences in

the standards of care, timing of care, quality of care

compared to their racial counterparts.

And this is related to delay.

This. Excuse me.

This is related to delay prenatal care because black women

are at increased risk of receiving prenatal care at a

later time in the racial counterparts.

And that's what we're going to talk about today.

So um, here we are.

Okay. So delay care occurs when a patient's health conditioner

element is not treated with a reasonable amount of time

and prenatal care is received while individuals pregnant.

And that may include preventive care made with care in

order to treatment of care.

So we're going to go over a few facts regarding

race and prenatal care.

So prenatal care utilization by African american, women generally tend

to be lower than that of white woman and also

they disproportionately received inadequate prenatal care compared to their non

black counterparts.

Also, maternal mortality for African aware for women is 2-3

times greater than that for all other racial ethnic groups

and black women are less likely to be able to

access timely and affordable cure and they're less likely to

utilize adequate prenatal care by the end of their pregnancy.

So the skin tones matter study.

Um, the purpose was to examine the relationship between perceived

microaggressions and lay prenatal care and african american woman also

investigate whether the relationship is modified by skin tone going

to societal attributes and beliefs.

So the data were collected from a cohort of 1400

to an African American woman in Detroit until a prenatal

care is defined as third trimester or no prenatal care

at all.

And there was a 20 item daily life experience of

racism and bother scale that was used to assess individuals

microaggressions. So the findings, nearly a quarter of women had

delayed prenatal care, lived experiences in the form of racial

microaggressions influenced the african american women's use of health care,

particularly for prenatal care, maternal skin tone moderated.

The association between exposure to racial discrimination was correlated with

delay prenatal care for african american women on the ends

of the color continuum.

Also african the african american women perceive their experiences across

the continuum of community based care and were influenced by

their race and insurance status.

So why are we talking about this?

Well, these racial differences that their experience are related to

poor health outcomes.

So barriers to accessing prenatal care.

So aside from the health experience, health disparities experienced by

the micro aggressions.

There's also systemic racism that's also in play.

So there's lack of resources such as childcare and transportation

is also poverty.

That plays a huge part.

And then what happens, What do these individuals not get

because they don't get early care?

So they do not experience improve pregnancy outcomes better gestational

age dating.

They don't get to identify risk factors or modify their

risk factors.

They can't prevent complications and they can't plan for a

healthy pregnancy.

What they do experience are increases in the risk for

unintended, high risk pregnancies, increases in the risk for cesarean

deliveries for very preterm deliveries and also increasing the risk

of a newborn with low or very low birth weight

and channel.

And I decided to pick this topic because we want

to remind you all as future health care providers to

check your implicit biases to provide anti racist care because

you are literally affecting the overall health of these individuals

that are birthing and also their offspring.

So it's really important that again, we try to provide

what we do provide care that is competent care that

is anti racist and that care that is free of

implicit biases because you are affecting these women's life and

the trajectory of their health.

Health Disparities Project

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