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Greenberg Mcmillan posted an update 6 months, 3 weeks ago
e the gap. Understanding of all factors is needed to develop effective interventions to reduce disparities in childhood immunization rates in the BAA community served by UW Health and beyond.
To analyze the association between racial bias and postpartum depression among women in Wisconsin.
Analyzed the Wisconsin Pregnancy Risk Assessment Monitoring System with a weighted sample of 125,581 women/mothers who delivered a live birth in 2016-2017. The outcome was self-reported postpartum depression. diABZI STING agonist-1 The independent variable was racial bias exposure. Survey-weighted logistic regression analyses were performed adjusting for confounders in 6 models-socioeconomic position, psychosocial factors, health risk behaviors, health care access, stress/obesity, and disease condition. All analyses were completed using STATA accounting for complex survey design and sample weights.
In this sample, 6.6% of women/mothers experienced racial bias and 11.5% had postpartum depression. In unadjusted analysis, the odds of postpartum depression were higher for women who experienced racial bias than those who did not (OR 2.15; 95% CI, 1.35-3.41). Non-Hispanic Black women had higher odds for racial bias exposure than other depression. Black women had higher odds for racial bias exposure than other groups. The relationship between racial bias and postpartum depression was not significant after adjusting for confounders, suggesting that social determinants potentially influenced this relationship. These findings should inform screening and health education interventions to minimize racism and poor maternal health outcomes.
Maternal and infant racial and ethnic health disparities persist in Wisconsin. The Black infant mortality rate is 3 to 4 times that of White infants.
In this study, we used data from the Wisconsin Pregnancy Risk Assessment Monitoring System to examine women’s experiences with racism and accessing pre- and postnatal care.
Data from the 2016-2018 Pregnancy Risk Assessment Monitoring System-an ongoing state-administered surveillance system of new mothers-were used. The total number of non-White respondents was n = 2,571. The data are weighted both for nonsampling and for nonresponse. The prevalence of late entry to prenatal care, inadequate prenatal care, and no postpartum visit in the population of non-White women were calculated. Multivariable logistic regression was used to model the association between racial discrimination in the year prior to birth and perinatal care utilization and satisfaction.
Less-than-adequate prenatal care was significantly associated with racial discrimination in bivariate analysis (OR 1.4; 95% CI, 1.02-1.8), but this relationship became marginally significant after adjusting for maternal sociodemographic characteristics (OR 1.3; 95% CI, 0.9-1.7). In contrast, prenatal experience of racial discrimination was associated with about 1.5 times the odds of not receiving a postpartum visit both before and after adjusting for maternal characteristics (OR 1.6; 95% CI, 1.1-2.3).
Completing the postpartum visit has the potential to save mothers’ lives; decreasing experiences of racial discrimination in health care settings may be one mechanism for decreasing maternal and infant mortality.
Completing the postpartum visit has the potential to save mothers’ lives; decreasing experiences of racial discrimination in health care settings may be one mechanism for decreasing maternal and infant mortality.
Our goal was to identify racial and ethnic disparities in health outcome and care measures in Wisconsin.
We used electronic health record data from 25 health systems submitting to the Wisconsin Collaborative for Healthcare Quality to identify disparities in measures, including vaccinations, screenings, risk factors for chronic disease, and chronic disease management.
American Indian/Alaska Native and Black populations experienced substantial disparities across multiple measures. Asian/Pacific Islander, Hispanic/Latino, and White populations experienced substantial disparities for 2 measures each.
Reducing health disparities is a statewide imperative. Root causes of health disparities, such as systemic racism and socioeconomic factors, should be addressed for groups experiencing multiple disparities, with focused efforts on selected measures when indicated.
Reducing health disparities is a statewide imperative. Root causes of health disparities, such as systemic racism and socioeconomic factors, should be addressed for groups experiencing multiple disparities, with focused efforts on selected measures when indicated.
Wisconsin has the second-highest Black homicide rate in the country, reporting a rate of 37.57 deaths per 100,000 Black non-Hispanic Wisconsinites. Meanwhile, White non-Hispanics experience a homicide rate of 2.0 deaths per 100,000.
This data identifies a public health disparity that deserves further investigation. This study seeks to detail the mortality rate of all-cause homicide, firearm-related homicide, non-firearm-related homicide, and legal intervention firearm-related homicide; leading causes of death; average age of death; and years of potential life lost (YPLL) between White non-Hispanics and Black non-Hispanics in Wisconsin during 2000-2017.
Wisconsin homicide rates, ranked leading causes of death, and average age of death were obtained through the Wisconsin Department of Health Services via the Wisconsin Interactive Statistics on Health (WISH) Query System. National data were obtained through the Centers for Disease Control and Prevention’s Web-based Injury Statistics Query and Reporting Sysics in Milwaukee and the fourth-leading cause of death in Wisconsin. YPLL per person for Black non-Hispanic victims of firearm-related homicide are 36.83 years in Milwaukee and 37.04 years in Wisconsin.
Our findings strongly suggest that Black non-Hispanic Wisconsinites endure a significantly worse burden of firearm-related homicide compared to White non-Hispanic Wisconsinites and Black non-Hispanic Americans. This study demonstrates a significant disparity in firearm-related homicide that should inspire policy discussion.
Our findings strongly suggest that Black non-Hispanic Wisconsinites endure a significantly worse burden of firearm-related homicide compared to White non-Hispanic Wisconsinites and Black non-Hispanic Americans. This study demonstrates a significant disparity in firearm-related homicide that should inspire policy discussion.
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