Details:

Alternative Title:
J Racial Ethn Health Disparities
Personal Author:
Kasehagen, Laurin J. ; Brandert, Kathleen ; Nickol, Brenda ; Gatere, Maureen ; Hanson, Piia ; ... More +
Kasehagen, Laurin J. ; Brandert, Kathleen ; Nickol, Brenda ; Gatere, Maureen ; Hanson, Piia ; Bambace, Jane ; Beam, Rita ; Chao, Shin Margaret ; Clark, Cheryl L. ; Hepburn, Carrie Y. ; Jocson, Maria A. L. ; Jones, Millie ; McManus, Patricia Less -
Description:
Objectives

This study aimed to identify community-level actions to decrease racial disparities in infant mortality (IM).

Design

Six urban multidisciplinary teams generated ideas for decreasing racial disparities in IM using a mixed methods concept mapping approach. Participants rated each idea as to its necessity and action potential and grouped ideas by theme. A cluster analysis produced a series of visual representations, showing relationships between the identified actions and the clustering of actions into themes. Multidimensional scaling techniques were used to produce analyses describing the necessity of and action potential for implementing the proposed ideas. Participants identified actions communities could take to decrease racial disparities in IM and suggested applications of the knowledge gained from the mapping process.

Results

Participants produced a total of 128 actions, within 11 thematic clusters, for decreasing racial disparities in IM. The thematic clusters contained a range of elements designed to promote knowledge and understanding of the relationship between health and racism; improve educational systems and community opportunities; facilitate community-driven health promotion, marketing, and research; improve health services for women; address physical and social environments that impact community health; prioritize resource allocation of community-based services; institutionalize strategies that promote equity across all systems; and create and support legislation and policies that address social determinants of health. Correlation coefficients of the clusters ranged from 0.17 to 0.90. Average necessity ratings ranged from 2.17 to 3.73; average action potential ratings ranged from 1.64 to 3.61.

Conclusion

Findings suggest that thematic clusters with high action potential usually represented ongoing community activities or actions communities could easily initiate. Community size, existing programs, partnerships, policies, and influential advocates were among the factors cited affecting feasibility of implementation. Clusters with lower action potential require broader, longer term, policy, institutional or system-wide changes, and significant resources. High necessity clusters often contained actions perceived as essential for change, but sometimes outside of a community’s control. Participants identified a number of practical actions that were considered to hold potential for individual, community, and institutional changes which could result in decreasing racial disparities in IM.


Subjects:
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Article Community Concept Mapping Infant Mortality Mixed Methods Racial Disparities Racism
Source:
J Racial Ethn Health Disparities. 1(2):69-84
Pubmed ID:
37325079
Pubmed Central ID:
PMC10263188
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:39d40312b487cd764f14d67cb38805add3e403a23f8a127de3ca4b6e35098fe3
Download URL:
https://stacks.cdc.gov/view/cdc/129968/cdc_129968_DS1.pdf
File Type:

Supporting Files

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