CityMatCH: Equity-Science-Leadership to Reduce Gaps in Infant Mortality Chad Abresch, MEd Executive Director, CityMatCH www.citymatch.org 402-552-9500.

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Presentation transcript:

CityMatCH: Equity-Science-Leadership to Reduce Gaps in Infant Mortality Chad Abresch, MEd Executive Director, CityMatCH /21/2013 CityMatCH - Region V Infant Mortality Summit 1

Persistent Racial Disparities in Mortality – Gap and Magnitude of the Gap Very little change over the past years (1) in the persistent gap between black-white fetal and infant mortality the magnitude of the disparity 2 = Black = White Stillbirth Rate ( ) Infant Mortality Rate ( ) From: Spong, Iams et al., 2011 From: Spong, Iams et al., /21/2013 CityMatCH - Region V Infant Mortality Summit

3/21/2013 CityMatCH - Region V Infant Mortality Summit 3 Large Urban Areas in Region V

3/21/2013 CityMatCH - Region V Infant Mortality Summit 4 Infant Death Rates by Race/Ethnicity in LCM Counties in Region V ( ) LCM County Overall IDR NH Black IDR NH White IDR Inequity (ratio) Cook County, IL (Chicago) Marion County, IN (Indianapolis) Wayne Co, MI (Detroit) Hennepin Co, MN (Minneapolis) Ramsey Co, MN (St. Paul) Cuyahoga Co, OH (Cleveland) Franklin Co, OH (Columbus) Hamilton Co, OH (Cincinnati) Milwaukee Co, WI (Milwaukee) LCM Counties in Region V Region V National Figure Source: 2010 National Vital Statistics System Multiple Cause of Death Files, , NCHS, CDC

3/21/2013 CityMatCH - Region V Infant Mortality Summit 5 Percent of State Population Under 1 Year of Age and Infant Deaths to Residents of LCM Counties in Region V ( ) StateLarge Central Metro Counties (Central Cities) % of State Pop <1 Year of Age % Deaths IllinoisCook County (Chicago) 42%47% IndianaMarion County (Indianapolis) 16%23% MichiganWayne County (Detroit) 20%29% MinnesotaHennepin and Ramsey Counties (Minneapolis and Saint Paul) 33%38% OhioCuyahoga, Franklin, Hamilton Counties (Cleveland, Columbus, Cincinnati) 30%38% WisconsinMilwaukee County (Milwaukee) 20%31% RegionRegion V Large Central Metros29%36% Figure Source: 2010 National Vital Statistics System Multiple Cause of Death Files, , NCHS, CDC

The Institute for Equity in Birth Outcomes 3/21/2013 CityMatCH - Region V Infant Mortality Summit 6

Perinatal Periods of Risk (PPOR) 3/21/2013 CityMatCH - Region V Infant Mortality Summit 7

Mapping the Connections between Race, Place, and Health 3/21/2013 CityMatCH - Region V Infant Mortality Summit 8

The Real Cost/Benefit Analysis 3/21/2013 CityMatCH - Region V Infant Mortality Summit 9