ERIC Number: ED464755
Record Type: Non-Journal
Publication Date: 2002-Apr
Reference Count: N/A
Healthy Mothers, Healthy Infants: Reducing Racial and Ethnic Disparities. Rhode Island KIDS COUNT Issue Brief.
Rhode Island KIDS COUNT, Providence.
This Kids Count issue brief details the strides made in Rhode Island over the last 10 years to improve maternal and child health, focusing on efforts to reduce racial and ethnic disparities. The brief notes that Rhode Island has made significant progress in several areas of maternal and infant care, most notably in access to insurance and early prenatal care. However, significant racial/ethnic disparities remain in several areas, for example, the infant mortality rate for blacks remains twice that for whites and higher than that of any other racial/ethnic group. Other racial/ethnic disparities are described concerning delayed prenatal care, smoking during pregnancy, and pregnancies and births to 15- to 17-year-olds. Potential causes for racial/ethnic disparities are discussed and include socioeconomic factors, behavioral factors, cultural factors, physiological risk factors, and system/provider bias. The brief attributed the contribution of RIte Care, Rhode Island's Medicaid managed care program, to the lowest rate of uninsured children in the nation (5 percent compared to 14 percent nationally). The Women's Health Screening and Referral Program is described as an initiative to prevent unintended pregnancies, improve pregnancy outcomes through risk identification and referral, identify service gaps, and create a continuum of care for women of childbearing age. The brief emphasizes the need to address mental health, substance abuse, and domestic violence risks and describes the Universal Newborn Risk Screening Program in place in Rhode Island. Recommendations for addressing the significant remaining racial/ethnic disparities relate to focusing on high-poverty communities, income supports for low-income families, family support and infant development, access and cultural competence, and access to high quality health care during adolescence. (Contains 48 endnotes.) (KB)
Descriptors: Child Health, Early Parenthood, Health Insurance, Health Promotion, Infant Mortality, Infants, Mortality Rate, Mothers, Pregnant Students, Prenatal Care, Racial Differences, Social Indicators, State Programs, Trend Analysis
Rhode Island Kids Count, One Union Station, Providence, RI 02903. Tel: 401-351-9400; Fax: 401-351-1758; e-mail: firstname.lastname@example.org; Web site: http://www.rikidscount.org.
Publication Type: Numerical/Quantitative Data; Reports - Descriptive
Education Level: N/A
Sponsor: Annie E. Casey Foundation, Baltimore, MD.; Robert Wood Johnson Foundation, Princeton, NJ.; David and Lucile Packard Foundation, Los Altos, CA.; Ford Foundation, New York, NY.; Ewing Marion Kauffman Foundation, Kansas City, MO.; Rhode Island Foundation, Providence.
Authoring Institution: Rhode Island KIDS COUNT, Providence.
Identifiers - Location: Rhode Island
Identifiers - Laws, Policies, & Programs: Childrens Health Insurance Program