African-American Women's conceptualizations of health disparities: A community-based participatory research approach

Health disparities among African-American families represent a significant social problem. Nationally, African-American infants have dramatically worse birth outcomes than other racial and ethnic groups. A Community-Based Participatory Research approach was utilized to engage community residents. This study examined participants' definitions of infant mortality, views on the community impact of infant mortality, and strengths and vulnerabilities in the health care service delivery system. Qualitative data were gathered in a rural North Florida community where health education groups are conducted. Eight focus groups were arranged with African-American women (n = 46), ranging in age from 14 to 35, who were pregnant, parenting children under the age of two. Respondents poignantly described personal experiences of loss associated with infant mortality. They indicated awareness of problems related to lack of accessibility and availability of medical and social services. The use of social-ecological theory and implications for policy and social justice are discussed.