PHE 505 Milestone Three
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School
Southern New Hampshire University *
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Course
505
Subject
Medicine
Date
Apr 3, 2024
Type
docx
Pages
4
Uploaded by lnicolevalentin
Milestone Three
LaAshlee N. Valentin
Southern New Hampshire University
PHE 505: Research Methods-Public Health
Dr. Kristine D. Thomas-Jones
January 14, 2024
The health question I am addressing is what effect cultural competency and cultural tailoring will have on increasing maternal mortality implementation success and improve pregnancy outcomes amongst African American women in rural southern communities between ages 30-34. Though there are numerous implementations in place to address this public health issue, statistically they are more beneficial to and have greater successes amongst white women than minorities, with the prevalence of maternal mortality continually rising for African and or African American women not only in the United States, but abroad (Anachebe, 2006). Within the southern United States, maternal mortality rates amongst African American women are the highest (Anachebe, 2006), especially those who reside in rural areas, who experience a higher prevalence than those within urban communities (Tung, 2023).
This research question will add to the body of knowledge concerning the public health issue of maternal mortality by addressing the lack of cultural competency exercised in healthcare. Inaccessibility and poverty are often researched pertains to maternal mortality and its prevalence amongst minorities, but very little research is available pertains to the role of cultural components. Urban areas are saturated with individuals who are reflective of my targeted population and have resources and facilities within or close enough to the it communities, with a diverse enough staff to somewhat ensure their needs and concerns are addressed. If you are an African American woman, residing in a rural area where your cultural is grossly underrepresented, what are the options available to ensure you received optimized care with minimal or no racism. My literature review source, Maternal mortality in the United States: The pervasive effects of racism, reflects on the structural racism and implicit bias that are a factor in the decision-making process of healthcare providers and “perpetuate the cycle of racial inequities
and worsen patient outcomes” (Bison et al., 2022). Those factors must carry greater implications
for minority women residing in rural communications where they are even more of a marginalized demographic.
The feasibility and validity of my research question can be determined by the data. If the maternal mortality rates are consistent amongst this targeted population in various rural areas, under similar circumstances then there could be validity to the issue. Conducting questionnaires or focus groups could also support the research validity if shared experiences or patterns pertaining to treatment exist amongst the research subjects. may be considered valid because each question addresses specific and relevant aspects of the study subject. Utilizing mixed evaluation methodologies for comparison will assist in showcasing the vast differences in prevalence where there are no culturally tailored mitigation strategies being utilized or a lack of cultural competence on behalf of the facilities.
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References
Anichebe, N. F. (2006). Racial and Ethnic Disparities in Infant and Maternal Mortality. Ethnicity
& Disease, 16(3), 71-76. https://www-jstor-org.ezproxy.snhu.edu/stable/48667044
Bisson, C., Dautel, S., Patel, E., & Rana, S. (2022). Maternal mortality in the United States: The pervasive effects of racism. Medline
, 3(6), 361-364. https://doi.org/10.1016/j.medj.2022.05.008
Tung, L. (2023, July 5). See state-by-state comparisons of maternal mortality broken down by race and ethnicity. WHYY. https://whyy.org/articles/black-maternal-mortality-rates-new-
jerseypennsylvania/#:~:text=Geographic%20Findings&text=As%20in%20past
%20research%2C%20the,those%20states%20weren%27t%20alone
.