Black people in rural areas continue to experience health disparities


Sumary of Black people in rural areas continue to experience health disparities:

  • Jeremy Woodhouse/Getty Images Despite federal health programs, Black adults in rural areas of the United States have a higher mortality rate from several chronic health conditions than white adults..
  • The researchers used data from 1999–2018 to compare mortality rates from diabetes, high blood pressure, heart disease, and stroke in Black people and white people aged 25 years and older..
  • They found that Black adults living in rural locations had the highest rate of mortality from all four conditions in comparison with white adults..
  • For example, research has shown that Black people experience lower life expectancy, have higher rates of high blood pressure, and receive fewer flu vaccinations than white people..
  • Structural inequities in healthcare may have a more significant effect on Black people living in rural locations than those living in urban areas, where healthcare may be more accessible..
  • To investigate rural and urban trends in health disparities and determine whether the gaps between racial groups are closing, researchers from Beth Israel Deaconess Medical Center (BIDMC) used data from the Centers for Disease Control and Prevention (CDC)..
  • Specifically, they used the CDC WONDER databases to compare annual mortality rates between Black adults and white adults..
  • The investigators looked at age-adjusted mortality rates between 1999 and 2018 in rural and urban areas for both Black and white people aged 25 years and older..
  • Black adults had consistently higher death rates from all four conditions in both rural and urban areas than white adults..
  • Mortality rates from diabetes and high blood pressure complications were nearly two and three times higher, respectively, in Black adults than in white adults..
  • For diabetes and high blood pressure, the mortality rate gap between white adults and Black adults narrowed over the past 2 decades in urban areas..
  • For heart disease, the mortality rate gap between the two racial groups narrowed at a similar rate in rural and urban areas, whereas for deaths due to stroke, the gap narrowed more rapidly in rural areas..
  • “The persistent racial disparities for diabetes and high blood pressure-related mortality in rural areas may reflect structural inequities that impede access to primary, preventive, and specialist care for rural Black adults.”.
  • Aggarwal also says that the heart disease and stroke mortality gap between Black and white adults may have narrowed in rural areas because of several factors….

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