Savage Sneak Peek 2023

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Chapter 7 ■ Health Disparities and the Social Determinants of Health

Rate per 1,000 live births

12

10

8

6

4

2

0

Non-Hispanic Black

Native Hawaiian or Other Pacific Islander

American Indian or Alaska Native

Hispanic

Non-Hispanic White

Asian

Figure 7-2 U.S. infant mortality rates by race and ethnicity, 2019. (Source: Reference [3])

70

65

60

55

50

Primary care physicians

45

0

2007 Year

2002

2003 2004 2005 2006

2008 2009 2010 2011 2012

NOTE: Primary care physicians include those in family and general practice, internal medicine, geriatrics, and pediatrics. SOURCES: CDC/NCHS, National Ambulatory Medical Care Survey (NAMCS) and NAMCS, Electronic Health Records Survey. Figure 7-3 Number of primary care physicians per 100,000 population: United States, 2012. (Source: Reference [19])

examining the number of primary care physicians by state, New Hampshire had 43.9 per 100,000 population, compared with Mississippi with 26.5 per 100,000 popu- lation (Fig. 7-3). 19 The rate of physicians does not take into account the rurality or distance required to travel to see a primary care physician. Although IMR is just one

example of health disparity among groups in the United States, it underscores the rationale for continuing to promote health equity as a priority. Healthy People 2030 (HP 2030) continues to include elimination of health disparity as a priority, as it has since Healthy People was first initiated.

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