We are in very stressful times. Whether it is because of the COVID-19 pandemic, our national state and/or the continued racial crimes committed against African Americans, a lot of people are in a heightened state of stress and feel helpless to help themselves and others. Like many others, I want to see long term positive impact for the improvement of black people and minorities in this country. And it is hard to see that in this moment. So I am offering today what I can as a public health advocate to improve the health of black Americans, create health equity and reduce health disparities.
As important as it is to show the general public police brutality and demonstrate against racial inequality, I also see how it fuels health risks among African Americans. Not only are peaceful protesters, rioters and police increasing their risk of exposure to COVID-19, they are creating bodily stress which can have long-term health impacts. Combined with a lifetime of systemic racism for black Americans, its a deadly combination. So in this moment, it is more important than ever that black Americans take care of their physical health.

Black Mothers in the US Are Dying at Alarming Rates

You may be hearing a lot about health disparities and health equity. Why is this? “According to the CDC, black mothers in the U.S. die at three to four times the rate of white mothers, one of the widest of all racial disparities in women’s health. Put another way, a black woman is 22 percent more likely to die from heart disease than a white woman, 71 percent more likely to perish from cervical cancer, but 243 percent more likely to die from pregnancy- or childbirth-related causes. In a national study of five medical complications that are common causes of maternal death and injury, black women were two to three times more likely to die than white women who had the same condition.”.
And why is this? Systemic racism and discrimination can cause something known as the The Weathering Effect.
The Weathering Effect
Arline Geronimus coined the term to mean a sense of erosion by constant stress- how health is affected by big and small stressors in their life.
Infant mortality rates among African American babies are twice as high as those of the general population.
https://unnaturalcauses.org/episode_descriptions.php?page=2
What can we do about it?
- Health is determined by an interplay of:
- Genetics
- Behavior
- Psychological factors
- Social factors
- Environmental factors
…across an individual’s lifespan. This is known as the Life Course Perspective. Already black women and their babies are at a disadvantage because of the weathering effect, social factors (racism/discrimination), and environmental factors.
- Each life stage influences the next
- Each life stage impacts the subsequent stages, an integrated continuum
- (infant → adolescent → young adult → adulthood → senior)
- Each life stage impacts the subsequent stages, an integrated continuum
- Social, economic, and physical environments interacting across the life course have a profound impact on individual and community health.
Hence the need for preconception health.
What is Preconception Health?
Preconception care is a set of interventions that identify and modify biomedical, behavioral, and social risks to a woman’s health and future pregnancies. It includes both prevention and management, emphasizing health issues that require action before conception or very early in
pregnancy for maximal impact.






If you or your partner are planning on having a baby in the future, Preconception Care can have a beneficial psychological effects on performance in labor, for both mothers and fathers.
So what can you do right now as an African American to protect your health, the health of your loved ones and your future children?
REDUCE YOUR STRESS

There are so many resources online for free, guided meditations, yoga videos, etc. I personally follow Yoga with Adriene on YouTube and have subscribed to a free Fitbit premium membership, which last 2 months. Or you can choose to pick up a book with exercises. If you have an Alexa or a smart phone, you can ask Alexa or Siri to play relaxing music, guided meditation music, even yoga videos. Now more than ever, stress relieving help and guided healthy, nutritional plans are at your fingertips.

A copy of my preconception presentation is open to the public here
If you would like me to share this presentation with your community group or organization, please contact me. If you would like to become a Preconception Peer Educator yourself in your community, the Office of Minority Affairs has more information. If you are a university student and would like to teach other students about preconception health, please also reach out to your state Office of Minority Affairs or contact me as well. And of course, feel free to share this information. Information is power. Empower yourself and others to make positive impact now. Be well and stay safe.