Utah Health Status Update:
During the 2011 legislative session, thelegislature replaced the Utah Departmentof Health, Center for Multicultural Health(CMH) with the new Office of HealthDisparities Reduction (OHD).
e new o
cewill continue to address racial and ethnichealth disparities, but will expand its missionto address other health disparities, such asdisparities by geography.A priority of OHD is to address infantmortality among Paci
c Islanders and AfricanAmericans/Blacks. In 2005-2008, Utah AfricanAmericans/Blacks had an infant mortality rate of 6.8/1,000 live births and Utah Paci
cIslanders had an infant mortality rate of 8.4/1,000 live births. During the same timeperiod, the statewide infant mortality rate was4.4/1,000 live births (Figure 1).
Low rates of folic acid consumption and early prenatal care, as well as a high rate of obesity during pregnancy, may contribute to the infantmortality problem among Utah Paci
c Islanders. High infant mortality in Utah’s African American/Black population may be related to thehigh smoking rates during pregnancy and low birth weights seen in thispopulation.
During focus groups, Paci
c Islanders reported that many people in theircommunity are unaware of the health advantages of taking folic acid,getting prenatal care, attaining a healthy weight prior to pregnancy, orspacing pregnancies at least 18 months apart. African Americans focusedmore on the problem of unplanned pregnancy.
ey also pointed outthat since most state-sponsored services for pregnant women are only available to women a
er they become pregnant, these services are toolate to prevent problems caused by poor maternal health, lack of folicacid and lack of family planning prior to pregnancy.Disparities in infant mortality also exist by geography.
e small areaswith the highest infant mortality rates from 2005-2008 included the areaencompassing Sevier, Piute and Wayne Counties; Wasatch County; BoxElder County (excluding Brigham City); Midvale; Downtown Ogdenand Kearns.
In 2008, 75.3% of Utahns lived in Utah’s four most populated counties:Salt Lake, Utah, Davis and Weber counties. With the exception of American Indians, Utah racial/ethnic minorities were even more urban,with 91.3% of Paci
c Islanders, 87.1% of Asians, 86.0% of Blacks/AfricanAmericans, and 83.6% of Hispanics living in the four most populatedcounties. Only 43.1% of Utah American Indians lived in these four urbancounties.
A priority of the O
ce of Health Dis-
parities Reduction is to address infantmortality among Paci
c Islanders andAfrican Americans/Blacks.Low rates of folic acid consumption
and early prenatal care, as well as ahigh rate of obesity during pregnancy,may contribute to the infant mor-tality problem among Utah Paci
infant mortality in Utah’sAfrican American/Black populationmay be related to the high smoking rates during pregnancy and low birthweights seen in this population.
In 2006-2010, all Utah racial/ethnic
minorities, except Asians, had higherage-adjusted adult overweight ratesthan the statewide rate.
In focus groups, Hispanics/Latinos
were concerned about the cost of healthy food, lack of knowledge aboutnutrition, and the di
culty of physi-cal activity during cold weather.
Infant Mortality by Race/Ethnicity
Infant mortality per 1,000 live births by race/ethnicity, Utah, 2005-2008 (disparately a
ected groups only)
Source: Utah Vital Records, Birth-Death Linked Infant Mortality (birth cohort), 2005-2008
220.127.116.11 2 4 6 8 10 12 14 16
All UtahnsAfrican American/BlackPacific Islander
Rate per 1,000 Live Births