Publications

Recent Publications

Centering Black Mothers in California​ 
Report | Published: September 2023

The Centering Black Mothers in California report shows how social policies, structural racism, and community and neighborhood conditions impact the health of Black birthing people and babies. In California and across the United States, Black mothers experience some of the highest rates of life-threatening childbirth complications, deaths from pregnancy-related causes, and babies born too early or too small.

 

The Social Determinants of Health and Health Disparities, by Paula Braveman 
Book | Published: February 2023

The definitive classroom guide to understanding and addressing racial and other social disparities in health.Explores how social determinants like income, education, and work are shaped by upstream factors which ultimately impact health outcomes. Offers key points, discussion questions, and illustrative diagrams to faciliate learning.

 

African immigrants’ favorable preterm birth rates challenge genetic etiology of the Black-White disparity in preterm birth 
Journal Article | Published: January 2024

We examined over a million California birth records for 2010 through 2021 to investigate whether disparities in preterm birth (PTB) by nativity and race support the widely held but hitherto unsubstantiated belief that genetic differences explain the persistent Black-White disparity in PTB. The results add to prior evidence making a genetic etiology for the racial disparity in PTB unlikely.


COVID-19 impacts on pregnant people and families in California, 2020​

Food Insecurity and Housing Instability Early in the COVID-19 Pandemic 
Data Brief | Published: January 2024

Food insecurity and housing instability can have negative impacts on maternal physical and mental health and infant health and development. Many California birthing people experienced food insecurity or housing instability after pregnancy early in the COVID-19 pandemic.

Income Loss, Job Loss, and Childcare Problems Early in the COVID-19 Pandemic 
Data Brief | Published: January 2024

The COVID-19 pandemic had far-reaching effects on the lives and livelihoods ​of families, with impacts on employment and disruptions in childcare availability. Around half of California families with infants born in the spring of 2020 experienced financial hardship.

Mental Health During and After Pregnancy Early in t​he COVID-19 Pandemic 
Data Brief | Published: January 2024

Experience of anxiety and depression during or after pregnancy and can have negative impacts on maternal and infant health. Early in the COVID-19 pandemic, 1 in 3 birthing people experienced anxiety or depression during or after pregnancy. ​​​​​


The Black-White Disparity in Preterm Birth: Race or Racism? 
Policy Paper | Published: 25 April 2023

A perspective paper by Paula Braveman that reviews the evidence about biologically plausible causes of the racial disparity in PTB, focusing on racism and associated racial differences in experiences and exposures that are rarely measured in health studies. 

 

Severe maternal hardships are associated with food insecurity among low-income/lower-income women during pregnancy: results from the 2012–2014 California maternal infant health assessment 
Journal Article | Published: February 2022

In this paper, we assess the extent to which severe maternal hardships were associated with food insecurity during pregnancy among a representative sample of low- and lower-income women who had live births in California post the Great Recession in 2010–2012.

California American Indian / Alaska Native Maternal and Infant Health Status Report 
Report | Published: June 2019

California AIAN infants and their mothers experience notable disparities in health and well-being, but also demonstrate areas of strength and resilience. Unique in its scope, this report fills an important information gap on the health status of American Indian and Alaska Native mothers and infants in California.

 


Robert Wood Johnson Foundation | Health Equity Reports

Advancing Health Equity in Rural America 
Report | Published: June 2022

This report, produced in partnership with the Robert Wood Johnson Foundation, assists those working to improve health, well-being, and equity in rural America. It is directed not only to those working in public health or healthcare, but also to those working in other fields—such as rural development, community development, housing, and education—that powerfully shape health.

Health Equity: Everyone Counts 
Report | Published: May 2022

This report, produced in partnership with the Robert Wood Johnson Foundation, should be relevant to those planning, conducting, or funding ethnic/racial data collection, analysis, and/ or reporting, for both federally and privately funded data, in all sectors, not only health.

Systemic Racism and Health Equity 
Report | Published: January 2022

Addressing systemic racism is crucial for achieving health equity. This report, produced in partnership with the Robert Wood Johnson Foundation, examines what systemic racism is, the harm it causes and how it does so, and strategies to dismantle it.

What Can the Health Care Sector Do to Advance Health Equity? 
Report | Published: November 2019

This report, produced in partnership with the Robert Wood Johnson Foundation, aims to assist those working in health care, public health, and other fields that powerfully shape health—such as education, childcare, housing, and community development—to build a world in which everyone has a fair and just opportunity to be as healthy as possible.

Mass Incarceration Threatens Health Equity in America 
Report | Published: December 2018

Produced in partnership with the Robert Wood Johnson Foundation, this report examines the links between mass incarceration and health equity. Through pairing data with examples of successful approaches, this report shows how mass incarceration negatively impacts everyone’s health and well-being and also suggests solutions for reducing both incarceration and crime rates and increasing opportunities for all.

Wealth Matters for Health Equity 
Report | Published: September 2018

Produced in partnership with the Robert Wood Johnson Foundation, this report examines the links between wealth and health equity, with data from recent studies showing how a country’s overall health is linked not only with its overall level of wealth, but also with how wealth is distributed. The authors describe promising strategies for building wealth among groups of people for whom access to wealth-generating opportunities have been historically limited.

Early Childhood Is Critical to Health Equity 
Report | Published: May 2018

The first few years of life are crucial in establishing a child’s path toward—or away from—health and well-being across the entire lifespan. This report, produced in partnership with the Robert Wood Johnson Foundation, examines some of the barriers to health equity that begin early in life, and promising strategies for overcoming them.

What is Health Equity? 
Report | Published: May 2017

In a report designed to increase consensus around meaning of health equity, the Robert Wood Johnson Foundation (RWJF) provides the following definition: “Health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.”

 


CDPH Maternal, Child and Adolescent Health Data Dashboards