Do Black birthing persons prefer a Black health care provider during birth? Race concordance in birth

Abstract

Background For many years in the United States, there has been an active discussion about whether race concordance between care providers and patients contributes to better health outcomes. Although beneficial provider–patient communication effects have been associated with concordance, there is minimal evidence for concordance benefits to health outcomes. Methods A cross-sectional survey was conducted including 200 Black mothers who had given birth within the last 2?years asking about the perceived racial identity of their birth health provider, whether they preferred to have Black women providers, and the intersection between race and gender concordance on birth outcomes. In addition to race and gender concordance, other variables were tested for their impact on birth satisfaction including respect, trust for the care provider, perceived competence, care provider empathy, and inclusive communication. Results Forty-one percent of the mothers in this study were assisted in birth by a Black woman provider. Although patient–provider concordance did not result in measurable health outcomes, it is clear that compared to other studies of birth satisfaction among Black birthing persons, this study showed relatively higher levels of satisfaction, perceived trust, empathy, perceived provider competence, inclusive communication, and equal respect for both concordant and discordant care providers. Conclusions Although many participants showed a preference for race concordance, participants equally valued respect, competence, and trust with their care providers. Further community-based research needs to be conducted to examine whether race, gender, and cultural concordance results in other beneficial health outcomes.