Identity and Priorities for Social Change

Abstract: The United States has experienced a marked uptick in rates of both maternal mortality and morbidity. African-American women and infants are disproportionately affected by this current health crisis. This community-engaged research represents a qualitative exploration of the varying perspectives, identities, and social relationships among African-American women in an inner-city neighborhood in Pittsburgh, Pennsylvania. Emergent themes from focus group discussions with 49 residents and leaders in the community suggest the existence of multiple identity-based "wisdoms" related to maternal-child health. Preliminary findings indicate the importance of identity in conceptualizations regarding the causes of and community-based solutions to this current health crisis. Understanding of plurality in identity, definition, and meanings associated with maternal-child health within the community could profoundly enhance the development of initiatives that are successful, empowering, and sustainable.