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County profile Florida Metropolitan

Black health in Miami-Dade County, Florida

480,000

Black residents (ACS)

17.96%

Of county population

$45,500

Median household income, Black

18.10%

Uninsured, Black residents

Miami-Dade has roughly 480,000 Black residents, including the largest Haitian-American population of any US county (Little Haiti, North Miami). Jackson Health System, the nation's third-largest public hospital system, anchors the county's safety-net care. Florida's non-adoption of Medicaid expansion means Jackson absorbs an outsize share of uninsured Black inpatient admissions.

The University of Miami's Sylvester Comprehensive Cancer Center is Florida's only NCI-designated comprehensive cancer centre; its Community Outreach & Engagement arm runs a Firefighter Cancer Initiative with the city's predominantly-Black fire departments. Miami-Dade has among the nation's highest rates of HIV diagnosis among Black men who have sex with men.

Headline outcomes

Race-stratified county-level figures pulled from CDC WONDER small-area estimates, the annual County Health Rankings, and the CDC NVSS state/county life tables. County values with cell counts below CDC suppression thresholds are marked as data pending.

Life expectancy (Black)

78.50 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

10.20

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

332.50

Age-adjusted per 100k, CDC WONDER I00-I99

County Health Rankings

#36

Overall rank in Florida (lower = better)

Policy context in Miami-Dade

Florida has not adopted Medicaid expansion. Low-income Black adults in this county without dependent children and without employer coverage typically fall into the coverage gap — uninsured by default. Medicaid in this state covers doula services. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Miami-Dade

Find Black health providers & resources in Miami-Dade

Black clinicians in Miami-Dade

Directory filtered to this county & state

Federally Qualified Health Centers

Sliding-scale FQHCs across Florida

Crisis & support resources

988, postpartum helplines, Black-serving crisis lines

Florida state profile

Statewide context, Medicaid policy, all 10 health facets

References & primary sources

  1. Demographics: US Census ACS 5-year 2019–2023, Tables B03002 (race), B01003 (total population), S1903 (median income), B27010B (uninsured by race).
  2. Mortality and life expectancy: CDC WONDER county-level Multiple Cause of Death and Underlying Cause of Death, pooled 2020–2022; CDC NVSS Small-Area Life Expectancy Estimates, 2016–2020 release.
  3. County Health Rankings: University of Wisconsin Population Health Institute & Robert Wood Johnson Foundation, 2024 release.
  4. HRSA shortage-area designations: HRSA HPSA Find and MUA/P Find, current as of 2025.
  5. Rural-Urban Continuum Codes: USDA Economic Research Service, 2023 release.

Data refreshed:

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