Black Health

Black Health Profile

Black health in Ohio

1,496,417

Black residents (ACS)

12.70%

Of state population

Ohio has 1.5 million Black residents concentrated in Cleveland, Columbus, Cincinnati, and Toledo. The Cleveland Clinic, University Hospitals Cleveland, Nationwide Children's, and the Ohio State University Wexner Medical Center anchor the state's medical infrastructure. Ohio's infant mortality rate for Black infants is among the highest in the country.

The largest Black health disparity tracked on these pages varies by metric. Use the ten topic pages below to see each one cited against the state's primary-source dataset.

On the positive side, every US state now has CDC-funded maternal mortality review committees, and most have at least one HRSA-designated federally qualified health center serving low-income Black residents. The ten facet pages below point to state-specific programs and providers.

Key takeaways

  • Black residents: 1,496,417 (12.7% of the state).
  • Medicaid expansion adopted.
  • Medicaid does not cover doula services.
  • Certified nurse-midwife scope-of-practice recognized by Medicaid.
  • 12-month postpartum Medicaid extension active.

Health outcomes & coverage

Ten race-stratified indicators drawn from CDC, Census, KFF, and SAMHSA primary sources. Each page links the underlying dataset, compares to the national average, and frames the state-specific drivers and policy levers.

maternal mortality

Black women in Ohio die from pregnancy-related causes at 44.8 per 100,000 live births — 2.4× the US national rate of 19.

Read the maternal mortality breakdown

infant mortality

Black infants in Ohio die before age one at 13.9 per 1,000 live births — compared to the US all-race rate of 5.4.

Read the infant mortality breakdown

cardiovascular mortality

Age-adjusted cardiovascular mortality among Black residents of Ohio: 377 deaths per 100,000 (CDC WONDER, ICD-10 I00-I99).

Read the cardiovascular mortality breakdown

diabetes prevalence

15.9% of Black adults in Ohio have been diagnosed with diabetes — compared to the US all-race rate of 11.6%.

Read the diabetes prevalence breakdown

breast cancer mortality

Age-adjusted breast cancer mortality among Black women in Ohio: 30.3 per 100,000 (CDC WONDER, ICD-10 C50).

Read the breast cancer mortality breakdown

prostate cancer mortality

Age-adjusted prostate cancer mortality among Black men in Ohio: 41.6 per 100,000 (CDC WONDER, ICD-10 C61).

Read the prostate cancer mortality breakdown

life expectancy

Life expectancy at birth for Black residents of Ohio: 72.5 years (US all-race: 77.5).

Read the life expectancy breakdown

uninsured rate

7.2% of Black residents of Ohio have no health insurance coverage — vs. a US all-race uninsured rate of 8%.

Read the uninsured rate breakdown

Medicaid coverage

About 31% of Black residents of Ohio receive Medicaid coverage. Ohio is a Medicaid expansion state.

Read the Medicaid coverage breakdown

mental health access

58.7% of Black adults in Ohio who experienced a past-year mental health need reported not receiving the treatment they needed (SAMHSA NSDUH…

Read the mental health access breakdown

Policy context in Ohio

Ohio has adopted Medicaid expansion under the Affordable Care Act. Medicaid does not currently cover doula services. Postpartum Medicaid coverage extends for 12 months after delivery, the federal recommended standard.

Ohio adopted Medicaid expansion in 2014. HB 7 (2023) authorized Medicaid coverage of doula services pending CMS approval. Postpartum Medicaid extension to 12 months took effect in 2022.

Counties in Ohio

County-level Black Health profiles for the 1 Ohio county with the fullest race-stratified data and editorial coverage.

Browse all counties

Data sources & refresh cadence

  • US Census ACS 5-year 2019–2023, Table B02001 (race) & S1903 (income).
  • CDC WONDER Multiple Cause of Death (D69) & Underlying Cause of Death (D76), 2018–2022 release.
  • KFF Medicaid expansion and state coverage trackers, Q1 2026.
  • SAMHSA National Survey on Drug Use and Health, 2022 state annual.
  • HRSA NHSC workforce data, 2024.

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