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County profile Ohio Metropolitan HRSA MUA/P

Black health in Cuyahoga County, Ohio

375,000

Black residents (ACS)

30.06%

Of county population

$34,800

Median household income, Black

6.80%

Uninsured, Black residents

Cuyahoga County, Cleveland, has roughly 375,000 Black residents (~30%). Cleveland's east side has among the country's widest neighbourhood-level infant mortality gaps; First Year Cleveland, a county-hosted collaborative between MetroHealth, University Hospitals, and the Cleveland Clinic, has reduced the county's Black infant mortality rate by about a third since 2015. The Cleveland Clinic and University Hospitals Cleveland Medical Center anchor the academic medicine; MetroHealth (the county's public hospital system) is the principal safety-net anchor.

The Case Western Reserve University School of Medicine runs the Cleveland-Cuyahoga County Food Policy Coalition, one of the country's longest-running urban food-access programs.

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)

72.60 yrs

At birth, CDC NVSS Small-Area LE

Infant mortality (Black)

13.70

Per 1,000 live births, CDC WONDER

CVD mortality (Black)

387.00

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

County Health Rankings

#72

Overall rank in Ohio (lower = better)

HRSA Medically Underserved Area / Population HPSA: Primary Care HPSA: Mental Health

Policy context in Cuyahoga

Ohio has adopted Medicaid expansion under the Affordable Care Act, which gives low-income Black adults in this county a direct pathway to primary-care and prescription coverage. Medicaid does not cover doula services in this state. Postpartum Medicaid coverage extends for 12 months after delivery — the federal recommended standard, in place here.

Where to get help in Cuyahoga

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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