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THE
BLACK CONDITIONS LEDGER

BLACK CONDITIONS LEDGER

When outcome persist, responsibility must be traceable.

The following conditions represent nationally documented baseline disparities affecting Blacks in America. These conditions are derived from federal datasets, peer-reviewed research, and nationally consistent housing indicators and are used to establish the baseline context for the Black Conditions and Black Receipts grading systems.  These conditions do not allege causation by any single city, agency, or elected official.  They reflect persistent national outcomes that pre-exist and often transcend local jurisdictions.  Local officials are evaluated only on whether measurable improvement, mitigation, or material change occurred during their period of authority, not on the existence of these baseline conditions.

HOUSING
& STABILITY
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7 Documented Outcomes
Health.png
HEALTH &
MORTALITY
10 Documented Outcomes
EDUCATION &
OPPORTUNITY
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9 Documented Outcomes
Justice.png
JUSTICE &
POLICING
8 Documented Outcomes
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ECONOMIC
SECURITY
8 Documented Outcomes
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FAMILY & SOCIAL
STRUCTURE
7 Documented Outcomes
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MENTAL HEALTH
& SOCIAL STRESS
Documented Outcomes
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Documented National Housing Conditions Affecting Blacks in America
  • Homeownership Disparity
    Blacks in America have the lowest homeownership rate of any major racial group nationwide, a condition documented across decades of federal housing data.

  • Rentership Concentration
    Due to persistently lower homeownership rates, Blacks in America are significantly more likely to rent compared to other racial groups nationally.

  • Eviction Disparities
    National eviction research consistently shows that Blacks in America experience eviction filings at disproportionately higher rates relative to their share of the renter population.

  • Housing Insecurity
    Across nationally recognized measures of housing insecurity  including severe rent burden, cost burden, and housing instability, Blacks in America are disproportionately affected.

  • Substandard Housing Exposure
    Blacks in America are more likely to reside in substandard housing conditions, including aging housing stock, deferred maintenance, overcrowding, and environmental hazards.

  • Homelessness Disproportionality
    Blacks in America are significantly overrepresented among people experiencing homelessness nationwide, far exceeding their share of the general population.

  • Subsidized Housing Overrepresentation
    Blacks in America are disproportionately represented among recipients of subsidized housing assistance programs, reflecting structural disparities in housing access and affordability.

National Health Outcome Disparities Affecting Blacks in America
  • Infant Mortality
    Federal maternal and child health surveillance consistently shows that Blacks in America experience the highest infant mortality rates nationally, measured as infant deaths per 1,000 live births, across multiple reporting years and geographic regions.

  • Heart Disease
    National mortality data identify heart disease as a leading cause of death, with Blacks in America exhibiting disproportionately high mortality rates, reflecting sustained disparities in cardiovascular outcomes.

  • Cancer Outcomes
    Population-level cancer surveillance demonstrates that Blacks in America experience elevated incidence and mortality rates for several major cancer types, relative to other racial groups, even when controlling for age distribution.

  • Diabetes in Adults
    National health monitoring systems consistently report higher prevalence rates of diabetes among Black adults, contributing to increased risk of secondary complications including cardiovascular, renal, and neurological disease.

  • Diabetes in Children
    Pediatric health surveillance indicates that Blacks in America experience among the highest rates of diabetes in children, with variation by diabetes type and age cohort, but consistently elevated relative to national averages.

  • HIV/AIDS
    Federal infectious disease surveillance shows that Blacks in America are disproportionately impacted by HIV/AIDS, accounting for a substantially higher share of diagnoses and prevalence relative to population proportion.

  • Infectious Sexually Transmitted Diseases
    National public-health reporting consistently documents higher rates of infectious sexually transmitted diseases among Blacks in America, including syphilis, gonorrhea, and chlamydia, across age and gender cohorts.

  • COVID-19 Impact
    Pandemic-era public-health reporting demonstrates that Blacks in America experienced disproportionately high rates of COVID-19 infection, hospitalization, and mortality, particularly during early and peak phases of the pandemic.

  • Suicide Trends
    While suicide rates vary by demographic subgroup, national trend data show rising suicide rates among Blacks in America, with certain age cohorts experiencing among the most significant increases over time.

  • Surgical Intervention Patterns
    Health services utilization data indicate that Blacks in America experience among the highest rates of certain surgical interventions, often associated with delayed diagnosis, advanced disease presentation, and differential access to preventive care.

National Educational Outcome Disparities Affecting Blacks in America
  • High School Graduation Rates
    National education data consistently show that Blacks in America experience among the lowest high school graduation rates relative to other major racial groups, with persistent gaps remaining across decades of reporting.

  • High School Dropout Rates
    Federal and longitudinal education studies indicate that Blacks in America experience disproportionately high high school dropout rates, particularly among students facing concentrated poverty and systemic educational under-resourcing.

  • Literacy and Reading Proficiency
    National assessments consistently show lower average literacy and reading comprehension proficiency among Black students, as measured by standardized benchmarks such as grade-level reading assessments and national educational evaluations.

  • Mathematics and Writing Performance
    Standardized academic performance data demonstrate that Black students score lower on average in mathematics, reading comprehension, and writing, reflecting persistent achievement gaps observable across grade levels.

  • College Enrollment — Black Males
    Postsecondary education data show that Black males experience the lowest college enrollment rates of any major demographic subgroup, with enrollment disparities evident across two-year and four-year institutions.  

  • Disciplinary Disparities
    Black students experience disproportionately high rates of school discipline, including suspensions and expulsions, which are associated with reduced instructional time and adverse academic outcomes.

  • Special Education Misclassification
    National studies document overrepresentation of Black students in certain special education classifications, contributing to long-term academic tracking disparities.

  • Advanced Coursework Access
    Blacks in America are underrepresented in advanced placement, honors, and gifted education programs, limiting access to college-preparatory coursework.

  • Teacher Experience and Resource Gaps
    Schools serving predominantly Black student populations are more likely to experience higher teacher turnover, fewer experienced educators, and reduced access to advanced academic resources.

National Criminal Justice & Public Safety Outcome Disparities Affecting Blacks in America
  • Incarceration Rates
    Federal correctional statistics consistently show that Blacks in America experience the highest incarceration rates nationwide, measured per capita, relative to other major racial groups.

  • Arrest Records
    National arrest data indicate that Blacks in America experience disproportionately high arrest rates, resulting in elevated lifetime exposure to criminal records and justice system contact.

  • Neighborhood Crime Exposure
    Crime reporting and victimization data show that predominantly Black neighborhoods experience higher rates of reported violent crime, reflecting concentrated exposure to community-level public safety risks.

  • Homicide Victimization
    National mortality and crime statistics demonstrate that Blacks in America experience the highest homicide victimization rates, substantially exceeding national averages.

  • Drug-Related Arrests
    National law-enforcement data show that Blacks in America are arrested for drug-related offenses at disproportionately high rates, despite comparable rates of drug use across racial groups in national surveys.

  • Homicide Arrests and Convictions
    Criminal justice data indicate that Blacks in America are disproportionately represented among arrests and convictions for homicide, reflecting elevated exposure to both violent crime environments and justice system processing.

  • Court System Involvement
    Court administration data show that Blacks in America experience disproportionately high rates of court appearances, case processing, and sentencing, increasing cumulative justice system exposure over time.

  • Police Use of Deadly Force
    National databases tracking police-involved fatalities consistently show that Blacks in America experience disproportionately high rates of fatal encounters with law enforcement, relative to population share.

  • Pretrial Detention Disparities
    Blacks in America are more likely to be detained pretrial, often due to bail practices and risk assessment outcomes, increasing case severity and downstream sentencing exposure.

  • Sentencing Severity
    National sentencing analyses show longer average sentences and reduced access to diversionary outcomes for Black defendants, controlling for offense categories.

  • Probation and Parole Supervision
    Blacks in America are overrepresented in probation and parole populations, increasing ongoing surveillance and risk of technical violations.

  • Juvenile Justice Contact
    Black youth experience disproportionately high rates of juvenile justice system contact, including arrests, referrals, and detention, contributing to long-term justice system involvement.

National Economic Outcome Disparities Affecting Blacks in America
  • Per Capita Family Income
    National income data consistently show that Blacks in America experience the lowest per capita family income levels, reflecting persistent wage, employment, and wealth gaps.

  • Family Poverty Rates
    Federal poverty statistics demonstrate that Black families experience the highest poverty rates nationwide, including elevated rates of deep and intergenerational poverty.

  • Unemployment
    Labor force surveys consistently report that Blacks in America experience unemployment rates approximately twice that of White workers, even during periods of overall economic growth.

  • Underemployment
    National labor market indicators show that Blacks in America experience disproportionately high underemployment, including involuntary part-time work, unstable hours, and labor force marginalization.

  • Credit Access and Credit Outcomes
    Consumer finance data indicate that Blacks in America experience disproportionately high rates of poor or subprime credit outcomes, affecting access to housing, transportation, and capital.

  • Bankruptcy Filings
    National bankruptcy statistics show elevated bankruptcy filing rates among Black households, often associated with medical debt, income volatility, and limited asset buffers.

  • Public Assistance Participation — Cash Assistance
    Administrative benefit data demonstrate that Black families are disproportionately represented among recipients of cash assistance programs, reflecting income insufficiency rather than individual preference.

  • Public Assistance Participation — Nutrition Assistance
    Federal nutrition program data show that Black families are disproportionately represented among households receiving food assistance, including SNAP benefits.

  • Wealth Gap
    National household finance surveys show that median Black household wealth is a fraction of median White household wealth, even after accounting for income differences.

  • Intergenerational Asset Transfer
    Blacks in America experience reduced access to intergenerational wealth transfer, including inheritances and family capital, reinforcing long-term economic disparities.

  • Housing Cost Burden
    Black households are more likely to experience severe housing cost burdens, limiting disposable income and increasing financial instability.

  • Medical Debt Exposure
    Blacks in America experience higher rates of medical debt, contributing to credit deterioration and bankruptcy risk.

  • Business Capital Access
    Black-owned households experience lower access to startup capital, credit approval, and business financing, constraining entrepreneurship and income mobility.

National Family Structure & Social Stability Outcome Disparities Affecting Blacks in America
  • Single-Parent Households
    National demographic data consistently show that Blacks in America experience the highest prevalence of single-parent households, reflecting long-standing structural and economic disparities.

  • Father Absence in Household Composition
    Household composition data indicate that Blacks in America experience the highest percentage of households without a resident father, measured as a structural household characteristic rather than parental involvement or intent.

  • Grandparent-Led Households
    Federal family structure surveys show that Blacks in America experience disproportionately high rates of grandparents raising grandchildren, often associated with economic stress, health challenges, or parental absence.

  • Marriage Rates
    National vital statistics demonstrate that Blacks in America experience the lowest marriage rates nationwide, alongside higher rates of delayed or foregone marriage.

  • Adult Dependency — Males Living With Parents
    National demographic and labor data show elevated rates of adult males aged 30 and older living with parents, often correlated with labor market instability, housing affordability constraints, and justice system exposure.

  • Domestic Violence Exposure
    National crime victimization and public health data indicate disproportionately high exposure to domestic and intimate partner violence within Black communities, reflecting compounded economic and social stressors rather than individual culpability.

  • Teen and Youth Violence
    National youth violence reporting shows elevated rates of violent victimization and involvement among Black adolescents, particularly in contexts of concentrated disadvantage and community-level instability.

  • Childhood Household Instability
    Blacks in America experience higher rates of household transitions, including changes in caregivers, residence, and family composition, which are associated with adverse developmental outcomes.

  • Child Welfare System Contact
    National child welfare data show disproportionate contact with child protective services and foster care systems, contributing to family disruption.

  • Economic Strain on Family Units
    Black households experience higher levels of financial stress, including income volatility and limited asset buffers, increasing strain on family stability.

  • Community Violence Exposure
    Blacks in America are more likely to reside in communities with higher exposure to violent crime, increasing indirect trauma and family disruption.

MENTAL HEALTH & SOCIAL STRESS
  • Untreated Mental Health Conditions
    National health surveillance consistently shows that Blacks in America experience among the highest rates of untreated mental health conditions, reflecting disparities in access, diagnosis, continuity of care, and service utilization.

  • Chronic Stress Exposure
    Blacks in America experience elevated levels of chronic stress, linked to persistent exposure to housing instability, economic insecurity, community violence, and environmental stressors.

  • Anxiety and Depression
    National prevalence studies demonstrate elevated rates of anxiety and depressive symptoms across age groups among Blacks in America, with evidence of underdiagnosis and undertreatment relative to need.

  • Community Trauma and Adverse Childhood Experiences (ACEs)
    Public health and social science research shows disproportionately high exposure to community trauma and adverse childhood experiences, including violence exposure, family disruption, and economic stress, contributing to long-term mental health risk.

  • Access to Culturally Competent Care
    Healthcare access data indicate limited availability and utilization of culturally competent mental health services, including shortages of providers, barriers to trust, and reduced continuity of care for Black patients.

  • Treatment Modality Imbalance
    National treatment pattern analyses indicate greater reliance on pharmacological interventions relative to long-term therapeutic and community-based mental health support, reflecting access limitations rather than clinical preference.

  • Substance Misuse Risk
    Public health data show increased risk of substance misuse as a coping mechanism, particularly in contexts of chronic stress, untreated mental health needs, and trauma exposure.

  • Justice System–Related Psychological Stress
    Blacks in America experience compounding psychological stress associated with over-policing, court involvement, incarceration exposure, and family disruption, contributing to elevated mental health burden.

  • Crisis Intervention Disparities
    Blacks in America are more likely to encounter law enforcement rather than healthcare providers during mental health crises, increasing risk and reducing continuity of care.

  • Youth Mental Health Vulnerability
    Black youth experience elevated exposure to trauma and stressors, alongside lower access to early mental health intervention and school-based support services.

  • Stigma and Diagnostic Gaps
    National research documents persistent stigma and diagnostic bias, contributing to delayed diagnosis, misdiagnosis, or disengagement from mental health services.

  • Intergenerational Psychological Impact
    Chronic stress and trauma exposure contribute to intergenerational mental health risk, reinforcing disparities across life stages.​

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DATA SOURCES:
Franklin County Public Health
Ohio Department of Health
CDC Health Disparity Reports
DATA SOURCES:
Cuyahoga County Board of Health
Cleveland Dept. of Public Health
Cuyahoga County Dept. of Development
City of Cleveland Economic Development
FDIC
HUD
U.S. Census Bureau
CDC
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© 2026 Bronzeville Communications Network
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Methodology © Bronzeville Communications Network
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