AP National Writer
HOUSTON — One recent day at Dr. Natalie Carroll's OB-GYN practice located inside a low-income apartment complex tucked between a gas station and a freeway, 12 pregnant black women come for consultations. Some bring their children or their mothers. Only one brings a husband.
Things move slowly here. Women sit shoulder-to-shoulder in the narrow waiting room, sometimes for more than an hour. Carroll does not rush her mothers in and out.
She wants her babies born as healthy as possible, so she spends time talking to the mothers about how they should care for themselves, what she expects them to do — and why they need to get married.
Seventy-two percent of black babies are born to unmarried mothers today, according to government statistics. This number is inseparable from the work of Carroll, an obstetrician who has dedicated her 40-year career to helping black women.
“The girls don't think they have to get married. I tell them children deserve a mama and a daddy. They really do,” Carroll says from behind the desk of her office.
As the issue of black unwed parenthood inches into public discourse, Carroll is among the few speaking boldly about it. And, as a black woman who has brought thousands of babies into the world, who has sacrificed income to serve Houston's poor, she is among the few whom black women will actually listen to.
“A mama can't give it all. And neither can a daddy, not by themselves,” Carroll says. “Part of the reason is because you can only give that which you have. A mother cannot give all that a man can give. A truly involved father-figure offers more fullness to a child's life.”
Statistics show just what that fullness means. Children of unmarried mothers of any race are more likely to perform poorly in school, go to prison, use drugs, be poor as adults and have their own children out of wedlock.
The black community's 72 percent rate eclipses that of most other groups: 17 percent of Asians, 29 percent of whites, 53 percent of Hispanics and 66 percent of Native Americans were born to unwed mothers in 2008, the most recent year for which government figures are available. The rate for the overall U.S. population was 41 percent.
This issue entered the public consciousness in 1965, when a now famous government report by future U.S. Sen. Daniel Patrick Moynihan of New York described a “tangle of pathology” among blacks that fed a 24 percent black “illegitimacy” rate. The white rate then was 4 percent.
Many accused Moynihan, who was white, of “blaming the victim”: of saying that black behavior, not racism, was the main cause of black problems. That dynamic persists. Most talk about the 72 percent has come from conservative circles; when influential blacks like Bill Cosby have spoken out about it, they have been all but shouted down by liberals saying that a lack of equal education and opportunity are the true root of the problem.
Even in black churches, “nobody talks about it,” Carroll says. “It's like some big secret.”
But there are signs of change, of discussion and debate within and outside the black community on how to address the growing problem.
Research has increased into links between behavior and poverty, scholars say. Historically black Hampton University recently launched a National Center on African American Marriages and Parenting. There is a Marry Your Baby Daddy Day, founded by a black woman who was left at the altar, and a Black Marriage Day, which aims “to make healthy marriages the norm rather than the exception.”
“There are a lot of sides to this,” Carroll says. “Part of our community has lost its way.”
There are simple arguments for why so many black women have children without marriage.
The legacy of segregation, the logic goes, means blacks are more likely to attend inferior schools. This creates a high proportion of blacks unprepared to compete for jobs in today's economy, where middle-class industrial work for unskilled laborers has largely disappeared.
The drug epidemic sent disproportionate numbers of black men to prison and crushed the job opportunities for those who served their time. Women don't want to marry men who can't provide for their families and welfare laws created a financial incentive for poor mothers to stay single.
If you remove these inequalities, some say, the 72 percent will decrease.