Postpartum Weight Retention and Cardiometabolic Disparities: The Effects of Contexual, Psychosocial, and Behavioral Factors

产后体重保留和心脏代谢差异：情境、心理社会和行为因素的影响

• 批准号: 10390518
• 负责人: Dara Daneen Mendez
• 金额: $ 43.45万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-02-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10390518
• 关键词: Address; Administrative Supplement; Advocacy; African American; Area; Arts; Behavior; Behavioral; Behavioral Research; Birth; COVID testing; COVID-19; COVID-19 pandemic; Cellular Phone; Cessation of life; Clinical; Communities; Data; Diet; Dimensions; Discrimination; Ecological momentary assessment; Education; Empirical Research; Exposure to; Feedback; Focus Groups; Frequencies; Future; Gestational Diabetes; Goals; Health; Hospitalization; Hypertension; Income; Individual; Infant Health; Infection; Institute of Medicine (U.S.); Institutional Racism; Intervention; Interview; Link; Location; Maternal Health; Maternal Mortality; Measurement; Measures; Methods; Moods; Mothers; Movement; Multimedia; Municipalities; Names; Outcome; Parents; Participant; Patient Self-Report; Personal Satisfaction; Persons; Physical activity; Plant Roots; Police; Population; Postpartum Period; Pregnancy; Prenatal care; Professional Organizations; Protocols documentation; Psychosocial Stress; Public Health; Public Health Practice; Publishing; Reporting; Research; Research Design; Small for Gestational Age Infant; Societies; Stress; Structural Racism; Structure; Technology; Testing; Time; Twin Multiple Birth; Vaccination; Violence; Weight; Weight Gain; Woman; Work; base; black women; cardiometabolic risk; cardiometabolism; cardiovascular risk factor; design; experience; follow-up; health inequalities; innovation; insight; interest; maternal morbidity; novel; novel strategies; pandemic disease; postpartum health; postpartum weight; pregnancy related death; pregnant; psychosocial; racial and ethnic; racism; screening; self reported behavior; severe maternal morbidity; time use; webinar

Project Summary/Abstract (Administrative Supplement) There are long-standing racial/ethnic inequities in maternal morbidity and mortality where Black women are 2-3 times as likely to experience maternal health complications such pregnancy- related hypertension, severe cardiometabolic risk as well as maternal death. Structural racism and the COVID-19 pandemic has exacerbated inequities in health, including during pregnancy and the postpartum period. There is a growing body of research demonstrating the effects of structural racism as well as how daily experiences of racism and other forms of oppression send populations, Black women and birthing people in particular, on a trajectory of adverse health, regardless of income and education. This administrative supplement attempts to address two key issues, the effects of the COVID pandemic on maternal health and well-being. and the ways in which structural racism in its various manifestations and dimensions effects cardiometabolic health and weight trajectories among pregnant and postpartum populations. We will leverage the ongoing Postpartum Mothers Mobile (PMOMS) Study which is following women during pregnancy and through one year postpartum and is ancillary to the GDM2 Trial (PI: Davis). PMOMS takes a novel approach using ecological momentary assessment (EMA), which is collecting data in real time; and using smart phone technology and smart scales to collect psychosocial, behavioral and location data. The supplement will address the following aims: Aim 1: Determine the influence of COVID-19 on psychosocial stress, mood and experiences of racism (and other forms of discrimination) during pregnancy and the postpartum period. Aim 2: Investigate the association between structural racism (measured by multiple dimensions and domains) and pregnancy and birth (e.g., postpartum weight, cardiometabolic health, small- for-gestational-age birth). Aim 3: Explore pregnant and postpartum people’s experiences with understanding the key research findings from PMOMS and specifically related to COVID-19 and SRD to develop a community-based dissemination plan for future action and interventions. The results of the overall PMOMS study and the administrative supplement has the potential to advance health and clinical and public health practice by determining optimal points of time and frequency for intervention. The supplement will be critical in furthering our understanding of the effects of COVID-19 and structural racism on maternal health and for long-term, sustainable solutions to addressing the maternal health crisis and particularly the profound impact on Black women and birthing people.

项目摘要/摘要（行政补充） 在母亲的发病率和死亡率中，长期存在种族/种族不平等现象 妇女经历了伴生健康并发症的可能性是妊娠的2-3倍 - 相关的高血压，严重的心脏代谢风险以及遗产死亡。结构性种族主义 19009年大流行使健康不平等加剧，包括怀孕期间 和产后期。越来越多的研究证明了 结构性种族主义以及种族主义和其他形式的日常经历如何发送 人口，黑人妇女和生日的人，涉及不良健康的轨迹， 无论收入和教育如何。这种行政补充试图解决两个 关键问题，即共同大流行对孕产妇健康和福祉的影响。和方式 在各种表现形式和维度中的结构性种族主义会影响心脏代谢 怀孕和产后人群中的健康和体重轨迹。我们将利用 正在进行的产后母亲手机（PMOMS）研究，该研究正在遵循女性 怀孕和产后一年，是GDM2试验（PI：Davis）的辅助。 PMOM使用生态瞬时评估（EMA）采用一种新颖的方法， 实时收集数据；并使用智能手机技术和智能秤收集 社会心理，行为和位置数据。 该补充剂将解决以下目的： 目标1：确定Covid-19对社会心理压力，情绪和经验的影响 在怀孕和产后期间种族主义（以及其他形式的歧视）。 目标2：研究结构种族主义之间的关联（通过多个维度衡量 和域）以及怀孕和出生（例如产后体重，心脏代谢健康，小 - 胎龄出生）。 目标3：探索孕妇和产后人们了解关键的经历 PMOM的研究结果，特别与Covid-19和Srd有关，以开发 基于社区的传播计划，以进行未来的行动和干预措施。 总体PMOMS研究和行政补充的结果有可能 通过确定最佳时间点和 干预频率。该补充剂对于进一步的理解至关重要 1900-19和结构种族主义对物物健康和长期可持续性的影响 解决孕产妇健康危机的解决方案，尤其是对黑人的深远影响 妇女和生日的人。