Center for Indigenous Resilience, Culture, and Maternal Health Equity

土著复原力、文化和孕产妇健康公平中心

基本信息

批准号：
10748847
负责人：
JACOB E FRIEDMAN
金额：
$ 157.38万
依托单位：
UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-17 至 2030-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10748847
关键词：
Address Alaska Native American Indians Amniotic Fluid Embolism Anthropology Autoimmune Diseases Automobile Driving Behavioral Bioinformatics Biological Biometry Birth Blood Vessels Cardiac Centers of Research Excellence Cessation of life Chronic stress Collaborations Collagen Communities Conceptions Continuity of Patient Care Coronary Country Data Discipline of Nursing Discipline of obstetrics Ensure Epidemiology Equity Ethics Family Food Foundations Funding Future Goals Gynecology Health Health system Hemorrhage Homicide Human Development Immunology Indigenous Individual Inequity Infection Injury Interruption Intervention Knowledge Label Leadership Life Maternal Health Maternal Mortality Maternal health equity Maternal-fetal medicine Medical Mental Health Mission Mothers Native Americans Not Hispanic or Latino Nursing Care Management Obesity Oklahoma Outcome Outcomes Research Pathway interactions Patient-Focused Outcomes Physiology Population Postpartum Period Pregnancy Pregnancy Outcome Process Public Health Race Recommendation Recording of previous events Research Research Personnel Research Project Grants Research Training Resources Role Rural Sampling Self Care Sociology Source Substance Use Disorder Suicide Testing Translating Translational Research Trauma Tribes United States United States National Institutes of Health Woman Women&apos s Health Work base biobehavior cardiometabolism career community based participatory research community partnership cultural health disparities in morbidity disparity elimination experience food insecurity health disparity health inequalities high risk implementation science improved indigenous community innovation insight intergenerational intimate partner violence maternal morbidity maternal outcome maternal wellbeing member mortality disparity nutrition postpartum care pregnancy associated death pregnancy related death prenatal public health priorities research and development resilience severe maternal morbidity social synergism translational potential tribal community tribal health tribal leader tribal member tribal organization

项目摘要

Project Summary/Abstract Indigenous mothers (those who self-identify as American Indian, Alaskan Native, or Native American) experience the highest rates of maternal mortality and morbidity (MMM) in the U.S. Structural, social, and biobehavioral factors driving these inequities such as food insecurity induced by food apartheid, chronic stress perpetuated through intergenerational trauma, and loss of traditional birthing practices and roles require innovative solutions. To accomplish this, the Center for Indigenous Resilience, Culture, and Maternal Health Equity (CIRCLE) has been formed to better understand and address these factors through individual, family, community, and health systems interventions. The long-term goal of the CIRCLE is to eliminate disparities in Indigenous MMM through effective translational science spanning best practices in preconception, prenatal, and maternal postpartum care through the first 2 years of life. The immediate goal of the CIRCLE is to bring together researchers and community partners in Oklahoma/Southern Plains region to discover the sources of Indigenous MMM disparities and translate scientific results into solutions that eliminate maternal health inequities. The CIRCLE will: (1) leverage existing and expand current partnerships with tribal health partners on patient-centered outcomes research and interventions; (2) cultivate and support an interdisciplinary team of independent experts focused on discovering the bases for, and solutions to, Indigenous maternal health disparities; (3) establish the foundation and initial processes necessary to enable translational research and interventions focused on eliminating Indigenous maternal health disparities; and (4) exchange strategies, data, findings, and recommendations from Aims 1-3 with key partners. Achieving the aims of the CIRCLE is significant. Over 90 percent of Indigenous maternal deaths in the U.S. are preventable. Reducing MMM and achieving maternal health equity are a national priority. An essential step in reducing MMM and assuring maternal health equity in the future is the elimination of Indigenous maternal health inequities. The CIRCLE’s focus on identifying solutions for Indigenous maternal health disparities therefore addresses a critical barrier to achieving a national public health priority. The CIRCLE is innovative. Research centers focused on maternal health disparities and inequities exist throughout the country; however, none of these centers focus specifically on Indigenous maternal health. We also emphasize a strengths-based “culture as protective” approach at the core of the CIRCLE.

项目概要/摘要原住民母亲（自认为是美洲印第安人、阿拉斯加原住民或美洲原住民的人）美国孕产妇死亡率和发病率 (MMM) 最高造成这些不平等的生物行为因素，例如食物种族隔离导致的食物不安全、慢性压力由于代际创伤而长期存在，传统分娩习俗和角色的丧失需要为了实现这一目标，土著复原力、文化和孕产妇健康中心公平（CIRCLE）的成立是为了通过个人、家庭、 CIRCLE 的长期目标是消除社区和卫生系统干预措施中的差异。本土 MMM 通过有效的转化科学涵盖孕前、产前、 CIRCLE 的近期目标是提供产后头 2 年的护理。俄克拉荷马州/南部平原地区的研究人员和社区合作伙伴共同探索土著 MMM 差异并将科学成果转化为消除孕产妇健康的解决方案 CIRCLE 将：(1) 利用并扩大与部落卫生合作伙伴的现有伙伴关系。以患者为中心的结果研究和干预；（2）培养和支持跨学科团队独立专家致力于寻找土著孕产妇健康的基础和解决方案 (3) 建立必要的基础和初始流程，以实现转化研究和 (4) 交换策略、数据、目标 1-3 与主要合作伙伴的调查结果和建议实现 CIRCLE 的目标是。减少 MMM 和美国 90% 以上的原住民孕产妇死亡是可以预防的。实现孕产妇健康公平是减少 MMM 和确保母亲健康的重要一步。未来的孕产妇健康公平是消除土著孕产妇健康不平等。重点是寻找解决土著孕产妇健康差异的解决方案，从而解决一个关键障碍 CIRCLE 研究中心致力于实现国家公共卫生优先事项。全国各地都存在健康差距和不平等；然而，这些中心都没有专门关注这一问题；我们还强调基于优势的“文化保护”方法。圈子的核心。