Addressing Key Social-Structural Risk Factors for Racial Disparities in Maternal Morbidity in Southeastern Wisconsin (ASCEND WI)

解决威斯康星州东南部孕产妇发病率种族差异的关键社会结构风险因素 (ASCEND WI)

• 批准号: 10756016
• 负责人: Julia B Dickson-Gomez
• 金额: $ 126.12万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 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/10756016
• 关键词: Academic skills; Address; Adopted; Advocate; Birth; Cardiovascular system; Caring; Cities; Clinical; Clinical Research; Clinical Trials; Collaborations; Communities; Community Health Aides; Conceptions; Ensure; Environment; Equity; Exposure to; Goals; Health; Health Services Accessibility; Health system; Home; Housing; Inequity; Intervention; Low income; Maternal Deprivation; Maternal Health; Maternal Mortality; Maternal health equity; Medicaid; Medical; Modeling; Neighborhoods; Outcome; Persons; Policies; Policy Maker; Postdoctoral Fellow; Postpartum Period; Poverty; Pregnancy; Preventive care; Research; Research Personnel; Research Project Grants; Risk Factors; Role; Scientist; Services; Structural Racism; Training; Trust; Wisconsin; Work; access disparities; career; community engaged research; community involvement; community organizations; community setting; design; early pregnancy; ethnic disparity; health care service; health disparity; health inequalities; housing instability; improved; inner city; innovation; maternal morbidity; member; population health; postpartum care; racial disparity; residential segregation; segregation; severe maternal morbidity; social; social health determinants; social structure; synergism; telemonitoring

PROJECT SUMMARY/ABSTRACT: OVERALL COMPONENT There are significant racial and ethnic disparities in severe maternal morbidity and mortality in the US. Social determinants of health and social risk factors have a central role in maternal health disparities, with structural racism reinforcing inequitable exposure to social risk factors in inner city environments. Our team provides healthcare services in Milwaukee, Wisconsin, one of the five most segregated cities in the US. The adverse health effects associated with residential segregation, concentrated poverty, and neighborhood conditions result in perpetuated racial disparities in all health outcomes in Southeastern WI, including maternal health outcomes. In this proposal, we aim to address key social-structural risk factors for racial disparities in maternal morbidity in Southeastern Wisconsin identified by our research community and community partners. These risk factors include housing instability, medical mistrust, and fragmented access to preventative care postpartum. We plan to address these risk factors with three research projects involving community stakeholders in housing (research project 1), community-based doulas (research project 2), and community health workers and postpartum telemonitoring (research project 3). The three projects were conceptualized and developed in collaboration with community partners with synergy of addressing maternal health inequities throughout the continuum of preconception, pregnancy, and postpartum. The MCW Center’s theme is Addressing Key Social-Structural Risk Factors for RaCial Disparities in MatErNal MorbiDity in Southeastern Wisconsin - ASCEND WI. ASCEND WI has four overarching aims: 1) Partner with community organizations to mitigate the impact of social-structural risk factors on maternal health, 2) Develop and evaluate interventions to address social-structural risk factors for racial disparities in maternal health, 3) Disseminate findings to relevant stakeholders and policymakers, and 4) Train a diverse group of early-stage scientists in maternal health equity research. The ASCEND WI team utilizes innovative approaches, equitable collaborations, and skilled academic and community-based partners to create sustainable change and will work effectively to eradicate maternal health disparities in Southeastern Wisconsin and beyond.

项目概要/摘要：总体组成部分 美国严重孕产妇发病率和死亡率存在显着的种族和民族差异。 健康决定因素和社会风险因素在孕产妇健康差异中发挥着核心作用，结构性 我们的团队提供了种族主义加剧城市内部环境中社会风险因素的不公平暴露。 威斯康星州密尔沃基的医疗保健服务是美国五个最种族隔离的城市之一。 与居住隔离、集中贫困和邻里关系相关的健康影响 这些条件导致威斯康星州东南部所有健康结果方面长期存在种族差异，包括孕产妇 在这项提案中，我们的目标是解决种族差异的关键社会结构风险因素。 我们的研究界和社区合作伙伴确定了威斯康星州东南部的孕产妇发病率。 这些风险因素包括住房不稳定、医疗不信任以及预防性预防措施的分散性 我们计划通过三个涉及社区的研究项目来解决这些风险因素。 住房利益相关者（研究项目 1）、基于社区的导乐（研究项目 2）和社区 卫生工作者和产后远程监护（研究项目 3）已概念化。 与社区合作伙伴合作开发，协同解决孕产妇健康不平等问题 MCW 中心的主题是贯穿孕前、怀孕和产后的整个过程。 解决东南部地区孕产妇发病率种族差异的关键社会结构风险因素 威斯康星州 - ASCEND WI。 ASCEND WI 有四个总体目标： 1) 与社区组织合作， 减轻社会结构风险因素对孕产妇健康的影响，2) 制定和评估干预措施 解决孕产妇健康方面种族差异的社会结构风险因素，3) 将研究结果传播给相关人员 利益相关者和政策制定者，以及 4) 培训孕产妇健康公平方面的多元化早期科学家 ASCEND WI 团队采用创新方法、公平合作和熟练技术。 学术和社区合作伙伴将创造可持续的变革，并将有效地努力根除 威斯康星州东南部及其他地区的孕产妇健康差异。