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.

项目摘要/摘要：整体组件 在美国，严重的孕产妇发病率和死亡率存在明显的种族和种族差异。社会的 健康和社会风险因素的决定因素在孕产妇健康分布中具有核心作用，结构性 种族主义加强了不平等的城市环境中社会风险因素的暴露。我们的团队提供 威斯康星州密尔沃基市的医疗保健服务是美国五个隔离城市之一。逆境 与居民种族隔离，集中贫困和邻里相关的健康影响 条件导致威斯康星州东南部所有健康状况的种族分布永存，包括母亲 健康结果。在此提案中，我们旨在解决种族分布的关键社会结构风险因素 威斯康星州东南部的孕产妇发病率由我们的研究社区和社区伙伴确定。 这些危险因素包括住房不稳定，医疗验证和预防范围的分散 照顾产后。我们计划通过涉及社区的三个研究项目来解决这些风险因素 住房的利益相关者（研究项目1），基于社区的Doulas（研究项目2）和社区 卫生工作者和产后远程监控（研究项目3）。这三个项目被概念化 并与社区合作伙伴合作开发，协同解决物物健康不平等 通过先入为主，怀孕和产后的连续体。 MCW中心的主题是 解决东南孕产妇发病率中种族差异的关键社会结构危险因素 威斯康星州 - 上升WI。 Ascend Wi具有四个总体目标：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 解决孕产妇健康中种族差异的社会结构危险因素，3）将发现传播给相关发现 利益相关者和政策制定者以及4）培训孕产妇健康公平的早期科学家的潜水员群体 研究。 Ascend Wi团队采用创新方法，公平的合作和熟练的 学术和社区的合作伙伴创造可持续变化，并将有效地进行放射状态 威斯康星州东南部及其他地区的孕产妇健康差异。