Center to Advance Reproductive Justice and Behavioral Health among Black Pregnant/Postpartum Women and Birthing People (CORAL).

促进黑人孕妇/产后妇女和分娩者生殖正义和行为健康中心 (CORAL)。

• 批准号: 10755455
• 负责人: Hannah LF Cooper
• 金额: $ 148.69万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 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/10755455
• 关键词: Address; Affect; Anxiety; Birth; Black race; Caring; Centers of Research Excellence; Childbirth; Clinical; Collaborations; Communities; Community Networks; Country; Development; Discrimination; Epidemic; Equity; Ethics; Exclusion; Gender Identity; Generations; Goals; Grant; Income; Individual; Infrastructure; Institution; Intention; Intervention; Justice; Language; Maternal Health; Maternal Mortality; Mental Health; Mission; Modeling; Morehouse School of Medicine; Overdose; Perinatal; Persons; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Period; Postpartum Women; Pregnancy; Pregnancy Complications; Pregnant Women; Public Health; Research; Research Infrastructure; Research Personnel; Research Project Grants; Review Committee; Scientist; Site; Social Justice; Substance Use Disorder; Training; Translating; Translational Research; Underrepresented Minority; Universities; Woman; Work; behavioral health; black women; community engagement; community organizations; community partnership; coral; effective intervention; experience; health equity; innovation; maternal morbidity; mortality; neglect; next generation; pregnant; programs; reproductive; technological innovation

Abstract Pregnant and postpartum women who are Black live at the intersection of three of the gravest public health threats confronting the 21st century US: (1) the maternal morbidity and mortality epidemic; (2) the behavioral health crisis; and (3) intersectional discrimination. In a nation with the highest maternal mortality rate of all high-income countries, Black women are three times more likely to die while pregnant or postpartum than their White counterparts. Maternal behavioral health conditions – such as anxiety, perinatal and postpartum depression, and birth-related PTSD – are the most common complications of pregnancy and childbirth, affecting 1 in 5 women, and disproportionately afflict Black women. Overdoses, substance use disorders, and related harms are surging among Black women. According to maternal mortality review committees (MMRCs), behavioral health conditions are one of the leading causes of maternal deaths and are the leading preventable cause of maternal deaths. Despite their size and impact, the US is ill prepared to mobilize to address these crises because of longstanding legacies of intersectional discrimination whereby behavioral health problems are neglected within the field of maternal health and the field of behavioral health neglects maternal health. Black women in particular have suffered: historically and presently, approaches to address Black maternal mortality and behavioral health have systematically failed to engage communities with lived experience. Led by a partnership of Morehouse School of Medicine, Emory, and a robust network of community-based organizations, and guided by principles of Reproductive Justice, Research Justice, and the NIMHHD Mental Health framework, the Center to Advance Reproductive Justice and Behavioral Health among Black pregnant/postpartum women (CORAL) will generate actionable evidence about the multilayered determinants of maternal behavioral health conditions in close and equitable partnerships with Black women, and the community-based organizations that serve them, with the goal of ending the maternal behavioral health crisis in Georgia and beyond. Georgia is an essential site for this work as it has among the highest pregnancy-related mortality ratios in the US, and Black women experience a rate that is 2.3 times that of White women. The state MMRC has found that behavioral health conditions are a leading – and growing – cause of maternal death. Leveraging an outstanding infrastructure spanning 2 major universities and a strong network of community organizations, CORAL will mobilize academic and community partners to support Black maternal behavioral health by developing and sustaining a robust transdisciplinary community-drive research infrastructure; conducting rigorous, ethical transdisciplinary research in partnership with communities; building the capacity of the next generation of investigators; and collaborating with academic, governmental, and community to disseminate and translate discoveries.

抽象的 黑人孕妇和产后妇女生活在三个最严重的公共卫生问题的交叉点 21 世纪美国面临的威胁：(1) 孕产妇发病率和死亡率流行；(2) 行为问题； 健康危机；(3) 交叉歧视。 在高收入国家，黑人妇女在怀孕或产后死亡的可能性是她们的三倍 白人同事。母亲的行为健康状况——例如焦虑、围产期和产后。 抑郁症和与分娩相关的创伤后应激障碍（PTSD）——是妊娠和分娩最常见的并发症， 影响五分之一的女性，尤其是黑人女性。 根据孕产妇死亡率审查委员会（MMRC）的说法，黑人妇女受到的相关伤害正在激增。 行为健康状况是孕产妇死亡的主要原因之一，也是导致孕产妇死亡的主要原因之一。 尽管孕产妇死亡的规模和影响是可预防的，但美国还没有做好动员起来的准备。 解决这些危机是因为长期存在的交叉歧视，即行为 孕产妇保健和行为健康忽视领域的健康问题被忽视 黑人妇女尤其受到产妇健康的困扰：历史上和现在的解决方法 黑人孕产妇死亡率和行为健康系统性地未能让社区参与进来 由埃默里莫尔豪斯医学院和强大的网络合作伙伴领导。 以社区为基础的组织，并以生殖正义、研究正义和 NIMHHD 心理健康框架，促进生殖正义和行为健康中心 黑人孕妇/产后妇女 (CORAL) 将生成有关多层的可操作证据 与黑人妇女建立密切和公平的伙伴关系，孕产妇行为健康状况的决定因素， 以及为他们服务的社区组织，其目标是结束孕产妇行为 格鲁吉亚及其他地区的健康危机是这项工作的重要地点，因为它是最严重的地区之一。 美国妊娠相关死亡率，黑人女性的死亡率是白人的 2.3 倍 州 MMRC 发现，行为健康状况是导致女性健康问题的一个主要原因，而且这一原因正在日益严重。 利用跨越两所主要大学的出色基础设施和强大的网络。 社区组织，CORAL 将动员学术和社区合作伙伴支持黑人母亲 通过发展和维持强大的跨学科社区驱动研究来促进行为健康 基础设施；与社区合作进行严格、道德的跨学科研究； 下一代研究人员的能力；以及与学术界、政府和公众的合作； 社区传播和翻译发现。