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 孕妇和产后黑人的妇女住在三个最严重的公共卫生的交汇处 面临21世纪美国面临的威胁：（1）母亲的发病率和死亡率流行； （2）行为 健康危机； （3）交叉歧视。在一个孕产妇死亡率最高的国家中 高收入国家，黑人妇女在怀孕或产后死亡的可能性是其三倍 白色对准。孕产妇的行为健康状况 - 动画，围产期和产后 抑郁症和与出生有关的PTSD - 是怀孕和分娩的最常见并发症， 影响五分之一的妇女，并对黑人妇女产生不成比例的影响。过量，药物使用障碍和 黑人妇女的相关危害正在激增。根据孕产妇死亡率审查委员会（MMRC）， 行为健康状况是孕产妇死亡的主要原因之一，是领先的 可预防孕产妇死亡的原因。尽管它们的规模和影响力，但美国还是准备动员 解决这些犯罪，因为相互歧视的长期存在遗产 健康问题在孕产妇健康领域和行为健康领域被忽略 孕产妇健康。尤其是黑人妇女遭受的苦难：历史上和目前，解决的方法 黑人孕产妇死亡率和行为健康已系统地未能与社区接合 经验。由Morehouse医学院，Emory和一个强大的网络领导 以社区为基础的组织，并以生殖司法，研究司法和 NIMHHD心理健康框架，这是提高生殖正义和行为健康的中心 黑人怀孕/产后妇女（珊​​瑚）将产生有关多层的可行证据 与黑人妇女建立亲密和公平伙伴关系的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，目的是结束孕产妇的行为 佐治亚州及其他地区的健康危机。佐治亚州是这项工作的重要站点，因为它具有最高 美国与妊娠有关的死亡率比率，黑人妇女的率是白色的2.3倍 女性。国家MMRC发现行为健康状况是主要的，并且正在成长 孕产妇死亡。利用跨越2所主要大学的出色基础设施和一个强大的网络 社区组织，珊瑚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，行为健康 基础设施;与社区合作进行严格的道德跨学科研究；建筑 下一代调查人员的能力；并与学术，政府和 传播和翻译发现的社区。