Together: Transforming and Translating Discovery to Improve Health
Together: Transforming and Translating Discovery to Improve Health
批准号:
10198171
负责人:
Kelly K. Gurka
金额:
$22.86万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2020
资助国家:
美国
项目状态:
已结题
起止时间:
2020-09-01 至 2021-06-30
关键词:
AccountingAffectAlcohol or Other Drugs useAnxietyBirthCessation of lifeChild RearingDataData SetDeath CertificatesDiscipline of obstetricsEarly InterventionElectronic Health RecordEnvironmental Risk FactorExhibitsFamilyFeedbackFloridaFocus GroupsGeographyGoalsHealthHigh Risk WomanHigh-Risk PregnancyIndividualInfantInfant DevelopmentInfant MortalityInfrastructureInterventionInterviewKnowledgeLinkLive BirthLow Birth Weight InfantMental DepressionMental HealthNeighborhoodsOutcomePatientsPharmaceutical PreparationsPopulation HeterogeneityPostpartum PeriodPregnancyPregnant WomenPremature BirthProcessProviderRiskScreening procedureServicesStructureSubstance Use DisorderTranslatingTrustWomanWorkbasedata warehouseexperiencehealth disparityhigh riskimplementation strategyimprovedinfant outcomeinsightnovelpregnancy associated deathpregnantprenatalprenatal testingpreventable deathscreeningsevere maternal morbiditysocial culturetool
中文摘要
在佛罗里达州,与药物相关的死亡是2017年妊娠相关死亡(PAD)的主要原因,
英文摘要
In Florida, drug-related death was the leading cause of pregnancy-associated death (PAD) in 2017,
accounting for one in four deaths. In order to reduce PAD, it is important to identify women at
greatest risk of PAD itself and its leading causes, including substance use disorder and associated
mental health conditions (e.g., postpartum anxiety and depression).
Florida provides a unique opportunity to examine the feasibility of screening tools for PAD and
severe maternal morbidity (SMM), as it is the only state that currently requires universal
screening of all pregnant women and infants. The Healthy Start (HS) Risk Screen, administered
prenatally and at birth, identifies those at highest risk of preterm birth, low birth weight,
adverse health outcomes, and infant mortality. The screening questions focus on sociocultural
issues, reflecting aspects of health disparities and adversity that affect pregnancy, health, and
infant development. These HS Risk Screens, either in their current form or enhanced to include
other individual or environmental factors, may also be useful in identifying women at high risk of
PAD and SMM.
The goal of this study is to utilize the HS Risk Screens, along with other readily available data
on individual and environmental factors, to examine the ability to identify women at risk of PAD
and SMM, particularly related to postpartum anxiety, depression, and substance use disorder. We
will use available linked statewide administrative data as well as leverage ongoing efforts to link
these administrative datasets to the OneFlorida Data Trust, a central data repository that hosts
electronic health records (EHR) and geospatial information for over 15 million patients across
Florida. We will work closely with key stakeholders, including obstetric providers, the association
of Healthy Start coalitions across Florida, and pregnant women, to determine the feasibility of
prenatal screening for PAD and/or substance-use related SMM. Knowledge gained from this study will
inform the feasibility of PAD and/or SMM screening at a large scale amongst diverse populations.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
15/24- Healthy Brain and Child Development National Consortium
-
批准号:10379506
-
项目类别:
-
资助金额:$101.51万
-
财政年份:2021
-
负责人:Kelly K. Gurka
-
依托单位:
15/24- Healthy Brain and Child Development National Consortium
-
批准号:10661767
-
项目类别:
-
资助金额:$131.1万
-
财政年份:2021
-
负责人:Kelly K. Gurka
-
依托单位:
15/24- Healthy Brain and Child Development National Consortium
-
批准号:10494273
-
项目类别:
-
资助金额:$142.38万
-
财政年份:2021
-
负责人:Kelly K. Gurka
-
依托单位:
Florida Development in Early Childhood: Adversity and Drug Exposure (FL-DECADE) Study
-
批准号:10164974
-
项目类别:
-
资助金额:$18.93万
-
财政年份:2019
-
负责人:Kelly K. Gurka
-
依托单位:
海外基金