Postpartum Weight Retention and Cardiometabolic Disparities: The Effects of Contexual, Psychosocial, and Behavioral Factors

产后体重保留和心脏代谢差异：情境、心理社会和行为因素的影响

• 批准号: 10390518
• 负责人: Dara Daneen Mendez
• 金额: $ 43.45万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-02-01 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10390518
• 关键词: Address; Administrative Supplement; Advocacy; African American; Area; Arts; Behavior; Behavioral; Behavioral Research; Birth; COVID testing; COVID-19; COVID-19 pandemic; Cellular Phone; Cessation of life; Clinical; Communities; Data; Diet; Dimensions; Discrimination; Ecological momentary assessment; Education; Empirical Research; Exposure to; Feedback; Focus Groups; Frequencies; Future; Gestational Diabetes; Goals; Health; Hospitalization; Hypertension; Income; Individual; Infant Health; Infection; Institute of Medicine (U.S.); Institutional Racism; Intervention; Interview; Link; Location; Maternal Health; Maternal Mortality; Measurement; Measures; Methods; Moods; Mothers; Movement; Multimedia; Municipalities; Names; Outcome; Parents; Participant; Patient Self-Report; Personal Satisfaction; Persons; Physical activity; Plant Roots; Police; Population; Postpartum Period; Pregnancy; Prenatal care; Professional Organizations; Protocols documentation; Psychosocial Stress; Public Health; Public Health Practice; Publishing; Reporting; Research; Research Design; Small for Gestational Age Infant; Societies; Stress; Structural Racism; Structure; Technology; Testing; Time; Twin Multiple Birth; Vaccination; Violence; Weight; Weight Gain; Woman; Work; base; black women; cardiometabolic risk; cardiometabolism; cardiovascular risk factor; design; experience; follow-up; health inequalities; innovation; insight; interest; maternal morbidity; novel; novel strategies; pandemic disease; postpartum health; postpartum weight; pregnancy related death; pregnant; psychosocial; racial and ethnic; racism; screening; self reported behavior; severe maternal morbidity; time use; webinar

Project Summary/Abstract (Administrative Supplement) There are long-standing racial/ethnic inequities in maternal morbidity and mortality where Black women are 2-3 times as likely to experience maternal health complications such pregnancy- related hypertension, severe cardiometabolic risk as well as maternal death. Structural racism and the COVID-19 pandemic has exacerbated inequities in health, including during pregnancy and the postpartum period. There is a growing body of research demonstrating the effects of structural racism as well as how daily experiences of racism and other forms of oppression send populations, Black women and birthing people in particular, on a trajectory of adverse health, regardless of income and education. This administrative supplement attempts to address two key issues, the effects of the COVID pandemic on maternal health and well-being. and the ways in which structural racism in its various manifestations and dimensions effects cardiometabolic health and weight trajectories among pregnant and postpartum populations. We will leverage the ongoing Postpartum Mothers Mobile (PMOMS) Study which is following women during pregnancy and through one year postpartum and is ancillary to the GDM2 Trial (PI: Davis). PMOMS takes a novel approach using ecological momentary assessment (EMA), which is collecting data in real time; and using smart phone technology and smart scales to collect psychosocial, behavioral and location data. The supplement will address the following aims: Aim 1: Determine the influence of COVID-19 on psychosocial stress, mood and experiences of racism (and other forms of discrimination) during pregnancy and the postpartum period. Aim 2: Investigate the association between structural racism (measured by multiple dimensions and domains) and pregnancy and birth (e.g., postpartum weight, cardiometabolic health, small- for-gestational-age birth). Aim 3: Explore pregnant and postpartum people’s experiences with understanding the key research findings from PMOMS and specifically related to COVID-19 and SRD to develop a community-based dissemination plan for future action and interventions. The results of the overall PMOMS study and the administrative supplement has the potential to advance health and clinical and public health practice by determining optimal points of time and frequency for intervention. The supplement will be critical in furthering our understanding of the effects of COVID-19 and structural racism on maternal health and for long-term, sustainable solutions to addressing the maternal health crisis and particularly the profound impact on Black women and birthing people.

项目摘要/摘要（行政补充） 孕产妇发病率和死亡率方面长期存在种族/族裔不平等，其中黑人 女性出现孕产妇健康并发症（例如怀孕）的可能性是普通女性的 2-3 倍 相关的高血压、严重的心脏代谢风险以及孕产妇死亡。结构性种族主义 COVID-19 大流行加剧了健康方面的不平等，包括怀孕期间的不平等 以及产后期。越来越多的研究证明了 结构性种族主义以及种族主义和其他形式的压迫的日常经历如何影响 人口，特别是黑人妇女和生育人群，健康状况不佳， 与收入和教育无关。本行政补充试图解决两个问题 关键问题是，新冠病毒大流行对孕产妇健康和福祉的影响。和方法 其中结构性种族主义以其各种表现形式和维度影响心脏代谢 孕妇和产后人群的健康和体重轨迹。我们将利用 正在进行的产后母亲移动 (PMOMS) 研究跟踪女性产后 怀孕期间和产后一年，是 GDM2 试验的辅助项目（PI：Davis）。 PMOMS 采用生态瞬时评估 (EMA) 的新颖方法，即 实时收集数据；并利用智能手机技术和智能秤来收集 心理、行为和位置数据。 该补充文件将实现以下目标： 目标 1：确定 COVID-19 对社会心理压力、情绪和经历的影响 怀孕期间和产后期间的种族主义（和其他形式的歧视）。 目标 2：调查结构性种族主义之间的关联（通过多个维度来衡量） 和领域）以及怀孕和出生（例如产后体重、心脏代谢健康、小 适龄出生）。 目标 3：探索怀孕和产后人群的经历并了解关键 PMOMS 的研究成果，特别是与 COVID-19 和 SRD 相关的研究成果，旨在开发 针对未来行动和干预措施的社区传播计划。 总体 PMOMS 研究的结果和行政补充有可能 通过确定最佳时间点和 干预的频率。该补充对于加深我们对 COVID-19 和结构性种族主义对孕产妇健康以及长期、可持续的影响 解决孕产妇健康危机的解决方案，特别是对黑人的深远影响 妇女和生育者。