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

项目摘要/摘要(行政副刊) 在黑人的孕产妇发病率和死亡率方面存在长期的种族/民族不平等 女性经历怀孕等孕产妇健康并发症的可能性是女性的2-3倍。 与高血压相关的疾病、严重的心脏代谢风险以及产妇死亡。结构性种族主义 新冠肺炎疫情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。有越来越多的研究表明， 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 人口，特别是黑人妇女和分娩的人，处于不利健康的轨道上， 无论收入和教育程度如何。本行政副刊试图解决两个问题 关键问题，COVID大流行对产妇健康和福祉的影响。以及这些方法 结构性种族主义的各种表现形式和维度影响心脏新陈代谢 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流动(PMOMS)研究正在跟踪妇女在 怀孕和产后一年，是GDM2试验的辅助试验(PI：Davis)。 PMOMS采用了一种使用生态瞬时评估(EMA)的新方法，即 实时采集数据；利用智能手机技术和智能秤进行采集 心理社会、行为和位置数据。 该补编将针对以下目标： 目的1：确定新冠肺炎对老年人心理社会压力、情绪和体验的影响 怀孕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(从多个维度衡量)之间的联系 和领域)和怀孕和出生(例如，产后体重、心脏代谢健康、小- 胎龄出生)。 目标3：了解关键，探索孕产者的经历 来自PMOMS的研究成果，特别是与新冠肺炎和SRD相关的研究成果，以开发一种 以社区为基础的未来行动和干预传播计划。 PMOMS总体研究和行政补编的结果有可能 通过确定最佳时间点和最佳时间点，推动健康、临床和公共卫生实践 干预频率。这份补充材料将对加深我们对 新冠肺炎和结构性种族主义对孕产妇健康和长期可持续的影响 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 女人和分娩的人。

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.