Toward Eliminating Disparities in Meternal and Child Health Populations

描述（由申请人提供）：在美国，孕产妇和儿童健康（MCH）人群中的种族差异是最持久的，这是健康人2020将MCH作为国家重要优先问题的令人信服的原因之一。由于妇幼保健差距的根本原因是多因素的，基于社区的参与性研究（CBPR）提供了一个独特的机会来有效解决妇幼保健差距问题，因为它强调利用考虑到健康的多种决定因素的生态观点。这一策略与生命历程视角（LCP）理论中固有的多维、多领域方法是同步的，LCP理论是妇幼保健人群差异研究的主导范式。以LCP为理论框架，以CBPR为战略，本项目将利用我们坚实而富有成效的社区大学伙伴关系来解决坦帕（佛罗里达州）中部社区的妇幼保健差距问题，这种伙伴关系的特点是社会资本不断增长，在社区中具有强大的影响力，在改善社区内的妇幼保健方面取得了明显的成就。因此，将利用焦点小组、拦截访谈和包括定性、定量和经济在内的二手数据进行社区需求评估和资产测绘；数据。根据其他社区伙伴的意见，社区咨询委员会将采用行之有效的策略，选择妇幼保健的优先事项；以及将采用的循证干预措施。试点干预措施的实施将采用有效的征聘和留用战略以及提高忠诚度和可接受性的创新办法。提出了一个现实的、科学严谨的评估计划，以确保在社会文化、战略和经济领域对可行性、可接受性和可持续性潜力进行可靠和有效的评估。在我们的提案中结合经济数据和成本分析是新颖的，将解决社区对负担得起的干预措施的持续需求。培训社区成员在拦截面谈中应用廉价和易于使用的地理信息系统-快速需求评估混合方法是一种创新，可能有助于社区资本和可持续性。

DESCRIPTION (provided by applicant): Racial disparities in maternal and child health (MCH) populations are the most strikingly persistent in the United States, representing one of the compelling reasons Healthy People 2020 made MCH a priority issue of national importance. Since the root causes of MCH disparities are multi-factorial, community-based participatory research (CBPR) offers a unique opportunity to address effectively MCH disparity issues because of its emphasis on the utility of ecological perspectives that take into account the multiple determinants of health. This strategy synchs with the multi-dimensional and multi-domain approach inherent in the Life Course Perspective (LCP) theory that is the dominant paradigm in disparity research within the MCH population. Using LCP as theoretical framework and CBPR as strategy, MCH disparity issues in Central Tampa (Florida) neighborhoods will be addressed in this project taking advantage of our solid and fruitful community-university partnership that is characterized by a growing social capital, a strong presence in the community, and visible achievements in improving maternal and child health within the community. Accordingly, community needs assessment and asset mapping will be conducted using focus groups, intercept interviews and secondary data that encompass qualitative, quantitative and economic; data. With input from other community partners, the community advisory board (CAB) will apply proven strategies to select the MCH priority took; as well as the evidence-based intervention to be adopted. The pilot intervention will be implemented using efficient recruitment and retention strategies as well as innovative approaches that enhance fidelity and acceptability. A realistic and scientifically rigorous evaluation plan to ensure reliale and valid assessment of feasibility, acceptability and sustainability potential across socio-cultural, strategic and economic domains is proposed. The incorporation of economic data and cost analysis in our proposal is novel and will address persistent needs in the community for affordable interventions. The training of community members in the application of cheap and easy to use GIS-rapid needs assessment hybrid in intercept interviews is innovative and will potentially contribute to community capital and sustainability. RELEVANCE: This project utilizes a community-based participatory research approach to select and address a disparity issue of concern to the community within the maternal and child health populations in a socio-economically disadvantaged setting. We believe that through the various phases outlined in the proposal, the community will apply an appropriate and efficient strategy that will lead to successful implementation and evaluation of the selected intervention that holds promise of reducing the wide disparity in this vulnerable population.