Toward Eliminating Disparities in Meternal and Child Health Populations

描述(申请人提供)：母婴健康(MCH)人群中的种族差异在美国是最持久的，这是Healthy People 2020将母婴健康(MCH)列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)为有效解决妇幼保健差距问题提供了独特的机会，因为它强调考虑到健康的多种决定因素的生态视角的效用。这一策略与生命过程视角(LCP)理论中固有的多维和多领域方法同步，生命过程视角(LCP)理论是妇幼保健人口内差异研究的主导范式。以LCP为理论框架，以CBPR为策略，该项目将利用我们坚实而富有成效的社区-大学合作伙伴关系，解决坦帕(佛罗里达州)中部社区的妇幼保健差距问题。社区-大学合作伙伴关系的特点是不断增长的社会资本，社区中的强大存在，以及在改善社区妇幼健康方面取得的明显成就。因此，将利用重点小组、截取访谈和包含定性、定量和经济数据的二手数据，进行社区需求评估和资产测绘。在其他社区伙伴的意见下，社区咨询委员会(CAB)将采用行之有效的策略来选择优先采取的妇幼保健措施，以及将采取的循证干预措施。将使用有效的招聘和保留战略以及提高忠诚度和可接受性的创新办法来实施试点干预。提出了一项现实和科学上严格的评价计划，以确保对社会文化、战略和经济领域的可行性、可接受性和可持续性潜力进行重新和有效的评估。在我们的建议中纳入经济数据和成本分析是新颖的，将满足社会对负担得起的干预措施的长期需求。对社区成员进行培训，使其应用廉价易用的地理信息系统--截取访谈中的快速需求评估混合体，具有创新性，并有可能促进社区资本和可持续性。 相关性：该项目利用以社区为基础的参与性研究方法，在社会经济处境不利的情况下，选择和解决社区在妇幼保健人群中所关注的不平等问题。我们相信，通过建议中概述的各个阶段，社区将采用适当和有效的战略，从而成功实施和评估选定的干预措施，有望缩小这一弱势群体的巨大差距。

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.