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: 9920799
• 负责人: Dara Daneen Mendez
• 金额: $ 3.21万
• 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 2022-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9920799
• 关键词: Behavioral; Birth; Cellular Phone; Data; Discrimination; Ecological momentary assessment; Environment; Infant; Infant Mortality; Low Birth Weight Infant; Measures; Outcome; Parents; Pregnancy; Pregnant Women; Premature Birth; Psychosocial Influences; Psychosocial Stress; Research; Risk; Sex Discrimination; Small for Gestational Age Infant; Stress; Technology; Testing; Time; United States; Woman; Work; Workplace; black/white disparity; cardiometabolism; experience; infant death; postpartum weight; psychosocial; racial discrimination; racial disparity; stressor

Serwaa S. Omowale Diversity Supplement (PI:DD Mendez) 7. Project Summary/Abstract The black infant mortality rate is currently two times the rate for white infants in the United States. Although infant mortality is on the decline in the United States, racial disparities persist. Infants born preterm (<37 weeks) and at low birth weight (LBW) (<2500grams) account for the majority of infant deaths experienced by black women. Several studies have focused on the influence of psychosocial stress on adverse birth outcomes and racial disparities, but findings are inconclusive. More recently, studies have focused on race and gender discrimination as an explanation for racial disparities in adverse birth outcomes, but limited studies have specifically focused on workplace race and gender discrimination. The objective of the Diversity Supplement is to investigate work-related stress and discrimination experienced by pregnant women in association with adverse birth outcomes (i.e., small-for-gestational-age and preterm birth). We hypothesize that women who experience work-related stress and discrimination will have an increased risk for adverse birth outcomes compared to women who do not experience these stressors. To test our hypothesis, we will use data collected from the parent study PMOMS (and GDM2, the parent trial for PMOMS). We will include measures of stress and discrimination collected at baseline and via ecological momentary assessment (EMA) through smartphone technology of pregnant women’s experiences in real time and in their natural environment. The research aims of the supplement are: Aim 1: Examine the relationship between work-related stress measures (collected via GDM2 and PMOMS) and adverse birth outcomes (i.e., small-for-gestational-age birth, extremely preterm (22-28 weeks), and late preterm birth (34-36 weeks)). Aim 2: Examine the relationship between work-related discrimination measures (collected via PMOMS) and adverse birth outcomes (i.e., small-for-gestational-age birth, extremely preterm (22-28 weeks), and late preterm birth (34-36 weeks)).

Serwaa S.Omowale多样性补充资料(PI：DD Mendez) 7.项目摘要/摘要 黑人婴儿死亡率目前是美国白人婴儿死亡率的两倍。 美国。尽管美国的婴儿死亡率在下降，但种族差异 坚持不懈。早产儿(&lt；37周)和低出生体重(&lt；2500克)婴儿 黑人妇女经历的大多数婴儿死亡的原因。几项研究的重点是 心理社会压力对不良生育结局和种族差异的影响，但 调查结果尚无定论。最近，研究的重点是种族和性别 歧视作为不良生育结果中的种族差异的解释，但有限 研究特别侧重于工作场所种族和性别歧视。的目标是 多样性补充是为了调查以下人员经历的与工作相关的压力和歧视 与不良分娩结局有关的孕妇(即小于胎龄儿和 早产)。我们假设，经历工作相关压力的女性 与以下女性相比，歧视会增加不良生育结果的风险 不要体验这些压力源。为了检验我们的假设，我们将使用从 父母研究PMOMS(和GDM2，PMOMS的父母试验)。我们将包括以下措施 在基线和通过生态瞬时评估收集的压力和歧视 (EMA)通过智能手机技术实时和实时地了解孕妇的体验 他们的自然环境。该副刊的研究目的是： 目标1：检查与工作相关的压力测量之间的关系(通过GDM2收集 和PMOMS)和不良的分娩结局(即小于胎龄儿的出生， 早产(22-28周)和晚产(34-36周)。 目标2：审查与工作有关的歧视措施之间的关系(通过 PMOMS)和不良的分娩结局(即小于胎龄儿、极早产 (22-28周)和晚产(34-36周))。