Assessing Native Hawaiian and Pacific Islander Maternal Outcomes and Health Care Experiences
评估夏威夷原住民和太平洋岛民的产妇结局和医疗保健体验
基本信息
- 批准号:10644888
- 负责人:
- 金额:$ 15.08万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-07-21 至 2028-01-31
- 项目状态:未结题
- 来源:
- 关键词:AddressAdvanced DevelopmentAreaAsian Pacific IslanderBiometryBirthCareer MobilityCaringCessation of lifeCommunicationCommunitiesCompetenceDataData AnalysesData CollectionData PoolingData SetDatabasesDedicationsDevelopment PlansEclampsiaEpidemiologyEthnic PopulationFaceFundingFutureGoalsGovernmentGrantHawaiiHealthHealth Disparities ResearchHealth PersonnelHealthcareHealthcare SystemsHemorrhageHospitalsInequityInpatientsInsurance CoverageInterventionKnowledgeLanguageLearningLeftMaternal HealthMaternal Health ServicesMaternal MortalityMeasuresMentored Research Scientist Development AwardMentorsMethodologyMorbidity - disease rateNational Institute on Minority Health and Health DisparitiesNative Hawaiian or Other Pacific IslanderNot Hispanic or LatinoOregonOutcomePacific IslanderPatientsPatternPopulationPostpartum PeriodPregnancyPrenatal careProcessPublic HealthQuality of CareReproductive HealthResearchResearch MethodologyResearch PersonnelResearch Project GrantsResearch SupportResearch TrainingRisk FactorsStatistical MethodsStereotypingSubgroupSurveysTestingTrainingTraining ProgramsTransportationUnited States National Institutes of HealthVisitWashingtonWomanWorkcare outcomescareercareer developmentchild bearingcommunity engaged researchcommunity organizationscomorbiditydesigndisparity eliminationethnic minorityexperiencehands-on learninghealth care availabilityhealth care settingshealth communicationhealth disparityhealth inequalitiesimprovedmaternal morbiditymaternal outcomepatient-clinician communicationperceived discriminationperinatal healthperson centeredpopulation healthprogramsracial disparityracial minorityracial populationsevere maternal morbidityskillssocial culture
项目摘要
PROJECT SUMMARY
The purpose of this K01 award is to support research training and advance the career development of Dr.
Rebecca Delafield. Dr. Delafield’s long-term career goal is to establish an independent research program
focused on improving maternal health and health care outcomes for Native Hawaiian and Pacific Islanders
(NHPI). Research Plan: Maternal mortality and morbidity are increasing in the U.S. A recent study from Hawai‘i
found that NHPI accounted for 44% of the maternal deaths, although they make up only 25% of the state
population. Beyond this single study, NHPI maternal mortality is largely invisible. Federal agencies do not publish
maternal mortality rates of NHPIs. This void is exacerbated by a dearth of research on other major and more
common maternal health outcomes, such as severe maternal morbidity (SMM) (e.g., eclampsia and
hemorrhage). Yet, a small body of research suggests NHPI communities face obstacles accessing the
healthcare system and engaging with health care providers, which may compromise care in pregnancy. NHPI
women may also have unique cultural perspectives on childbearing which could mitigate or exacerbate these
challenges. To comprehensively address maternal health among NHPIs, research is needed to 1) assess critical
maternal outcomes for NHPIs 2) better characterize NHPI experiences, and 3) identify key factors related the
processes and quality of maternity care. There are two research aims: 1) Compare rates of SMM in NHPI women
to non-Hispanic white women by analyzing hospital discharge data from facilities in Hawaiʻi, Oregon, and
Washington. 2) Survey 300 NHPI women to assess patient-clinician relationship and communication factors
associated with high-quality person-centered care, perceived discrimination, and engagement in prenatal care.
Career Plan: This project will provide the candidate the mentoring and training needed in the areas of scientific
and statistical methodologies for small populations, community-engaged research and health communication to
achieve her long-term career goal and short-term objectives. The third (training) aim is: Complete a rigorous
training program to advance skills in small population health research and statistical methods, survey analysis,
and community-engaged research. The Mentoring Team assembled has diverse skills and extensive experience
in the areas of NHPI health, health disparities research, epidemiology, community-engaged research, health
communication, maternal and reproductive health. Training objectives will be met through relevant coursework,
mentored research training, bi-directional training with community-based partners, and hands-on learning
grounded in Pacific cultural traditions. The completion of these aims will provide the candidate the experience
and preliminary data needed to compete for R01 funding as an independent investigator and progress toward
her future goal of developing and testing a culturally-responsive and community-engaged multilevel intervention
to improve NHPI maternal and perinatal health.
项目摘要
该K01奖项的目的是支持研究培训和促进博士的职业发展。
丽贝卡·德拉菲尔德德拉菲尔德博士的长期职业目标是建立一个独立的研究计划
重点是改善夏威夷土著和太平洋岛民的孕产妇保健和保健成果
(NHPI)。研究计划:美国的孕产妇死亡率和发病率正在上升。
发现NHPI占孕产妇死亡的44%,尽管他们只占该州的25%
人口除了这一项研究之外,《国家保健倡议》的孕产妇死亡率基本上是不可见的。联邦机构不会公布
国家保健机构的产妇死亡率。对其他主要和更重要的问题缺乏研究,
常见的孕产妇健康结果,如严重孕产妇发病率(SMM)(例如,子痫和
出血)。然而,一小部分研究表明,NHPI社区面临着获得
卫生保健系统和与卫生保健提供者接触,这可能会影响怀孕期间的护理。NHPI
妇女在生育方面也可能有独特的文化观点,这可能会减轻或加剧这些问题。
挑战为了全面解决国家卫生保健机构中的孕产妇健康问题,需要进行研究,以1)评估关键的
NHPI的孕产妇结局2)更好地描述NHPI经验,3)确定与NHPI相关的关键因素,
产妇护理的程序和质量。研究目的有二:1)比较NHPI妇女中SMM的发生率
通过分析夏威夷、俄勒冈州和夏威夷的医院出院数据,向非西班牙裔白色女性提供信息
华盛顿。2)调查300名NHPI妇女,以评估医患关系和沟通因素
与高质量的以人为本的护理,感知歧视和参与产前护理有关。
职业规划:该项目将为候选人提供科学领域所需的指导和培训。
小人口的统计方法、社区参与的研究和卫生宣传,
实现长期职业目标和短期目标。第三个(培训)目标是:完成一个严格的
培训方案,以提高小人口健康研究和统计方法,调查分析,
和社区参与的研究。组建的指导团队拥有各种技能和丰富的经验
在NHPI健康,健康差异研究,流行病学,社区参与的研究,健康领域,
传播、孕产妇和生殖健康。培训目标将通过相关课程实现,
指导研究培训,与社区合作伙伴的双向培训,以及实践学习
以太平洋文化传统为基础。完成这些目标将为候选人提供经验
作为独立研究者竞争R01资金所需的初步数据,
她未来的目标是开发和测试一种文化敏感和社区参与的多层次干预措施,
改善《国家保健计划》的孕产妇和围产期保健。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Rebecca Delafield的其他文献
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