Institute of Translational Health Sciences

转化健康科学研究所

• 批准号: 10731707
• 负责人: Mary L. Disis
• 金额: $ 16.81万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-06-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10731707
• 关键词: Administrator; Adolescent and Young Adult; American College of Obstetricians and Gynecologists; Area; Award; Birth; Bisexual; Caring; Childbirth; Clinic; Clinical; Clinical Research; Communities; Conscious; Continuity of Patient Care; Data; Development; Disparity population; Ensure; Equity; Focus Groups; Future; Goals; Grouping; Health; Healthcare; Healthcare Systems; Heterosexuality; Heterosexuals; Inequity; Institution; Interview; Justice; K-Series Research Career Programs; Knowledge; Left; Lesbian; Literature; Maternal Health; Maternal Health Services; Maternal Mortality; Maternal health equity; Medical; Medical Staff; Mental Health; Methods; Outcome; Perception; Perinatal; Perinatal Care; Population Intervention; Pregnancy; Pregnancy Rate; Prenatal care; Provider; Qualitative Methods; Recommendation; Reporting; Research; Resources; Role; Service delivery model; Shapes; Sterile coverings; Structure; Translational Research; Underrepresented Populations; United States; Woman; Work; adverse birth outcomes; care preference; care providers; care systems; child bearing; clinical care; clinical practice; community engagement; community organizations; ethnic identity; evidence base; expectation; experience; health care disparity; health disparity; health equity; health inequalities; improved; innovation; intervention delivery; lens; maternal morbidity; people of color; perceived discrimination; perinatal health; physical conditioning; preference; prevent; racial identity; racism; reproductive; sexual identity; sexual minority women; skills; translation factor; translational health science; women of color

I. Project Summary: A Qualitative Study of Bisexual Women of Color's Perinatal HealthCare Experiences Both women of color (WOC) and sexual minority women (SMW) experience striking inequities in maternal health and healthcare in the United States. Most notably, bisexual women have the highest rates of pregnancy among SMW, while childbearing rates in bisexual adolescents and young adults significantly exceed that of their heterosexual counterparts. However, maternal health research commonly aggregates bisexual women with lesbians and assumes heterosexuality among WOC, despite the distinctive health and healthcare disparities faced by bisexual WOC. These imprecise groupings at the intersection of maternal healthcare for WOC and SMW obscure the perinatal health needs of bisexual WOC within maternal health research and clinical practice. Adequate perinatal care is crucial for optimizing maternal and birth outcomes, yet no maternal health studies have examined the perinatal healthcare experiences of bisexual WOC. It is urgent to engage bisexual WOC in translational health research to understand their perinatal healthcare needs and identify gaps in care to develop effective maternal health interventions for this population. This application proposes to develop community-driven approaches to engaging bisexual WOC in translational health research. Using qualitative methods, the secondary goals of this proposed study are to: 1) improve the understanding of lived experiences with perinatal healthcare in bisexual WOC using an intersectional, reproductive justice lens, and 2) identify recommendations for improving perinatal care for bisexual WOC. A community steering committee (n=10), comprised of a majority of bisexual WOC, will regularly convene throughout the study to develop equitable and affirming strategies for engaging bisexual WOC in translational health research. Interviews will be conducted with bisexual WOC (n=31) to identify their preferences, needs, and experiences while they are seeking and utilizing perinatal care. Finally, three focus groups will be held with perinatal providers and medical staff, birth workers, and healthcare administrators (n=24) to characterize healthcare system perceptions and perspectives on perinatal care for bisexual WOC and identify recommendations for improving perinatal care practices. This study will address key knowledge gaps in our current understanding of bisexual WOC's perinatal encounters, following evidenced-based community engagement (CE) methods and through the innovative lens of reproductive justice. The new strategies developed for engaging bisexual WOC in research will be adaptable to other clinical areas, serving as a valuable resource for the wider scientific community. The proposed study is also expected to inform the future development of effective clinical interventions and care delivery models to improve maternal and birth outcomes for bisexual WOC and other historically disadvantaged populations in the long term, thus advancing maternal health equity for all. With the support of a two-year Diversity Supplement, the candidate will further develop her translational health research skills, preparing her to submit a K application based on the findings from this award to support her in attaining her long-term research goals.

项目总结：彩色双性恋妇女围产期保健的定性研究 经验 有色人种妇女(WOC)和性少数族裔妇女(SMW)都经历了显著的不平等 在美国的健康和医疗保健。最值得注意的是，双性恋女性的怀孕率最高 在SMW中，而双性恋青少年和年轻人的生育率显著高于 他们的异性恋同龄人。然而，产妇健康研究通常将双性恋女性汇总在一起 与女同性恋者有联系，并在WOC中假设为异性恋，尽管有独特的健康和医疗保健 双性恋WOC面临的不平等。在产妇保健的交叉点上，这些不精确的分组 WOC和SMW在孕产妇健康研究中模糊了双性恋WOC的围产期健康需求 临床实践。适当的围产期护理对于优化孕产妇和分娩结果至关重要，但没有孕产妇 健康研究已经调查了双性恋WOC的围产期保健经历。迫切需要与之接触 双性恋WOC在转化性健康研究中的作用，以了解他们的围产期保健需求并确定差距 为这一人群制定有效的孕产妇健康干预措施。此应用程序建议 开发社区驱动的方法，让双性恋WOC参与转化性健康研究。vbl.使用 定性方法，这项研究的次要目标是：1)提高对生活的理解 在双性恋WOC中使用交叉性生殖公平镜片的围产期保健经验 2)确定改善双性性WOC围产期保健的建议。社区指导委员会 (n=10)，由大多数双性恋WOC组成，将在整个研究过程中定期召开会议，以制定 让双性恋WOC参与转化性健康研究的公平和肯定的战略。采访将会 与双性恋WOC(n=31)一起进行，以确定他们的偏好、需求和经历 寻求和利用围产期护理。最后，将与围产期提供者和医务人员举行三个重点小组 工作人员、助产士和医疗保健管理员(n=24)，以确定医疗保健系统的认知和 对双性恋WOC围产期保健的看法并提出改善围产期保健的建议 练习。这项研究将解决我们目前对双性恋WOC的理解中的关键知识空白 围产期接触，遵循基于证据的社区参与(CE)方法，并通过 生殖正义的创新视角。为吸引双性恋WOC参与研究而开发的新战略 将适用于其他临床领域，为更广泛的科学界提供宝贵的资源。这个 拟议的研究也有望为未来有效的临床干预和护理的发展提供信息。 为改善双性恋WOC和其他历史上的母婴结局而建立的分娩模式 从长远来看，这将有助于改善弱势群体的健康状况，从而促进人人享有孕产妇保健公平。在一个 两年的多样性补充，候选人将进一步发展她的翻译健康研究技能， 让她做好准备，根据该奖项的结果提交K申请，以支持她获得 长期研究目标。