Center for Indigenous Resilience, Culture, and Maternal Health Equity

土著复原力、文化和孕产妇健康公平中心

基本信息

批准号：
10748847
负责人：
JACOB E FRIEDMAN
金额：
$ 157.38万
依托单位：
UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
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：
2023-08-17 至 2030-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10748847
关键词：
Address Alaska Native American Indians Amniotic Fluid Embolism Anthropology Autoimmune Diseases Automobile Driving Behavioral Bioinformatics Biological Biometry Birth Blood Vessels Cardiac Centers of Research Excellence Cessation of life Chronic stress Collaborations Collagen Communities Conceptions Continuity of Patient Care Coronary Country Data Discipline of Nursing Discipline of obstetrics Ensure Epidemiology Equity Ethics Family Food Foundations Funding Future Goals Gynecology Health Health system Hemorrhage Homicide Human Development Immunology Indigenous Individual Inequity Infection Injury Interruption Intervention Knowledge Label Leadership Life Maternal Health Maternal Mortality Maternal health equity Maternal-fetal medicine Medical Mental Health Mission Mothers Native Americans Not Hispanic or Latino Nursing Care Management Obesity Oklahoma Outcome Outcomes Research Pathway interactions Patient-Focused Outcomes Physiology Population Postpartum Period Pregnancy Pregnancy Outcome Process Public Health Race Recommendation Recording of previous events Research Research Personnel Research Project Grants Research Training Resources Role Rural Sampling Self Care Sociology Source Substance Use Disorder Suicide Testing Translating Translational Research Trauma Tribes United States United States National Institutes of Health Woman Women&apos s Health Work base biobehavior cardiometabolism career community based participatory research community partnership cultural health disparities in morbidity disparity elimination experience food insecurity health disparity health inequalities high risk implementation science improved indigenous community innovation insight intergenerational intimate partner violence maternal morbidity maternal outcome maternal wellbeing member mortality disparity nutrition postpartum care pregnancy associated death pregnancy related death prenatal public health priorities research and development resilience severe maternal morbidity social synergism translational potential tribal community tribal health tribal leader tribal member tribal organization

项目摘要

Project Summary/Abstract Indigenous mothers (those who self-identify as American Indian, Alaskan Native, or Native American) experience the highest rates of maternal mortality and morbidity (MMM) in the U.S. Structural, social, and biobehavioral factors driving these inequities such as food insecurity induced by food apartheid, chronic stress perpetuated through intergenerational trauma, and loss of traditional birthing practices and roles require innovative solutions. To accomplish this, the Center for Indigenous Resilience, Culture, and Maternal Health Equity (CIRCLE) has been formed to better understand and address these factors through individual, family, community, and health systems interventions. The long-term goal of the CIRCLE is to eliminate disparities in Indigenous MMM through effective translational science spanning best practices in preconception, prenatal, and maternal postpartum care through the first 2 years of life. The immediate goal of the CIRCLE is to bring together researchers and community partners in Oklahoma/Southern Plains region to discover the sources of Indigenous MMM disparities and translate scientific results into solutions that eliminate maternal health inequities. The CIRCLE will: (1) leverage existing and expand current partnerships with tribal health partners on patient-centered outcomes research and interventions; (2) cultivate and support an interdisciplinary team of independent experts focused on discovering the bases for, and solutions to, Indigenous maternal health disparities; (3) establish the foundation and initial processes necessary to enable translational research and interventions focused on eliminating Indigenous maternal health disparities; and (4) exchange strategies, data, findings, and recommendations from Aims 1-3 with key partners. Achieving the aims of the CIRCLE is significant. Over 90 percent of Indigenous maternal deaths in the U.S. are preventable. Reducing MMM and achieving maternal health equity are a national priority. An essential step in reducing MMM and assuring maternal health equity in the future is the elimination of Indigenous maternal health inequities. The CIRCLE’s focus on identifying solutions for Indigenous maternal health disparities therefore addresses a critical barrier to achieving a national public health priority. The CIRCLE is innovative. Research centers focused on maternal health disparities and inequities exist throughout the country; however, none of these centers focus specifically on Indigenous maternal health. We also emphasize a strengths-based “culture as protective” approach at the core of the CIRCLE.

项目摘要/摘要土著母亲（那些自我识别为美洲印第安人，阿拉斯加原住民或美洲原住民的母亲）在美国的结构，社会和驱动这些不平等的生物行为因素，例如食物种族隔离引起的粮食不安全，慢性应激通过代际创伤和传统的出生习俗和所需的角色的丧失永久存在创新的解决方案。为此，土著弹性，文化和孕产妇健康中心股权（圈）的成立是为了更好地理解和通过个人，家庭，社区和卫生系统干预措施。圈子的长期目标是消除分布土著MMM通过有效的转化科学，涵盖了预选的最佳实践，产前，以及生命的前两年的主要产后护理。圈子的直接目标是带来俄克拉荷马州/南部平原地区的研究人员和社区合作伙伴一起发现土著MMM差异并将科学结果转化为消除母乳健康的解决方案不平等。圈子将：（1）利用现有的并扩展与部落健康伙伴的当前合作伙伴关系关于以患者为中心的结果研究和干预措施；（2）培养和支持一个跨学科团队独立专家致力于发现土著母校健康的基础和解决方案差异；（3）建立实现翻译研究所必需的基础和初始过程干预措施的重点是消除土著物物健康分布；（4）交换策略，数据，与主要合作伙伴的AIMS 1-3的发现以及AIMS 1-3的建议。实现圆圈的目标是重要的。在美国，超过90％的土著物质死亡是可以预防的。减少MMM和实现物物健康公平是国家优先事项。减少MMM和确保的重要步骤未来的孕产妇健康公平是消除土著遗嘱健康摄入量。圆圈专注于识别土著物物健康差异的解决方案，因此解决了至关重要的障碍获得国家公共卫生优先事项。圈子是创新的。研究中心专注于产妇全国存在健康差异和不平等；但是，这些中心都没有专门集中关于土著母校的健康。我们还强调了一种基于优势的“受保护的文化”方法圆圈的核心。