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

• 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
• 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' 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

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.

项目总结/摘要 原住民母亲（自认为是美洲印第安人，阿拉斯加原住民或美洲原住民的人） 在美国，产妇死亡率和发病率（MMM）最高。 生物行为因素推动这些不平等，如粮食隔离引起的粮食不安全，慢性压力 通过代际创伤而延续，以及传统分娩做法和角色的丧失， 创新的解决方案。为了实现这一目标，土著复原力，文化和孕产妇健康中心 为了更好地理解和解决这些因素，通过个人，家庭， 社区和卫生系统的干预措施。CIRCLE的长期目标是消除 土著MMM通过有效的转化科学跨越最佳做法，在孕前，产前， 和产妇产后护理通过前2年的生活。圈子的直接目标是 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， 土著MMM差异和将科学成果转化为消除孕产妇健康的解决方案 不平等社区将：（1）利用和扩大与部落卫生伙伴的现有伙伴关系 以患者为中心的成果研究和干预;（2）培养和支持跨学科团队， 独立专家集中精力发现土著产妇保健的基础和解决办法， 差异;（3）建立必要的基础和初始过程，使翻译研究， 干预措施侧重于消除土著产妇保健差距;（4）交流战略、数据， 目标1-3的结论和建议。实现圈子的目标是 显著在美国，超过90%的原住民产妇死亡是可以预防的。减少MMM和 实现产妇保健公平是国家的优先事项。减少MMM和确保 未来的孕产妇健康公平是消除土著孕产妇健康的不公平。圆的 因此，重点确定解决土著产妇保健差异的办法，解决了 实现国家公共卫生优先。圈子是创新的。研究中心专注于产妇 全国各地都存在健康差距和不公平现象;然而，这些中心都没有专门关注 土著产妇保健。我们还强调， 圈子的核心。