The CORAL Community Core

CORAL 社区核心

• 批准号: 10755460
• 负责人: Natalie Dolores Hernandez
• 金额: $ 38.6万
• 依托单位: MOREHOUSE SCHOOL OF MEDICINE
• 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/10755460
• 关键词: Accountability; Achievement; Acute; Address; Affect; Agreement; Anxiety Disorders; Area; Birth; Black race; Cessation of life; Child Health; Childbirth; Clinical; Collaborations; Communication; Communities; Complex; Country; Development; Equity; Family; Family health status; Goals; Healthcare; Inequity; Infant; Infrastructure; Intervention; Investigation; Investments; Justice; Knowledge; Laws; Learning; Life Cycle Stages; Low income; Maintenance; Maternal Health; Maternal Mortality; Medical; Mental Health; Methods; Modeling; Mothers; Outcome; Overdose; Pathway interactions; Perinatal; Persons; Policies; Policy Maker; Population; Post-Traumatic Stress Disorders; Postpartum Depression; Postpartum Women; Pregnancy; Pregnancy Complications; Pregnant Women; Process; Public Health; Research; Research Personnel; Research Project Grants; Review Committee; Scientist; Social Policies; Substance Use Disorder; Techniques; Training; Translations; Trust; Underrepresented Minority; Voice; Woman; Work; behavioral health; behavioral health intervention; black women; community engagement; community organizations; community partnership; coral; depressive symptoms; empowerment; ethnic minority; experience; health inequalities; improved; innovation; intergenerational; maternal morbidity; maternal risk; member; minority communities; minority investigator; novel; physical conditioning; pregnancy related death; prevent; racial disparity; racial minority; reproductive; response; social; social determinants; structural determinants; substance misuse

CORAL COMMUNITY PARTNERSHIP CORE - ABSTRACT Maternal behavioral health conditions, including substance use disorders, affect 1 in 5 pregnant/postpartum women and are one of the leading causes of pregnancy-related death. In the US, where population-wide maternal mortality is higher than that in similar nations, Black women are three times more likely to die from a pregnancy-related cause than White counterparts. Multiple factors, including multilayered structural and social determinants affecting the complex physical, mental, and behavioral health milieu, contribute to this racial disparity. Thus, maternal behavioral health represents one important area for investigation and innovation to improve lifecourse and intergenerational outcomes for Black women and birthing people. To date, predominant approaches to addressing Black maternal behavioral health have not appropriately and rigorously engaged community stakeholders. In many instances, proposed solutions have perpetuated medical/academic mistrust and have failed to create sustainable, equitable change. Experts agree that the lived experiences and cultural knowledge of Black birthing people, and community bodies who serve them, are integral in identifying effective public health solutions. We posit that, to drastically reduce pregnancy-related and pregnancy-associated maternal deaths among Black women with behavioral health conditions, community voices must be prioritized and amplified. To this end, the Community Partnership Core (CPC) will lead the creation, cultivation, and maintenance of a cooperative and equitable partnership between the Center to Advance Reproductive Justice and Behavioral Health among Black pregnant/postpartum women (CORAL) and all relevant community partners at each stage of the research process, from conceptualization to wide dissemination and translation for varied audiences. Using and expanding upon established reproductive justice, research justice, and community engagement frameworks, and leveraging a trans-disciplinary team of research and community partners we will: (1) Develop an effective CPC Community Accountability Board (CAB); (2) Engage communities to develop a CPC Community Accountability Board Research Agenda to advance Black Maternal Behavioral Health; (3) Develop infrastructure to support the achievement of the CPC CAB Research Agenda, and CORAL projects more broadly; and (4) Apply innovative methods to disseminate and implement CORAL research learnings with community members, partner organizations, and policymakers utilizing culturally- rooted approaches. We anticipate that, through our intentionally constructed research team, community partnerships, and leveraging of our existing state-and-nationwide capacity, we will be able to support the implementation of sustainable maternal behavioral health interventions to improve maternal health outcomes. Working in partnership with communities, and those who serve Black pregnant and postpartum women, the CPC's work has the potential activate the power of communities and inform policies and practices for practitioners, researchers, policy makers, and activists so that Black mothers not just survive but thrive.

珊瑚群落伙伴关系核心-摘要