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 产妇行为健康状况，包括物质使用障碍，影响五分之一的孕妇/产后 这是妇女死亡的主要原因之一。在美国， 孕产妇死亡率高于类似国家，黑人妇女死于艾滋病的可能性是其他国家的三倍。 怀孕相关原因比白色同行。多种因素，包括多层次的结构和社会 影响复杂的身体，心理和行为健康环境的决定因素，有助于这种种族歧视。 差距因此，孕产妇行为健康是研究和创新的一个重要领域， 改善黑人妇女和生育者的生命历程和代际结果。迄今为止， 解决黑人孕产妇行为健康问题的方法没有适当和严格地参与 社区利益相关者。在许多情况下，拟议的解决方案使医学/学术界的不信任永久化， 也未能创造可持续的、公平的变革。专家们一致认为，生活经验和文化 黑人生育者的知识，以及为他们服务的社区机构，是确定有效的 公共卫生解决方案。我们认为，为了大幅度减少与怀孕有关的和与怀孕有关的 有行为健康状况的黑人妇女的孕产妇死亡，必须优先考虑社区的声音 并被放大。为此，社区伙伴关系核心（CPC）将领导创建，培养， 促进生殖正义中心与联合国儿童基金会 黑人孕妇/产后妇女行为健康（CORAL）和所有相关社区 从概念化到广泛传播和翻译，研究过程每个阶段的合作伙伴 为不同的观众。利用和扩大既定的生殖正义，研究正义， 社区参与框架，并利用跨学科的研究和社区团队 我们将：（1）建立一个有效的CPC社区问责委员会（CAB）;（2）参与 社区制定一个CPC社区问责委员会研究议程，以促进黑人母亲 行为健康;（3）发展基础设施，以支持实现CPC CAB研究议程， （4）采用创新方法传播和实施CORAL 与社区成员、伙伴组织和政策制定者一起研究学习， 根的方法。我们预计，通过我们有意构建的研究团队，社区 伙伴关系，并利用我们现有的国家和全国的能力，我们将能够支持 实施可持续的孕产妇行为健康干预措施，以改善孕产妇健康结果。 与社区以及为黑人孕妇和产后妇女服务的人合作， 中国共产党的工作有潜力激活社区的力量，并为政策和做法提供信息， 实践者，研究人员，政策制定者和活动家，使黑人母亲不仅生存，而且茁壮成长。