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The effect of HOusing instability and neighborhood deprivation on Maternal hEalth-HOME

住房不稳定和邻里剥夺对孕产妇健康的影响-HOME

基本信息

批准号：
10756017
负责人：
Julia B Dickson-Gomez
金额：
$ 61.35万
依托单位：
MEDICAL COLLEGE OF WISCONSIN
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/10756017
关键词：
Acute Address Adult Advocate Affect Area Attention Biological Biological Markers Birth Black race COVID-19 pandemic Case Management Categories Characteristics Child Chronic Church Cities Communities Continuity of Patient Care County Disabled Persons Disparity Economics Electronic Health Record Eligibility Determination Emergency Situation Family Friends Funding Future Generations Health Health Status Healthcare Homelessness Housing Income Indigenous Individual Infant Institutional Racism Knowledge Longitudinal Surveys Low Income Population Low income Maps Marketing Maternal Deprivation Maternal Health Maternal Mortality Measures Mental Health Mental Health Services Morbidity - disease rate Mothers Neighborhoods Outcome Participant Persons Physical assessment Policies Population Postpartum Period Poverty Pregnancy Pregnancy Outcome Premature Birth Psychiatric Social Work Racial Segregation Recording of previous events Research Risk Risk Factors Sampling Screening procedure Second Pregnancy Trimester Section 8 Services Shelter facility Site Social Work Stress Surveys Third Pregnancy Trimester Time U.S. Department of Housing and Urban Development Veterans Visit Wisconsin Work allostatic load deprivation ethnic segregation experience health disparity health inequalities housing instability improved infant outcome lower income families maternal morbidity maternal risk member metropolitan mortality physical conditioning physical health service pregnant programs racial disparity racial health disparity residential segregation segregation social health determinants social structure structural determinants substance use supported housing transitional housing voucher

项目摘要

PROJECT SUMMARY/ABSTRACT: HOME Racial disparities in pregnancy outcomes, including heightened morbidity and mortality for mothers and their infants, persist and are not fully explained by individual risk factors. Black birthing people in the US are three times more likely to be affected than their white counterparts, and in Wisconsin, the risk is five times greater. Due to Milwaukee, Wisconsin being one of the five most segregated cities in the US, Black birthing families are also more likely to be low-income than their white counterparts and experience housing instability. Housing instability is a crucial social determinant of health that affects birthing people and their children, perpetuating poverty and poor health in future generations. There is an important gap in knowledge of the effect of housing instability on maternal health, that we seek to address in this proposal. The “Reducing HOusing instability and neighborhood deprivation for Maternal hEalth” (HOME) proposal’s central hypothesis is that investigating the effects of different housing statuses and stability on maternal physical and mental health will lead to more profound understanding of the impact of housing instability on pregnancy outcomes and motivate policy change to reduce maternal health disparities. In Aim 1, we will understand how personal and neighborhood characteristics and services contribute to housing stability among low-income pregnant people to inform programs to improve stability. In Aim 2, we will explore the impact of housing instability/homelessness and neighborhood conditions on allostatic load, physical and mental health, and pregnancy outcomes. In Aim 3, we will identify the service needs of pregnant people in each housing status, and advocate for policy-level change to address housing instability among birthing people. The proposed study will tease out the contribution of these factors and characteristics and correlate them to maternal health outcomes. This work could inform screening tools to assess pregnancy risk, inform policy change, and elucidate biological mechanisms by which structural factors result in health disparities.

项目摘要/摘要：首页