Addressing Key Social-Structural Risk Factors for Racial Disparities in Maternal Morbidity in Southeastern Wisconsin (ASCEND WI)

项目摘要/摘要：总体构成部分 在美国，严重的孕产妇发病率和死亡率存在明显的种族和民族差异。社交 健康决定因素和社会风险因素在孕产妇健康差距中发挥核心作用，具有结构性 种族主义加剧了市中心环境中社会风险因素的不公平暴露。我们的团队提供 威斯康星州密尔沃基的医疗服务，这是美国五个种族隔离程度最高的城市之一。不利的一面 与居住隔离、集中贫困和邻里关系有关的健康影响 在西弗吉尼亚州东南部的所有健康状况中，包括产妇在内的所有健康状况都会造成持久的种族差异。 健康结果。在这项提案中，我们的目标是解决造成种族差距的关键社会结构性风险因素 我们的研究社区和社区合作伙伴确定了威斯康星州东南部的孕产妇发病率。 这些风险因素包括住房不稳定、医疗不信任以及获得预防措施的渠道分散。 产后护理。我们计划通过三个涉及社区的研究项目来解决这些风险因素 住房(研究项目1)、以社区为基础的帮佣(研究项目2)和社区的利益攸关方 卫生工作者和产后远程监护(研究项目3)。这三个项目是概念化的。 并与社区合作伙伴合作制定，以协同解决孕产妇保健不平等问题 在怀孕前、怀孕和产后的整个连续过程中。MCW中心的主题是 解决东南部孕产妇发病率种族差异的关键社会结构性风险因素 威斯康星州-阿森德威斯康星州。Ascend WI有四个首要目标：1)与社区组织合作 减轻社会结构性风险因素对孕产妇健康的影响，2)制定和评估干预措施，以 解决产妇保健方面种族差异的社会结构性风险因素，3)向有关方面传播研究结果 利益相关者和政策制定者，以及4)培训不同的早期科学家群体，了解孕产妇保健公平 研究。Ascend WI团队利用创新的方法、公平的协作和熟练的技能 以学术和社区为基础的合作伙伴创造可持续的变化，并将有效地努力消除 威斯康星州东南部及更远地区的孕产妇健康差距。

PROJECT SUMMARY/ABSTRACT: OVERALL COMPONENT There are significant racial and ethnic disparities in severe maternal morbidity and mortality in the US. Social determinants of health and social risk factors have a central role in maternal health disparities, with structural racism reinforcing inequitable exposure to social risk factors in inner city environments. Our team provides healthcare services in Milwaukee, Wisconsin, one of the five most segregated cities in the US. The adverse health effects associated with residential segregation, concentrated poverty, and neighborhood conditions result in perpetuated racial disparities in all health outcomes in Southeastern WI, including maternal health outcomes. In this proposal, we aim to address key social-structural risk factors for racial disparities in maternal morbidity in Southeastern Wisconsin identified by our research community and community partners. These risk factors include housing instability, medical mistrust, and fragmented access to preventative care postpartum. We plan to address these risk factors with three research projects involving community stakeholders in housing (research project 1), community-based doulas (research project 2), and community health workers and postpartum telemonitoring (research project 3). The three projects were conceptualized and developed in collaboration with community partners with synergy of addressing maternal health inequities throughout the continuum of preconception, pregnancy, and postpartum. The MCW Center’s theme is Addressing Key Social-Structural Risk Factors for RaCial Disparities in MatErNal MorbiDity in Southeastern Wisconsin - ASCEND WI. ASCEND WI has four overarching aims: 1) Partner with community organizations to mitigate the impact of social-structural risk factors on maternal health, 2) Develop and evaluate interventions to address social-structural risk factors for racial disparities in maternal health, 3) Disseminate findings to relevant stakeholders and policymakers, and 4) Train a diverse group of early-stage scientists in maternal health equity research. The ASCEND WI team utilizes innovative approaches, equitable collaborations, and skilled academic and community-based partners to create sustainable change and will work effectively to eradicate maternal health disparities in Southeastern Wisconsin and beyond.