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Addressing Perinatal Disparities in Urban Setting: Using Community Based Participatory Research
Saba W Masho1, Lori Keyser-Marcus, Sara B Varner
1Associate Professor, Departments of Epidemiology and Community Health and, Obstetrics and Gynecology, Virginia Commonwealth University.
Racial disparities in infant mortality persist, with African American (AA) infant death rates nearly double the national average. This study uses the Perinatal Period of Risk (PPOR) model to engage communities in addressing these disparities.
Area of Science:
- Public Health
- Health Disparities Research
- Community-Engaged Research
Background:
- Significant racial disparities in infant mortality are evident in the U.S.
- African American (AA) infant mortality rates are nearly double the national average.
- Community-based participatory research (CBPR) effectively builds community-researcher collaborations for sustainable interventions.
Purpose of the Study:
- To detail the application of the Perinatal Period of Risk (PPOR) model.
- To engage communities in identifying factors contributing to racial infant mortality disparities.
- To examine changes in these factors over a decade.
Main Methods:
- Utilized the Perinatal Period of Risk (PPOR) model.
- Employed community-based participatory research (CBPR) principles.
- Conducted a ten-year longitudinal examination of identified factors.
Main Results:
- The PPOR model facilitated community engagement in understanding infant mortality determinants.
- Key factors influencing racial disparities in infant mortality were identified.
- Changes in these influential factors over the ten-year period were analyzed.
Conclusions:
- The PPOR model is a viable approach for community engagement in addressing infant mortality disparities.
- Understanding and tracking factors influencing disparities is crucial for targeted interventions.
- Sustained community-researcher partnerships are vital for reducing racial inequities in infant health outcomes.
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