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Related Concept Videos

Hazard Ratio01:12

Hazard Ratio

122
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
122

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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Mixed-Method, Multilevel Clustered-Randomized Control Trial for Menstrual Health Disparities.

Lauren C Houghton1, Paris B Adkins-Jackson2,3

  • 1Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA. lh2746@cumc.columbia.edu.

Prevention Science : the Official Journal of the Society for Prevention Research
|February 15, 2024
PubMed
Summary
This summary is machine-generated.

This study explores how structural factors like food and healthcare access impact menstrual health, particularly for Black and LatinX individuals. It proposes a multilevel intervention using psychoeducation and resources to address disparities.

Keywords:
Cluster randomized control trialCritical race theoryIntersectionalityMenstrual healthMixed methodsStructural racism

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Area of Science:

  • Reproductive Health
  • Social Determinants of Health
  • Health Disparities

Background:

  • Menstrual cycle characteristics are often viewed as unmodifiable, overlooking the influence of structural factors.
  • Racialized cisgender women, particularly Black individuals, face significant reproductive health disparities.
  • Access to healthy food and healthcare are critical structural factors impacting reproductive well-being.

Purpose of the Study:

  • To examine how structural factors influence menstrual health.
  • To illustrate a potential structural intervention for improving menstrual cycle health.
  • To center the needs of Black and/or LatinX individuals in food and healthcare deserts.

Main Methods:

  • Utilized critical race theory and intersectionality to conceptualize the intervention.
  • Proposed a hypothetical multilevel clustered-randomized control trial (cRCT).
  • Employed mixed methods, including diaries, interviews, surveys, mobile apps, and observation, over a 1-year period.

Main Results:

  • The study illustrates a novel approach to structural interventions for menstrual health.
  • Demonstrates the integration of mixed methods within a cRCT design.
  • Highlights the potential for upstream improvements to reduce reproductive health disparities.

Conclusions:

  • Menstrual health is highly sensitive to structural factors.
  • Structural interventions, incorporating mixed methods and community perspectives, can effectively address health disparities.
  • This framework offers a model for developing more equitable reproductive healthcare solutions.