改变范式:通过变革性的社区参与来解决孕产妇健康差异
Christina Pardo1,2, Faven Araya3, Kristelle Pierre3
1Weill Cornell Medical College, New York, NY, USA. chp4022@med.cornell.edu.
Journal of racial and ethnic health disparities
|August 6, 2025
概括
纽约的黑人妇女面临更高的孕产妇死亡率和严重孕产妇发病率 (SMM) 的风险. 布鲁克林中部的一个社区-学术合作伙伴关系建立了一个妇女基金会.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 基于社区的参与式研究
背景情况:
- 美国经历了一场孕产妇死亡率危机,种族/民族差异很大.
- 与白人女性相比,纽约市 (NYC) 的黑人女性面临与怀孕相关的死亡率和严重孕产妇发病率 (SMM) 的风险不成比例.
- 不良的围产和孕产妇健康结果是由复杂的系统,社区和个人因素驱动的.
研究的目的:
- 实施一个社区参与模式,以解决纽约布鲁克林中部的孕产妇健康差异.
- 建立一个公平的社区-学术伙伴关系,专注于识别和减轻不利的孕产妇健康结果的驱动因素.
- 通过以社区为中心的方法,创造一个可持续的模式来改善母亲和妇女的健康.
主要方法:
- 利用疾病预防控制中心的社区参与原则.
- 采用了国家医学院 (NAM) 的评估有意义的社区参与 (ACE) 概念模型进行评估.
- 成立了一个社区咨询委员会 (CAB),由布鲁克林中部地区的妇女组成.
主要成果:
- 成功实施了社区参与的转型模式.
- 形成了一个公平的社区-学术伙伴关系,以解决孕产妇健康差异.
- 在布鲁克林中部建立了一个可持续的妇女健康社区咨询委员会 (CAB).
结论:
- 以社区为中心的方法,以既定的框架为指导,可以有效地解决孕产妇健康差异.
- 已建立的妇女健康CAB作为改善孕产妇和妇女健康结果的可持续模式.
- 该案例研究为其他城市环境提供了可复制的模型,这些城市环境在孕产妇健康方面面临着类似的挑战.
关键词:
黑人孕产妇健康 黑人孕产妇健康社区咨询委员会 (CAB)社区的参与 社区的参与社区 - 学术伙伴关系基于社区的参与式研究 (CBPR)卫生公平性健康公平性孕产妇健康 孕产妇健康孕产妇健康差异 孕产妇健康差异产妇死亡率 产妇死亡率生殖健康 生殖健康严重的孕产妇发病率 (SMM)变革性的社区参与.更多相关视频
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