دورية أكاديمية
أعرض في EDS

Maternal health equity in Georgia: a Delphi consensus approach to definition and research priorities.

التفاصيل البيبلوغرافية
العنوان: Maternal health equity in Georgia: a Delphi consensus approach to definition and research priorities.
المؤلفون: Hernandez ND; Center for Maternal Health Equity, Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 30310, Atlanta, GA, USA. nhernandez@msm.edu., Aina AD; Black Mamas Matter Alliance, Atlanta, GA, USA., Baker LJ; Wellstar West Georgia Medical Center, LaGrange, GA, USA., Blake SC; Department of Health Policy & Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Dunn Amore AB; Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA., Franklin CG; Department of Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, GA, USA., Henderson ZT; March of Dimes, Arlington, VA, USA., Kramer MR; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA., Jackson FM; MAJAICA, LLC, Atlanta, GA, USA., Mosley E; Georgia State University School of Public Health, Atlanta, GA, USA., Nunally L; Georgia Perinatal Quality Collaborative, Duluth, GA, USA., Sylvester S; Johnson & Johnson, Women's Health, Office of the Chief Medical Officer, New Brunswick, NJ, USA.
المصدر: BMC public health [BMC Public Health] 2023 Mar 30; Vol. 23 (1), pp. 596. Date of Electronic Publication: 2023 Mar 30.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Health Equity* , Pregnancy Complications*, Pregnancy ; Humans ; Female ; Delphi Technique ; Georgia ; Consensus ; Maternal Health ; Research
مستخلص: Background: Pregnancy-related mortality in the United States is the greatest among all high-income countries, and Georgia has one of the highest maternal mortality rates-almost twice the national rate. Furthermore, inequities exist in rates of pregnancy-related deaths. In Georgia, non-Hispanic Black women are nearly 3 times more likely to die from pregnancy-related complications than non-Hispanic White women. Unlike health equity, a clear definition of maternal health equity is lacking, overall and in Georgia specifically, but is needed to reach consensus and align stakeholders for action. Therefore, we used a modified Delphi method to define maternal health equity in Georgia and to determine research priorities based on gaps in understanding of maternal health in Georgia.
Methods: Thirteen expert members of the Georgia Maternal Health Research for Action Steering Committee (GMHRA-SC) participated in an iterative, consensus-driven, modified Delphi study comprised of 3 rounds of anonymous surveys. In round 1 (web-based survey), experts generated open-ended concepts of maternal health equity and listed research priorities. In rounds 2 (web-based meeting) and 3 (web-based survey), the definition and research priorities suggested during round 1 were categorized into concepts for ranking based on relevance, importance, and feasibility. Final concepts were subjected to a conventional content analysis to identify general themes.
Results: The consensus definition of maternal health equity created after undergoing the Delphi method is: maternal health equity is the ultimate goal and ongoing process of ensuring optimal perinatal experiences and outcomes for everyone as the result of practices and policies free of interpersonal or structural bias that tackle current and historical injustices, including social, structural, and political determinants of health impacting the perinatal period and life course. This definition highlights addressing the current and historical injustices manifested in the social determinants of health, and the structural and political structures that impact the perinatal experience.
Conclusion: The maternal health equity definition and identified research priorities will guide the GMHRA-SC and the broader maternal health community for research, practice, and advocacy in Georgia.
(© 2023. The Author(s).)
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فهرسة مساهمة: Keywords: Definition; Delphi; Disparities; Equity; Georgia; Maternal health; Maternal mortality; Perinatal; Pregnancy; Social determinants of health
تواريخ الأحداث: Date Created: 20230330 Date Completed: 20230403 Latest Revision: 20230503
رمز التحديث: 20230504
مُعرف محوري في PubMed: PMC10061967
DOI: 10.1186/s12889-023-15395-3
PMID: 36997972
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2458
DOI:10.1186/s12889-023-15395-3