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解决刑事法律系统中的健康差异:对被监禁孕妇开展有影响力研究的转化效益、挑战及促进因素。

Addressing health disparities in the criminal legal system: Translational benefits, challenges, and facilitators of impactful research with incarcerated pregnant women.

作者信息

Volkov Boris B, Pulley Chris, Shlafer Rebecca

机构信息

Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN, USA.

Institute for Health Informatics and Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.

出版信息

J Clin Transl Sci. 2023 Apr 30;7(1):e112. doi: 10.1017/cts.2023.528. eCollection 2023.

Abstract

This in-depth analysis illuminates a translational journey of a community-university research collaboration that examined health disparities among incarcerated pregnant women and spanned the translational spectrum, with the initial collaboration in 2011 paving the way for consequent research grants, publications, practices, programs, and legislation passed years later. The case study utilized data from interviews with research stakeholders, institutional and governmental sources, peer-reviewed publications, and news stories. Identified research and translational challenges included cultural differences between research and prison system; the prison system's lack of transparency; politics of using and translating research to policy change; and issues of capacity, power, privilege, and opportunity when doing community-engaged research/science. Among the facilitators of translation were the Clinical and Translational Science Award and institutional support; engagement of key stakeholders and influencers; authentic collaboration and team science; researchers as translation catalysts; pragmatic scientific approach; and policies and legislative activities. The research contributed to a variety of community and public health, policy/legislative, clinical/medical, and economic benefits. The case study findings enhance our understanding of translational science principles and processes leading to improved wellbeing and serve as a call for advancing the research agenda addressing health disparities related to criminal and social justice issues.

摘要

这项深入分析揭示了一项社区与大学研究合作的转化历程,该合作研究了被监禁孕妇中的健康差异,并跨越了转化领域。2011年的初步合作,为多年后的后续研究资助、出版物、实践、项目以及立法铺平了道路。该案例研究利用了对研究利益相关者、机构和政府来源、同行评审出版物以及新闻报道的访谈数据。确定的研究和转化挑战包括研究与监狱系统之间的文化差异;监狱系统缺乏透明度;将研究应用并转化为政策变革的政治因素;以及开展社区参与研究/科学时的能力、权力、特权和机会问题。转化的促进因素包括临床和转化科学奖以及机构支持;关键利益相关者和有影响力者的参与;真实的合作与团队科学;研究人员作为转化催化剂;务实的科学方法;以及政策和立法活动。该研究带来了各种社区和公共卫生、政策/立法、临床/医学以及经济效益。案例研究结果增进了我们对转化科学原则和过程的理解,这些原则和过程有助于改善福祉,并呼吁推进研究议程,以解决与刑事和社会正义问题相关的健康差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5630/10225259/67e200fe9cd7/S2059866123005289_fig1.jpg

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