Pardo Christina, Araya Faven, Pierre Kristelle, Abbas Miral, Afable Aimee, Minkoff Howard, Fraser Marilyn
Weill Cornell Medical College, New York, NY, USA.
SUNY Downstate Health Sciences University School of Public Health, Brooklyn, New York, USA.
J Racial Ethn Health Disparities. 2025 Aug 6. doi: 10.1007/s40615-025-02575-7.
The US is facing a maternal mortality crisis with prominent disparities observed among racial/ethnic minority groups. In New York City (NYC), Black women are six times more likely to die from pregnancy-related causes and have higher rates of severe maternal morbidity (SMM) compared to White women. The underlying drivers of adverse perinatal and maternal health outcomes are characterized by systemic, community, and individual level determinants. Given the complex interplay of factors involved, it underscores the need for a unique and tailored approach to address maternal health disparities. Here we will discuss our approach to implementing a transformational model of community engagement by establishing an equitable community-academic partnership aimed at identifying and addressing the underlying drivers of adverse maternal health outcomes in Central Brooklyn, NY. Guided by the tenets of the CDC's principle of community engagement and evaluated by the National Academy of Medicine (NAM) Assessing Meaningful Community Engagement (ACE) conceptual model, our community-centered approach culminated in the establishment of a sustainable women's health community advisory board (CAB) committed to improving maternal and women's health, and serves as a successful case study that can be modeled in other similar urban settings.
美国正面临孕产妇死亡危机，在种族/族裔少数群体中存在显著差异。在纽约市，与白人女性相比，黑人女性因妊娠相关原因死亡的可能性高出五倍，且严重孕产妇发病率更高。围产期和孕产妇不良健康结局的潜在驱动因素具有系统性、社区性和个体层面的特点。鉴于所涉因素的复杂相互作用，这凸显了采取独特且量身定制的方法来解决孕产妇健康差异问题的必要性。在此，我们将讨论我们实施社区参与转型模式的方法，即通过建立公平的社区 - 学术伙伴关系，旨在识别并解决纽约布鲁克林中部孕产妇不良健康结局的潜在驱动因素。以美国疾病控制与预防中心（CDC）社区参与原则为指导，并由美国国家医学院（NAM）的评估有意义社区参与（ACE）概念模型进行评估，我们以社区为中心的方法最终促成了一个致力于改善孕产妇和妇女健康的可持续妇女健康社区咨询委员会（CAB）的成立，该委员会成为一个可在其他类似城市环境中效仿的成功案例研究。
