@article{8a6f4967893044e0a97dcd233ac05c3d,
title = "SMFM Special Report: Putting the “M” back in MFM: Reducing racial and ethnic disparities in maternal morbidity and mortality: A call to action",
abstract = "Racial and ethnic disparities in maternal morbidity and mortality rates are an important public health problem in the United States. Because racial and ethnic minorities are expected to comprise more than one-half of the US population by 2050, this issue needs to be addressed urgently. Research suggests that the drivers of health disparities occur at 3 levels: patient, provider, and system. Although we have recognized this issue and identified elements that contribute to it, knowledge must be converted into action to address it. In addition, despite available funding and databases, research directed towards understanding and reducing these disparities is lacking. This document summarizes findings of a workshop convened at the 2016 Society for Maternal-Fetal Medicine's 36th Annual Pregnancy meeting in Atlanta, GA, to review and make recommendations about immediate actions in clinical care and research that will serve to reduce racial and ethnic disparities in maternal morbidity and mortality rates in the United States.",
keywords = "SMFM, barrier, care, research gap",
author = "Jain, {Joses A.} and Temming, {Lorene A.} and D'Alton, {Mary E.} and Cynthia Gyamfi-Bannerman and Methodius Tuuli and Louis, {Judette M.} and Srinivas, {Sindhu K.} and Caughey, {Aaron B.} and Grobman, {William A.} and Mark Hehir and Elizabeth Howell and Saade, {George R.} and Tita, {Alan T.N.} and Riley, {Laura E.}",
note = "Funding Information: Minority groups are also underrepresented as research investigators. For example, there is significant racial/ethnic disparity in investigators who are funded by the National Institutes of Health (NIH). Black individuals make up 12.6% of the US population but only 1.1% of NIH-funded investigators. 61 A recent study demonstrated that the proportion of funded NIH investigator–initiated grant applications is 13% lower for black applicants and 4% lower for Asian applicants than for white applicants. 62 This disparity in minority representation among investigators must be addressed from many angles, which include improved access to training, recruitment, and funding for minority investigators. Funding Information: Although most funded applications are investigator-initiated, the NIH and Centers often solicit applications through funding opportunity announcements via Request for Applications, which have funds allocated, or through Program Announcements and Program Announcements with Referral, which do not usually have specifically allocated funds. The NIH Grants and Funding website ( https://www.nih.gov/grants-funding ) can be searched for active funding opportunity announcements. 63 One currently active funding opportunity announcement seeks a proposal for a research conference grant to conduct health disparity–related meetings, workshops, or symposia to bring together academic institutions and community organizations to identify opportunities for addressing health disparities through community-based participatory research. Interested researchers can subscribe to the weekly NIH Guide, which provides information regarding new and active funding opportunities. 64 It is also important to note that the NIH offers loan repayment funding for researchers who work in the area of health disparities. The NIH RePORT ( https://report.nih.gov/ ) website can also be searched for recently funded projects on any topic of interest. 65 ",
year = "2018",
month = feb,
doi = "10.1016/j.ajog.2017.11.591",
language = "English (US)",
volume = "218",
pages = "B9--B17",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "2",
}