RESUMEN

The Centering Equality, Race, and Cultural Literacy in Family Planning (CERCL-FP) program aims to break racial silence and dismantle structural racism in the field of family planning, by providing racial equity workshops and trainings. OBJECTIVE: The objective of this study was to begin a multi-phased, rigorous evaluation to determine the impact and outcomes of the work of CERCL-FP. STUDY DESIGN: A needs assessment with former graduates and current directors of fellowships in family planning was conducted using qualitative interviews. The focus of these interviews was to determine the ability, readiness, and willingness of the field of family planning to retrofit new curricula grounded in equity, race, and cultural literacy. RESULTS: Nine (N = 9) interviews were completed with seven board certified obstetrician-gynecologists and two board certified family medicine physicians. Three themes were identified: (1) Establishing the Distribution of Work; (2) The Push/Pull of Change from Inside and Outside: Curricula and Faculty Responsibilities; and (3) Reproductive Justice and Fellowships in Family Planning. Despite acknowledging the need to retrofit the field of family planning with content grounded in equity, race, and cultural literacy, there are structural, institutional, and individual level barriers that have limited the adoption of CERCL-FP curricula within family planning curriculum nationwide. CONCLUSION: Findings from this study illuminate multiple barriers that should be considered when expanding foundational knowledge of clinicians and researchers. IMPLICATIONS: Similar to the slow integration of research findings into clinical practice, this study shows that integration of social science and new curricula within the field of family planning faces significant barriers. Strategies to address these barriers are crucial to ensuring successful integration of equity, race, and cultural literacy within family planning.

RESUMEN

Background: Concerns exist regarding biomedical research participation in marginalized and historically disadvantaged communities. Objectives: The purpose of this study was to understand critical barriers to participation in human milk research from the perspective of Black pregnant and postpartum people. Methods: A national sample of Black pregnant and postpartum people (n = 104) was recruited to complete a cross-sectional online survey informed by the Life Course Perspective. Survey questions assessed research experiences and preferences, particularly related to human milk research, knowledge of historical events/policies targeting Black communities, and demographic characteristics. A socio-economic composite score was calculated as an indicator of socio-economic advantage. Survey data were summarized descriptively and potential correlates of research engagement were evaluated. Results: Most (69%, n = 71) respondents reported previous participation in a research study, yet only 8 (8%) reported ever being asked to participate in a breastfeeding/chestfeeding or human milk study, and one respondent was unsure. Despite so few having been asked, 59% (n = 61) of respondents indicated they would donate breast/human milk to research if asked. Respondent characteristics associated with prior research participation included having greater socio-economic advantage (p = 0.027) and greater knowledge of discriminatory historical events/policies (p < 0.001). In contrast, the only respondent characteristic associated with willingness to donate human milk to research was younger age (p = 0.002). Conclusion: Our findings suggest that Black pregnant and postpartum people are interested in biomedical research, specifically human milk and lactation research. However, greater intentionality and targeted recruitment of this underrepresented population is needed to increase diversity among human milk and lactation study samples. Structural and community-based interventions, informed by community members, are needed to address concerns and improve participant engagement.

RESUMEN

Osteoporosis is a disease characterized by a decrease in bone mineral density which results in an increase in bone fracture. Its etiology is still unknown. Several risks factors have been described: increase in coffee intake, decrease in calcium intake, a sedentary lifestyle, a decrease in estrogen secretion and genetic factors. It has been recently shown that mood disorders, such as Major Depression associated with high levels of cortisone, constitute a risk factor for the development of osteoporosis. Psychoneuroimmunoendocrinology considers an integrated human being, a biopsychosocial unit permanently related to his environment, overcoming the cause - effect relationship. Taking into account this point of view we studied the psychoaffective and psychodynamic aspects in patients with osteoporosis. Several disorders have been found, an increase in anxiety indexes, depression, alexithymia, a larger number of early traumatic life events, a decrease in the support network and lower quality of life. Consequently, this pathology should be dealt with within an interdisciplinary framework. It is equally important to detect osteoporosis at an early stage in patients showing mood disorders.

Asunto(s)

Osteoporosis Posmenopáusica/psicología , Femenino , Humanos , Persona de Mediana Edad , Sociología

RESUMEN

Osteoporosis is a disease characterized by a decrease in bone mineral density which results in an increase in bone fracture. Its etiology is still unknown. Several risks factors have been described: increase in coffee intake, decrease in calcium intake, a sedentary lifestyle, a decrease in estrogen secretion and genetic factors. It has been recently shown that mood disorders, such as Major Depression associated with high levels of cortisone, constitute a risk factor for the development of osteoporosis. Psychoneuroimmunoendocrinology considers an integrated human being, a biopsychosocial unit permanently related to his environment, overcoming the cause - effect relationship. Taking into account this point of view we studied the psychoaffective and psychodynamic aspects in patients with osteoporosis. Several disorders have been found, an increase in anxiety indexes, depression, alexithymia, a larger number of early traumatic life events, a decrease in the support network and lower quality of life. Consequently, this pathology should be dealt with within an interdisciplinary framework. It is equally important to detect osteoporosis at an early stage in patients showing mood disorders.

RESUMEN

Osteoporosis is a disease characterized by a decrease in bone mineral density which results in an increase in bone fracture. Its etiology is still unknown. Several risks factors have been described: increase in coffee intake, decrease in calcium intake, a sedentary lifestyle, a decrease in estrogen secretion and genetic factors. It has been recently shown that mood disorders, such as Major Depression associated with high levels of cortisone, constitute a risk factor for the development of osteoporosis. Psychoneuroimmunoendocrinology considers an integrated human being, a biopsychosocial unit permanently related to his environment, overcoming the cause - effect relationship. Taking into account this point of view we studied the psychoaffective and psychodynamic aspects in patients with osteoporosis. Several disorders have been found, an increase in anxiety indexes, depression, alexithymia, a larger number of early traumatic life events, a decrease in the support network and lower quality of life. Consequently, this pathology should be dealt with within an interdisciplinary framework. It is equally important to detect osteoporosis at an early stage in patients showing mood disorders.