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Evaluating maternal and newborn health disparities at the intersection of race, ethnicity, and disability in the U.S

Award Number: K01MD018638
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 07/28/2023
PERIOD OF PERFORMANCE END DATE: 02/28/2028

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Evaluating maternal and newborn health disparities at the intersection of race, ethnicity, and disability in the U.S - Revised Abstract Section ABSTRACT Although women with disabilities experience pregnancy at the same rate as women without disabilities, they face disproportionately higher rates of adverse outcomes including pregnancy, labor and delivery complications, severe maternal morbidity, maternal death, preterm birth, stillbirth, low birth weight, and infant mortality rates. Additionally, there is limited information about the extent of demographic differences in maternal and newborn health outcomes among those who are disabled,. Developing effective interventions to eliminate demographic differences in adverse outcomes among women with disabilities requires a comprehensive understanding of the relationships between these multiple levels of risk and associated birth outcomes. This project aims to fill this research gap using linked maternal-infant Medicaid claims, and birth and death certificate data files. Three research aims are proposed. Aim 1 focuses on the magnitude of demographic differences in severe maternal morbidity, cesarean delivery, low birthweight, small for gestational age, and preterm birth among women with disability; Aim 2 evaluates maternal and infant outcomes by the type and timing of Medicaid program enrollment and includes analysis such as having a severe maternal morbidity and extended hospitalization after giving birth among women with disabilities; and Aim 3 evaluates the association between Medicaid program type and receipt of guideline concordant prenatal care among women with disabilities compared to those without disabilities as a quality measure for maternal-infant health. The proposed aims are supported by the PI’s career training goals, which include developing expertise in 1) using Medicaid claims data to identify disability and produce measures of adverse birth outcomes according to variation in the disability variable,, 2) identifying timing of enrollment and Medicaid program type for women with disabilities, and 3) developing skills in measuring quality of care received by women with disabilities when compared to those without disabilities. The proposed project supports the PI’s long-term career goal to become an independent investigator of maternal and newborn health outcomes in the U.S., with a particular emphasis on identifying and addressing care among high need populations using rigorous methodologies. Career development will include a series of formal courses, training workshops, and directed readings that will be completed with faculty at Dartmouth and other institutions over the first three years with additional topics covered as needed in the subsequent years. Attendance at conferences and related workshops will also be added to stay informed of current developments in the field. The award will be followed with a Research Project Grant (R01) to develop and test an intervention to improve outcomes among those who experience preventable maternal and infant morbidity and mortality in the U.S.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $136,350 )
2026	2026	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	000	4	6/3/2026	NON-COMPETING CONTINUATION	$136,350
														Subtotal = $136,350

Issue Date FY: 2025 ( Subtotal = $136,350 )
2025	2025	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	001	3	4/24/2025	NON-COMPETING CONTINUATION	$13,635
2025	2025	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	000	3	2/18/2025	NON-COMPETING CONTINUATION	$122,715
														Subtotal = $136,350

Issue Date FY: 2024 ( Subtotal = $136,350 )
2024	2024	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	001	2	5/29/2024	NON-COMPETING CONTINUATION	$13,635
2024	2024	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	000	2	2/20/2024	NON-COMPETING CONTINUATION	$122,715
														Subtotal = $136,350

Issue Date FY: 2023 ( Subtotal = $136,350 )
2023	2023	TRUSTEES OF DARTMOUTH COLLEGE	7 LEBANON ST	HANOVER	NH	03755	GRAFTON	USA	Minority Health and Health Disparities Research	000	1	7/28/2023	NEW	$136,350
														Subtotal = $136,350

Grand Total All Awards = $545,400

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Evaluating maternal and newborn health disparities at the intersection of race, ethnicity, and disability in the U.S

Award Number: K01MD018638

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 07/28/2023

PERIOD OF PERFORMANCE END DATE: 02/28/2028

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