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Postpartum Weight Retention and Cardiometabolic Disparities: The Effects of Contexual, Psychosocial, and Behavioral Factors

Award Number: R01HL135218
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Summary/Abstract (Administrative Supplement) There are long-standing racial/ethnic inequities in maternal morbidity and mortality where Black women are 2-3 times as likely to experience maternal health complications such pregnancy- related hypertension, severe cardiometabolic risk as well as maternal death. Structural racism and the COVID-19 pandemic has exacerbated inequities in health, including during pregnancy and the postpartum period. There is a growing body of research demonstrating the effects of structural racism as well as how daily experiences of racism and other forms of oppression send populations, Black women and birthing people in particular, on a trajectory of adverse health, regardless of income and education. This administrative supplement attempts to address two key issues, the effects of the COVID pandemic on maternal health and well-being. and the ways in which structural racism in its various manifestations and dimensions effects cardiometabolic health and weight trajectories among pregnant and postpartum populations. We will leverage the ongoing Postpartum Mothers Mobile (PMOMS) Study which is following women during pregnancy and through one year postpartum and is ancillary to the GDM2 Trial (PI: Davis). PMOMS takes a novel approach using ecological momentary assessment (EMA), which is collecting data in real time; and using smart phone technology and smart scales to collect psychosocial, behavioral and location data. The supplement will address the following aims: Aim 1: Determine the influence of COVID-19 on psychosocial stress, mood and experiences of racism (and other forms of discrimination) during pregnancy and the postpartum period. Aim 2: Investigate the association between structural racism (measured by multiple dimensions and domains) and pregnancy and birth (e.g., postpartum weight, cardiometabolic health, small- for-gestational-age birth). Aim 3: Explore pregnant and postpartum people’s experiences with understanding the key research findings from PMOMS and specifically related to COVID-19 and SRD to develop a community-based dissemination plan for future action and interventions. The results of the overall PMOMS study and the administrative supplement has the potential to advance health and clinical and public health practice by determining optimal points of time and frequency for intervention. The supplement will be critical in furthering our understanding of the effects of COVID-19 and structural racism on maternal health and for long-term, sustainable solutions to addressing the maternal health crisis and particularly the profound impact on Black women and birthing people.


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: 2023 ( Subtotal = $0 )
2023	2021	UNIVERSITY OF PITTSBURGH - OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION	4200 FIFTH AVENUE	PITTSBURGH	PA	15260	ALLEGHENY	USA	Cardiovascular Diseases Research	001	5	2/9/2023	SUPPLEMENT FOR EXPANSION	$0
2023	2021	UNIVERSITY OF PITTSBURGH - OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION	4200 FIFTH AVENUE	PITTSBURGH	PA	15260	ALLEGHENY	USA	Cardiovascular Diseases Research	000	5	1/21/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $917,919 )
2021	2021	UNIVERSITY OF PITTSBURGH, THE	4200 5TH AVE	PITTSBURGH	PA	15260	ALLEGHENY	USA	Cardiovascular Diseases Research	002	5	9/7/2021	SUPPLEMENT FOR EXPANSION	$434,458
2021	2021	UNIVERSITY OF PITTSBURGH, THE	4200 5TH AVE	PITTSBURGH	PA	15260	ALLEGHENY	USA	Cardiovascular Diseases Research	001	5	5/15/2021	NON-COMPETING CONTINUATION	$48,348
2021	2021	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	000	5	1/20/2021	NON-COMPETING CONTINUATION	$435,113
														Subtotal = $917,919

Issue Date FY: 2020 ( Subtotal = $505,965 )
2020	2020	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	000	4	12/27/2019	NON-COMPETING CONTINUATION	$480,666
2020	2020	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	001	4	3/7/2020	NON-COMPETING CONTINUATION	$25,299
														Subtotal = $505,965

Issue Date FY: 2019 ( Subtotal = $534,893 )
2019	2019	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	000	3	2/22/2019	NON-COMPETING CONTINUATION	$502,818
2019	2019	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	001	3	9/12/2019	SUPPLEMENT FOR EXPANSION	$32,075
														Subtotal = $534,893

Issue Date FY: 2018 ( Subtotal = $656,801 )
2018	2018	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	000	2	1/31/2018	NON-COMPETING CONTINUATION	$643,663
2018	2018	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	001	2	9/6/2018	NON-COMPETING CONTINUATION	$13,138
														Subtotal = $656,801

Issue Date FY: 2017 ( Subtotal = $734,650 )
2017	2017	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	000	1	1/26/2017	NEW	$680,004
2017	2017	UNIVERSITY OF PITTSBURGH THE	3520 FIFTH AVE	PITTSBURGH	PA	15213	ALLEGHENY	USA	Cardiovascular Diseases Research	001	1	9/1/2017	SUPPLEMENT FOR EXPANSION	$54,646
														Subtotal = $734,650

Grand Total All Awards = $3,350,228

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Postpartum Weight Retention and Cardiometabolic Disparities: The Effects of Contexual, Psychosocial, and Behavioral Factors

Award Number: R01HL135218

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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