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Record W4412981027 · doi:10.1016/j.focus.2025.100402

Centering Cultural Approaches in Community-Based Participatory Research to Address the Black Maternal Health Crisis

2025· article· en· W4412981027 on OpenAlexaff
Natalie Hernandez, Dominique Guillaume, Lasha Clarke, Andrea G. Parker, Sherilyn Francis, M. Davis, Rasheeta Chandler

Bibliographic record

VenueAJPM Focus · 2025
Typearticle
Languageen
FieldHealth Professions
TopicHealth Policy Implementation Science
Canadian institutionsThe Society of Obstetricians and Gynaecologists of Canada
FundersNational Institute on Minority Health and Health DisparitiesJohnson and JohnsonJohnson and Johnson Foundation
KeywordsCitizen journalismPolitical scienceCommunity-based participatory researchSociologyParticipatory action researchEconomic growthEconomicsLaw

Abstract

fetched live from OpenAlex

Introduction: Black women in Georgia are more likely to die from pregnancy-related complications during the postpartum period than other their non-Black counterparts. Developing effective solutions to address this public health crisis requires strengthened partnerships between researchers and community-based organizations, with the voices of Black women being at the center of the research and innovation. This study examined perspectives of community-advisory board members on a community-based participatory research approach that addresses adverse postpartum health outcomes for Black women living in rural Georgia. Methods: This qualitative descriptive study employed semistructured qualitative interviews with members on the community-advisory board and research team (N=16) consisting of all Black women. Thematic analysis was used to analyze data deductively, with codes being categorized into overarching themes. Results: Themes that were elicited from interviews included community; culture; acceptability of the Positive Outcomes, Research Recommendations, Community Collaborations, and Honorable delivery of healthcare research approach; and Black maternal health disparities. Participants voiced the importance of the inclusion of Black cultural aspects within maternal health interventions and the importance of providing Black women with a platform to share their perspectives and experiences. Participants provided insight on promoting Black maternal health equity and reducing power dynamics within research. Conclusions: Centering culture and community and using Black women's experiences to guide the development of research interventions will be critical in developing relevant solutions to address the Black maternal health crisis. Research should be designed with the input of target communities while supporting synergistic relationships between communities and researchers.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.014
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.184
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0140.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0030.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.911
GPT teacher head0.723
Teacher spread0.188 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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