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Principal Investigator: Goleen Samari
Organization: UNIVERSITY OF SOUTHERN CALIFORNIA
Fiscal Year: 2024
Award: $135,783
Funding agency: Eunice Kennedy Shriver National Institute of Child Health and Human Development
PROJECT SUMMARY
Adverse birth outcomes, such as preterm birth, low birth weight, and small for gestational age, have serious
health consequences not just during infancy but across the life course. Past research shows an immigrant
advantage in birth outcomes compared to women born in the United States; however, recent studies
increasingly show that immigrant women have worse birth outcomes than non-Hispanic white women. Much
research at the intersection of migration and reproductive, maternal, and child health has focused on individual
exposures and risk factors. Yet there is growing evidence that structural factors such as migration policies are
associated with health disparities, and there is limited understanding of the process by which social and policy
environments impact individual-level maternal–fetal medicine outcomes. This K01 Mentored Research
Scientist Development Award focuses on conceptualizing this structural context and its potential impact on
women’s pregnancy and birth outcomes through pathways of structural stigma, social disadvantage, and
spatial isolation. Three proposed areas of training will allow the candidate to develop an independent research
career focused on migration and structural determinants of perinatal health: 1) perinatal epidemiology and
demography, 2) spatial and data science techniques, and 3) qualitative methods. The specific aims will be
achieved using National Center for Health Statistics period-linked infant birth–death data, the National Survey
of Family Growth, and qualitative data on immigrant experiences of social and policy environments collected
during the project period. These data will be used to carry out the following aims: 1) to examine multilevel
effects of social and policy environments on foreign and US-born women’s pregnancy and birth outcomes, 2)
to investigate area-level measures of social and policy environments and foreign and US-born women’s
pregnancy and birth outcomes, and 3) to explore immigrant women’s experiences of stress due to social and
policy environments at destination and their implications for birth outcomes. Expected outcomes are rigorous
knowledge of the impact of structural contexts on pregnancy and birth outcomes as well as health system
precursors of birth outcomes for immigrants in the US. Findings from this research can both identify immigrant
responses to social and policy environments and suggest educational and behavioral interventions that could
improve immigrant responses to structural environment stressors, access to prenatal care, and birth outcomes.
Training and insights from this project will lead to development of a large-scale R01 study extending this line of
research and will further help develop policies that promote maternal, perinatal, and child health.
Terms: <0-11 years old><12-20 years old><21+ years old><37 weeks completed gestation><37 weeks gestation><Address><Adolescence><Adult><Adult Human><Affect><Area><Attention><Attitude><Behavior Conditioning Therapy><Behavior Modification><Behavior Therapy><Behavior Treatment><Behavioral Conditioning Therapy><Behavioral Modification><Behavioral Therapy><Behavioral Treatment><Big Data><BigData><Birth><Buffers><COVID-19><CV-19><Caucasian Females><Caucasian Women><Cessation of life><Child><Child Health><Child Youth><Childhood><Children (0-21)><Conditioning Therapy><Consensus><Coronavirus Infectious Disease 2019><Country><Data><Data Science><Death><Demography><Destinations><Development><Disparities><Disparity><Education for Intervention><Educational Intervention><Environment><Ethnic Origin><Ethnicity><Family><Generalized Growth><Generations><Gestation><Growth><Health><Health system><Heterogeneity><Home><Immigrant><Immigration><Individual><Infant><Infant Mortality><Infant Mortality Total><Instruction Intervention><Internet><Investigators><K01 Award><K01 Mechanism><K01 Program><Knowledge><Length of Stay><Life><Life Cycle><Life Cycle Stages><Link><Lived experience><Lived experiences><Low Birth Weight Infant><Maternal Health><Maternal and Child Health><Maternal-fetal medicine><Measures><Mentored Research Scientist Development Award><Mentored Training Award><Mentors><Methodology><Methods><Migration Policy><NCHS><National Center for Health Statistics><Non-Hispanic><Nonhispanic><Not Hispanic or Latino><Number of Days in Hospital><Olives><Olives - dietary><Outcome><Parturition><Pathway interactions><Perinatal><Perinatal Epidemiology><Peripartum><Personal Satisfaction><Policies><Politics><Population><Pregnancy><Premature Birth><Prematurely delivering><Prenatal care><Preterm Birth><Process><Qualitative Methods><Race><Races><Reproductive Health><Research><Research Personnel><Research Scientist Development Award><Researchers><Risk><Risk Factors><Role><Shapes><Small for Gestational Age Infant><Social Environment><Societies><Socio-economic status><Socioeconomic Status><Stress><Survey Instrument><Surveys><System><Techniques><Testing><Tissue Growth><Training><Training Intervention><United States><United States National Center for Health Statistics><Variant><Variation><WWW><White Females><White Women><Woman><adolescence (12-20)><adulthood><adverse birth outcomes><base><bases><bear children><bearing children><behavior intervention><behavioral intervention><career><child bearing><childbearing><coronavirus disease 2019><coronavirus disease-19><coronavirus infectious disease-19><cost><death among infants><death in first year of life><death in infancy><death in infants><developmental><disparity in health><experience><fetal><health disparity><homes><hospital days><hospital length of stay><hospital stay><improved><infancy><infant death><infant demise><infantile><infantile death><innovate><innovation><innovative><insight><instructional intervention><kids><life course><low birth weight><low birthweight><migration><mortality in infants><ontogeny><pathway><pediatric><perinatal health><policy implication><pregnancy care><premature childbirth><premature delivery><prenatal appointment><prenatal checkup><prenatal visit><preterm delivery><qualitative reasoning><racial><racial background><racial origin><reproductive><response><skills><small for gestational age><social><social climate><social context><social disadvantage><social disparities><social factors><social inequality><social role><social stigma><socio-economic position><socioeconomic position><socioenvironment><socioenvironmental><stigma><stressor><structural determinants><structural factors><structural health determinants><web><well-being><wellbeing><world wide web><youngster>