Recommendations to improve maternal health equity among Black women in "The South": A position paper from the SNRS minority health research interest & implementation group.

Black women in the United States experience a higher maternal mortality rate compared to other racial groups. The maternal mortality rate among non-Hispanic Black women is 3.5 times that of non-Hispanic White women and is higher in the South compared to other regions. The majority of pregnancy-related deaths in Black women are deemed to be preventable. Healthy People 2030 directs healthcare providers to advance health equity through societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and healthcare disparities. The Southern Nursing Research Society has put forward this position paper to provide recommendations to improve maternal health equity among Black women. Recommendations for nurses, multidisciplinary healthcare providers, policymakers, and researchers are discussed.

Pregnancy and parenting support for youth experiencing homelessness.

This study explored the perceptions and experiences related to pregnancy and parenting support among youth while homeless. This study employed a qualitative descriptive design using data collected from focus group discussions. We assessed the experiences and perceptions of youth related to pregnancy and parenting support. Eighty-one youth participated in eight focus group discussions and were recruited from shelters, drop-in centers, and organizations that serve youth in a large metropolitan areas in the southern United States. Thematic content analyses were used to generate results from the qualitative data. Four main themes emerged: youth encountered barriers to accessing healthcare services at the individual and system levels; pregnancy and parenting are stressful, especially during homelessness; support can help overcome the stresses of parenting; and embracing responsibility or "stepping up" is a positive influence of pregnancy and parenting during homelessness. Youth experiencing homelessness (YEH) face significant challenges to accessing healthcare services and adjusting to the parental role. Interventions for pregnant and parenting youth should be co-designed with and tailored for youth and address the existing health inequities within the healthcare and social service systems.

A Qualitative Description of Pregnancy-Related Social Support Experiences of Low-Income Women with Low Birth Weight Infants in the Midwestern United States.

Objective Low birth weight (LBW) is a significant health problem in the United States, and the incidence is higher in women with low socioeconomic status. Observational and epidemiological studies have revealed that social support reduces the risk of adverse pregnancy outcomes. However, the current literature lacks research regarding the perceived social support of pregnant women in relation to birth weight from a qualitative perspective. This study explored the perceptions and experiences of social support during pregnancy among low-income women who had recently given birth to a LBW infant. Method A qualitative descriptive design was used to explore women's social support experiences during pregnancy. The sample comprised 15 women who had given birth to a LBW infant within the past 9 months from the five urban and rural WIC clinics in the Midwest United States and a university hospital neonatal clinic. In-depth semi-structured interviews were used to collect data. Results Three themes emerged: women's experience of pregnancy; challenges faced by women during pregnancy; and availability of essential supports for women during pregnancy. The father of the infant and female relatives were identified as major sources of support during pregnancy, and the women in the sample expressed a desire to obtain social support from family and friends. Conclusion for Practice Women from low socioeconomic backgrounds face various challenges that could adversely affect birth outcomes. Social support may minimize the impact of adverse life situations. Providing adequate social support requires addressing the multiple dimensions of social support and strengthening the existing support system.

Predicting Intimate Partner Violence Perpetration Among Young Adults Experiencing Homelessness in Seven U.S. Cities Using Interpretable Machine Learning.

Young adults experiencing homelessness (YAEH) are at higher risk for intimate partner violence (IPV) victimization than their housed peers. This is often due to their increased vulnerability to abuse and victimization before and during homelessness, which can result in a cycle of violence in which YAEH also perpetrates IPV. Identifying and addressing factors contributing to IPV perpetration at an early stage can reduce the risk of IPV. Yet to date, research examining YAEH's IPV perpetration is scarce and has largely employed conventional statistical approaches that are limited in modeling this complex phenomenon. To address these gaps, this study used an interpretable machine learning approach to answer the research question: What are the most salient predictors of IPV perpetration among a large sample of YAEH in seven U.S. cities? Participants (N = 1,426) on average were 21 years old (SD = 2.09) and were largely cisgender males (59%) and racially/ethnically diverse (81% were from historically excluded racial/ethnic groups; i.e., African American, Latino/a, American Indian, Asian or Pacific Islander, and mixed race/ethnicity). Over one-quarter (26%) reported IPV victimization, and 20% reported IPV perpetration while homeless. Experiencing IPV victimization while homeless was the most important factor in predicting IPV perpetration. An additional 11 predictors (e.g., faced frequent discrimination) were positively associated with IPV perpetration, whereas 8 predictors (e.g., reported higher scores of mindfulness) were negatively associated. These findings underscore the importance of developing and implementing effective interventions with YAEH that can prevent IPV, particularly those that recognize the positive association between victimization and perpetration experiences.

A Systematic Review of Women's Experiences of Interpersonal Violence During the COVID-19 Pandemic.

OBJECTIVE: To explore and synthesize women's experiences of interpersonal violence during the COVID-19 pandemic. DATA SOURCES: The MEDLINE, Ovid, Embase, Cochrane, Web of Science, and CINAHL databases were searched to identify articles published between December 2019 and November 2022. STUDY SELECTION: Seventeen peer-reviewed studies were included, for a total of 2,046 women. DATA EXTRACTION: Data were extracted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. DATA SYNTHESIS: COVID-19 brought many challenges for women experiencing interpersonal violence. Women reported worsening of abuse during the pandemic. The pandemic led to severe economic challenges, which eventually precipitated more abuse. Additionally, women experienced mental health distress from social isolation and increased surveillance and control from their abusive partners. Several factors affected their ability to access health care and support services; these included limited availability of services, fear of contracting the virus, and an abusive partner who restricted their movement outside the home. CONCLUSION: The pandemic presented multiple challenges and additional stressors for women who experienced interpersonal violence during pandemic-related restrictions on services, gatherings, and work and school outside of the home. The findings from this review signify the need to raise public awareness about violence against women and to plan for coordinated efforts to decrease violence against women and address victims' needs in the event of future pandemics or other public health emergencies.