Publications by authors named "Shira Rutman"

Introduction: Traditionally, research institutions have valued individual achievements such as principal investigator and lead authorship status as primary indicators in the academic promotions process. However, the scientific process increasingly requires collaboration by teams of researchers across multiple disciplines, sometimes including experts outside academia, often referred to as "team science." We sought to determine whether there is agreement about what constitutes team science at our academic institution and whether current promotion processes sufficiently incentivize faculty participation in team science.

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Background: Growing recognition of racism perpetuated within academic institutions has given rise to anti-racism efforts in these settings. In June 2020, the university-based California Preterm Birth Initiative (PTBi) committed to an Anti-Racism Action Plan outlining an approach to address anti-Blackness. This case study assessed perspectives on PTBi's anti-racism efforts to support continued growth toward racial equity within the initiative.

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Background: The California Preterm Birth Initiative is a community-engaged research effort focused on addressing racial disparities in birth outcomes.

Objectives: To highlight three community-academic partnership strategies and identify partners' lessons learned and recommendations.

Methods: We conducted interviews (n = 38), four focus groups (n = 23), a document review (n = 174), and meeting/event observations (n = 36).

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Background: Preterm birth, defined as birth at gestational age before 37 weeks, is a major public health concern with marked racial disparities driven by underlying structural and social determinants of health. To achieve population-level reductions in preterm birth and to reduce racial inequities, the University of California, San Francisco's California Preterm Birth Initiative catalyzed two cross-sector coalitions in San Francisco and Fresno using the Collective Impact (CI) approach.

Purpose: The purpose of this study is to compare two preterm birth-focused CI efforts and identify common themes and lessons learned.

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This study describes the development and evaluation of Native Generations, a campaign addressing high rates of infant mortality (IM) among American Indians and Alaska Natives (AI/ANs) in urban areas. Campaign development included reviews of literature and previous campaigns, an advisory council, and focus groups. Campaign messages are strength-based, encouraging AI/AN caregivers to utilize available Native-specific resources, including health care, support services, and programming as IM protective factors.

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Background: Health disparities between American Indians and Alaska Natives (AI/ANs) and non-Hispanic Whites (NHWs) may be partially explained in terms of health care access and utilization.

Methods: We examined access to and utilization of health care for urban AI/ANs and NHWs in National Health Interview Survey data (2006-09).

Results: Significant disparities exist for urban AI/ANs compared with urban NHWs.

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Existing data on American Indians and Alaska Natives (AI/ANs) has indicated high rates of unintended pregnancy, high-risk sexual behavior, and experiences of sexual violence. This study from the first analysis to examine AI/ANs and the urban AI/AN subgroup in the National Survey of Family Growth (NSFG) reports new findings of reproductive health and sexual violence among urban AI/AN young women. We examined 2002 NSFG data on urban AI/AN women ages 15-24 years for pregnancies/births, unintended pregnancy, sexual initiation and contraceptive use.

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Objective: To examine the prevalence of health risk-behaviors among American Indian/Alaska Native (AI/AN) youth in urban areas.

Methods: Data from the national Youth Risk Behavior Survey (YRBS) for the years 1997-2003 were used for the analyses (Urban sample = 52,364). The YRBS is a self-report questionnaire administered to a sample of 9th-12th grade students intended to monitor health risk-behaviors.

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