# Partnering for Equity: An Academic and Community Alliance to Eliminate Disparities throughout the Fibroid Experience (PEACE)

> **NIH NIH P50** · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2024 · $1,619,100

## Abstract

Uterine leiomyomata or fibroids (UF) are the most common neoplasm in reproductive-age individuals and
represent one of the most significant racial disparities in reproductive health. Black women have higher
prevalence, higher incidence, more invasive surgical approaches, worse surgical outcomes, more
hysterectomies, and higher levels of treatment dissatisfaction than White women. Considerable evidence
indicates that race is a social construct, and thus we propose that social and structural determinants of health
such as chronic stressors and life events, discrimination/racism, psychosocial factors, education/knowledge, and
living conditions undergird some of the observed disparities in UF. The overall goal of this center proposal, titled,
Partnering for Equity: An Academic and Community Alliance to Eliminate Disparities throughout the
Fibroid Experience (PEACE), is to identify and quantify these social drivers of the observed disparities in UF
incidence, growth, treatment pathways, and patient experiences between Black and White women. Our goal is to
provide the much-needed data to identify solutions and interventions to reduce these disparities and improve the
health and well-being of Black women with UF and all women with UF. This Center will be guided by the principles
of Community-Based Participatory Research (CBPR), in which community members, stakeholders, and
researchers work in partnership to conduct research that is equitable in process, resources, accountability, and
responsibility. We will leverage the expertise of our community/academic partners to focus on socio-cultural
drivers of UF incidence, growth, treatment pathways, and patient experiences. To take on this extraordinary
problem, we have assembled an extraordinary team of community members and investigators who have worked
together for months to build the PEACE Center from the ground up. The Center team represents an incredible
range of expertise, from UF clinical, CBPR, and epidemiological experts, to national and global leaders who are
new to UF, but bring vast experience in health disparities, health equity, African American history and culture,
sociology, health services, health behavior, and health intervention. We propose three highly multidisciplinary and
innovative research projects for this center: Project 1- Racial Disparities in UF Care Pathways; Project 2- Multiple
Stress Pathways and Positive Resources in UF Incidence and Growth; and Project 3- Centering Patients:
Development of a Tailored eHealth Intervention to Improve the UF Patient Experience. Two core facilities will
support the research projects: an Administrative Core and the Community Partnership, Education, and Outreach
Core. Internal and External Advisory Boards will provide scientific input biannually and yearly, respectively. The
PEACE Center will include a Pilot Grant Program for Early-Stage Investigators and a Community Dissemination
Grants Program for community organizations. Together, we anticipate ...

## Key facts

- **NIH application ID:** 10909671
- **Project number:** 1P50HD115356-01
- **Recipient organization:** UNIVERSITY OF MICHIGAN AT ANN ARBOR
- **Principal Investigator:** Erica E Marsh
- **Activity code:** P50 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,619,100
- **Award type:** 1
- **Project period:** 2024-05-01 → 2029-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10909671

## Citation

> US National Institutes of Health, RePORTER application 10909671, Partnering for Equity: An Academic and Community Alliance to Eliminate Disparities throughout the Fibroid Experience (PEACE) (1P50HD115356-01). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10909671. Licensed CC0.

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