Unintended Pregnancy Among Young Latinos in Rural Areas

农村地区拉丁裔年轻人的意外怀孕

• 批准号: 6968947
• 负责人: Sandy Marie Harvey
• 金额: $ 29.66万
• 依托单位: OREGON STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6968947
• 关键词: HIV infections; Hispanic Americans; adolescence (12-20); age at pregnancy; behavior modification; behavioral /social science research tag; clinical research; condoms; contraceptives; culture; data collection methodology /evaluation; family structure /dynamics; focus groups; health behavior; high risk behavior /lifestyle; human subject; interpersonal relations; interview; public health; rural area; safe sex /sex abstinence; sex behavior; sexually transmitted diseases; statistics /biometry; women' s health

DESCRIPTION: Latino women are disproportionately at risk for unintended pregnancies. The objective of the proposed research is to increase understanding of unintended pregnancy among rural Latinos by examining determinants of contraceptive use, sexual risk behavior and HIV/STI prevention among young adult Latinos in rural settings. In this grant application, we request support for 4 years to conduct two studies. In Study 1, we will conduct a total of 8-12 key informant interviews and 48-60 in-depth interviews with Latino women and men, as well as 3-6 key informant interviews and 6-8 focus groups with health care providers. The specific aims of Study 1 are to a) explore what young Latino women and men do to prevent unintended pregnancy; b) identify the personal characteristics, method characteristics, partner and relationship factors, and contextual factors that facilitate or impede the acquisition and use of contraceptives; c) explore the factors that are most likely to influence consistent use of effective contraceptives; d) explore what young Latino women and men do to protect themselves from HIV and STIs; e) identify factors that facilitate or impede the acquisition and use of HIV/STI prevention methods; and f) characterize the influence of gender roles, male involvement, and power differentials in sexual behavior and decision-making. Study 2 will build on the formative research and will include in-person, structured interviews with young (aged 18-25 years) Latinos (250 men, 250 women). The specific aims of Study 2 are to a) determine which factors - including personal characteristics, method characteristics, relationship/partner factors, and contextual factors - are most strongly associated with acquisition and use of contraceptives; b) determine which factors are most strongly associated with consistent use of effective contraceptives; and c) determine which factors are most strongly associated with sexual risk and protective behavior. Findings will have important implications for the development of public health programs and interventions that will ultimately lead to the reduction of unintended pregnancy among young Latinos by improving contraceptive use, reducing sexual risk taking, and improving the delivery of reproductive health services.

描述： 拉丁美洲裔妇女面临意外怀孕的风险不成比例。拟议的研究的目的是通过检查农村地区的年轻成人拉丁裔在农村地区的避孕药具，性风险行为和HIV/STI预防的决定因素，以提高农村拉丁美洲人对意外怀孕的了解。在此赠款申请中，我们要求4年的支持进行两项研究。在研究1中，我们将对拉丁裔男女的总共进行8-12次关键的线人访谈和48-60个深入的访谈，以及3-6个主要的线人访谈和与卫生保健提供者的6-8个焦点小组。研究1的具体目的是a）探索年轻的拉丁裔男女为防止意外怀孕所做的事情； b）确定个人特征，方法特征，伴侣和关系因素以及促进或阻碍避孕药具的获取和使用的上下文因素； c）探索最有可能影响有效避孕药的一致使用的因素； d）探索年轻的拉丁裔男女为保护自己免受艾滋病毒和性传播感染的影响； e）确定促进或阻碍艾滋病毒/STI预防方法的因素； f）表征性别角色，男性参与以及性行为和决策中权力差异的影响。研究2将以形成性研究为基础，包括与年轻（18-25岁）拉丁裔（250名男性，250名女性）的面对面的结构化访谈。研究2的具体目的是a）确定哪些因素（包括个人特征，方法特征，关系/伴侣因素和上下文因素）与获取和使用避孕剂最密切相关； b）确定哪些因素与持续使用有效避孕药最密切相关； c）确定哪些因素与性风险和保护行为最密切相关。调查结果将对开发公共卫生计划和干预措施具有重要意义，这些计划最终将通过改善避孕药的使用，减少性风险服用并改善生殖卫生服务的提供，从而最终导致年轻拉丁美洲人的意外怀孕。