Poverty Health and Adolescent Risk Behavior

贫困健康与青少年危险行为

• 批准号: 7117256
• 负责人: PAUL J GERTLER
• 金额: $ 32.87万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7117256
• 关键词: Mexico; academic achievement; adolescence (12-20); alcoholism /alcohol abuse; behavioral /social science research tag; child mental disorders; clinical research; condoms; developmental nutrition; drug abuse; health behavior; health care service utilization; high risk behavior /lifestyle; human subject; interview; longitudinal human study; low socioeconomic status; mental disorder prevention; outcomes research; pregnancy; questionnaires; rural health; safe sex /sex abstinence; sex behavior; sexually transmitted diseases; socioenvironment; tobacco abuse; Mexico; academic achievement; adolescence (12-20); alcoholism /alcohol abuse; behavioral /social science research tag; child mental disorders; clinical research; condoms; developmental nutrition; drug abuse; health behavior; health care service utilization; high risk behavior /lifestyle; human subject; interview; longitudinal human study; low socioeconomic status; mental disorder prevention; outcomes research; pregnancy; questionnaires; rural health; safe sex /sex abstinence; sex behavior; sexually transmitted diseases; socioenvironment; tobacco abuse

DESCRIPTION (provided by applicant): In this application, we propose to extend a parent grant that investigates the effect of a unique poverty alleviation program called PROGRESA on child health and nutrition in Mexico. The proposed extension is to investigate the impact of economic development and poverty reduction on adolescent risk behavior. Specifically, we will evaluate the impact of PROGRESA on drug, alcohol and tobacco use, and on sexual practices. Since PROGRESA increases household income and provides financial incentives for children to stay in school, we will be testing the hypothesis that improving the education and living conditions of adolescents in extremely poor households reduces risky behaviors. We hypothesize that improved education and living conditions will reduce adolescent alcohol, tobacco and drug use, and will reduce sexual practices leading to unwanted pregnancies and sexually transmitted diseases. Our analysis will take advantage of a matched case-control longitudinal design. In 2002, the program, previously well established in rural areas, began incorporating beneficiaries in large urban areas. The government engaged faculty from Berkeley and other institutions to prospectively evaluate the impact of the program in these areas. In 2002, UC Berkeley, along with it's partner the Mexican National Institute of public Health (INSP) conducted a baseline survey of 16,000 households in treatment and comparison areas. A follow-up survey funded by the Mexican Government will be implemented by the INSP in 2004. We propose to use funding from this proposal to substantially enhance the adolescent risk behavior module for the 2004 survey, adding questions about sexual risk behavior, administering the questions with audio computer assisted technology (A-CASI), and collecting samples for biological endpoints. The risk module will be administered to close to 10,000 adolescents age 15-22. In this project, we propose to test the hypothesis that a poverty reduction program will reduce the rates of risky behavior in adolescents, by adding an adolescent risk behavior module to the 2003 survey funded by the parent grant. Therefore, this proposal is related to the parent grant through a common survey and taking advantage of the PKOGRESA intervention to study the impact of poverty alleviation on individual health and welfare. Our research will be guided by the theoretical model of behavioral economics.

描述（由申请人提供）：在本申请中，我们建议扩展父母赠款，该赠款调查了一个名为Progresa对墨西哥儿童健康和营养的独特贫困计划的影响。拟议的扩展是研究经济发展和减贫对青少年风险行为的影响。具体而言，我们将评估前列腺素对药物，酒精和烟草使用以及性行为的影响。由于Progresa增加了家庭收入，并为儿童留在学校提供了经济激励措施，因此我们将检验这样的假设，即改善极度贫困家庭中青少年的教育和生活条件可以减少危险行为。我们假设改善的教育和生活条件将减少青少年酒精，烟草和吸毒，并减少导致不良怀孕和性传播疾病的性行为。 我们的分析将利用匹配的病例对照纵向设计。 2002年，该计划以前在农村地区建立了良好的计划，开始在大型城市地区纳入受益人。政府聘请伯克利和其他机构的教职员工，以预期评估该计划在这些领域的影响。 2002年，加州大学伯克利分校（UC Berkeley）与其合作伙伴墨西哥国家公共卫生研究所（INSP）对16,000户治疗和比较领域进行了基线调查。 INSP将于2004年实施由墨西哥政府资助的后续调查。我们建议使用该提案中的资金来大大提高2004年调查的青少年风险行为模块，并增加了有关性风险行为的问题，通过音频计算机辅助技术（A-CASI）管理问题（A-CASI），并为生物学终点收集样品。风险模块将被管理为接近10,000名青少年15-22岁。 在这个项目中，我们建议检验以下假设：减贫计划将通过向父母赠款资助的2003年调查中添加青少年风险行为模块，从而降低青少年的风险行为率。因此，该提案通过常见调查与父母赠款有关，并利用Pkogresa干预来研究减轻贫困对个人健康和福利的影响。我们的研究将以行为经济学的理论模型为指导。