Teen Males Reproductive Health Needs & Barriers to Care

青少年男性生殖健康需求

• 批准号: 7332151
• 负责人: Arik V Marcell
• 金额: $ 12.95万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7332151
• 关键词: adolescence (12-20); age at pregnancy; age difference; behavior prediction; behavioral /social science research tag; clinical research; health care service availability; health care service evaluation; health disparity; health insurance; health services research tag; high risk behavior /lifestyle; human data; human subject; interview; longitudinal human study; low socioeconomic status; male; parent offspring interaction; racial /ethnic difference; reproduction; sex behavior; sexually transmitted diseases; social perception; social support network; socioeconomics

DESCRIPTION (provided by applicant): In the U.S, teen males, especially older and minority adolescent males, engage in sexual risk behaviors that result in reproductive problems among adolescents of both genders, including sexually transmitted infections and unintended pregnancy. Efforts to promote safe sexual behaviors have been shown to be effective to prevent such morbidity and should start ideally during adolescence. Practice guidelines recommend that clinicians promote reproductive health among all adolescents, such as screening and counseling about sex and its consequences. Current efforts however target primarily females. We know very little about how to effectively promote reproductive health for males or how males think about their reproductive health needs. This is especially relevant since boys' use of health care declines during adolescence, which can ultimately result in unmet health needs. The ultimate goal of this study is to better understand adolescent males' perceived reproductive health needs in context of their general needs and identify those factors that are amenable to change in order to inform the development of adolescent male reproductive health intervention programs. The candidate is a pediatrician and specialist in adolescent medicine at the University of Maryland, Baltimore (UMB) who has conducted preliminary research on adolescent males. The training phase of the award will include 5 activities: 1) to learn how to develop study measures for behavioral research, 2) to develop further skills in data collection, including semi-structured patient-oriented interviews, 3) to learn how to design and analyze longitudinal studies, 4) to develop skills in the responsible conduct of research, and 5) to refine skills in presenting, publishing and grant writing. These objectives will be accomplished through mentored research activities, and complemented by focused coursework available through an existing UMB K30 award for training of clinical investigators. The research phase of the award includes a description of adolescent males' (ages 12-19) actual and perceived reproductive health needs, reproductive health care use, predictors of care use, and reproductive health morbidity by using an existing dataset and primary data collection. Using data from the National Longitudinal Study on Adolescent Health, Aim 1 of this study is to determine the extent to which adolescent males have reproductive health needs and the factors that predict reproductive health care use. Using primary data collection and analysis among adolescent males, parents and clinical experts, Aim 2 of this study is to explore adolescent males' perceived general and reproductive health needs and experiences with the health care system. Upon completion of this award, the candidate will become a rigorous behavioral scientist informed by his clinical orientation and enrich our understanding of domestic adolescent males' reproductive health and mechanisms by which to increase their access to clinical reproductive services.

描述（由申请人提供）：在美国，青少年男性，尤其是年龄较大和少数族裔的青少年男性，会进行性危险行为，导致男女青少年出现生殖问题，包括性传播感染和意外怀孕。事实证明，促进安全性行为的努力可以有效预防此类发病率，最好从青春期开始。实践指南建议临床医生促进所有青少年的生殖健康，例如有关性及其后果的筛查和咨询。然而，目前的努力主要针对女性。我们对如何有效促进男性生殖健康或男性如何看待自己的生殖健康需求知之甚少。这尤其重要，因为男孩在青春期使用医疗保健的情况会下降，这最终可能导致健康需求得不到满足。本研究的最终目标是更好地了解青少年男性在一般需求的背景下感知的生殖健康需求，并确定那些容易改变的因素，以便为青少年男性生殖健康干预计划的制定提供信息。 该候选人是巴尔的摩马里兰大学 (UMB) 的儿科医生和青少年医学专家，对青少年男性进行了初步研究。该奖项的培训阶段将包括 5 项活动：1）学习如何制定行为研究的研究措施，2）进一步发展数据收集技能，包括半结构化的以患者为导向的访谈，3）学习如何设计并分析纵向研究，4) 培养负责任地进行研究的技能，5) 提高演示、出版和资助写作的技能。 这些目标将通过指导研究活动来实现，并通过现有的 UMB K30 临床研究人员培训奖提供的重点课程作为补充。该奖项的研究阶段包括通过使用现有数据集和主要数据收集来描述青少年男性（12-19 岁）实际和感知的生殖健康需求、生殖健康护理的使用、护理使用的预测因素以及生殖健康发病率。利用国家青少年健康纵向研究的数据，本研究的目标 1 是确定青少年男性的生殖健康需求程度以及预测生殖保健使用的因素。本研究的目标 2 是利用青春期男性、父母和临床专家的主要数据收集和分析，探讨青春期男性感知的一般健康和生殖健康需求以及医疗保健系统的经验。完成该奖项后，候选人将成为一名严格的行为科学家，以其临床方向为基础，丰富我们对国内青少年男性生殖健康和增加其获得临床生殖服务机会的机制的理解。