Perceptions of Community-level Violence & Unintended Pregnancy among Urban Women

对社区暴力的看法

• 批准号: 8384910
• 负责人: Deborah B Nelson
• 金额: $ 22.95万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-15 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8384910
• 关键词: Address; Adolescent; Affect; Area; Attenuated; Behavioral; Breast Feeding; Caring; Characteristics; Child; Clinic; Communities; Complex; Conceptions; Contraceptive Usage; Contraceptive methods; Data; Drug usage; Education; Enrollment; Exhibits; Exposure to; FDA approved; Family; Family Planning; Future; High Prevalence; Individual; Infant Mortality; Institute of Medicine (U.S.); Interpersonal Violence; Intervention; Knowledge; Life; Link; Low income; Maternal and Child Health; Minority; Modeling; Outcome; Perception; Persons; Pharmaceutical Preparations; Play; Poverty; Pregnancy; Prenatal care; Questionnaires; Reporting; Research; Risk; Risk Factors; Role; Schools; Self Efficacy; Sex Behavior; Sexual Partners; Substance abuse problem; Suggestion; Surveys; Time; Translational Research; Universities; Unmarried; Violence; Woman; abortion; care seeking; depressive symptoms; emotion regulation; experience; follow-up; high risk; high risk sexual behavior; male; peer; population based; prevent; programs; reproductive; response; self esteem; sexually active; social; unintended pregnancy; urban area; young adult; young woman

DESCRIPTION (provided by applicant): Perceptions of Community-level Violence and Unintended Pregnancy among Urban Women An unintended pregnancy (UP) is a pregnancy that is either mistimed or unwanted at the time of conception and is the result of various risk factors associated with inconsistent contraceptive use. High rates of UP occur among unmarried women, minority or urban women, women with limited education, women living in poverty, women at the youngest spectrum of their reproductive years, and women who have experienced interpersonal violence. This project will examine the role of interpersonal violence and perception of community-level violence on the risk of unintended pregnancy among young, urban women. This proposal will involve the completion of 300 in-person baseline and 9-month follow- up questionnaires among young, urban, non-pregnant, sexually active women seeking care at Temple University-affiliated family planning clinics to: 1) assess the independent role of perceptions of community violence and experiences of interpersonal violence on the risk of UP, and 2) identify the moderating effect of resiliency promotive factors and depressive symptoms on this relationship. These findings may dramatically expand the understanding of the individual characteristics which are involved with why some young, urban women do and other young, urban women do not practice safe sexual behaviors to prevent UP. The data generated from the proposed study will allow an accurate assessment of the direct role of community-level violence on UP, and a quantification of the importance of moderating resiliency factors on the relationship between community violence, interpersonal violence and risk of UP among young, urban women. These findings will vastly expand the research in the area of UP by allowing a complex examination of the role of individual and community violence on the risk of unintended pregnancy among a population-based group of non-pregnant, sexually active urban women. These results will inform interventions to address the culturally and structurally specific factor that may play a role in the risk of unintended pregnancy in an urban setting. We anticipate the translation of this research into action particularly given the proposals focus on identifying modifiable, moderating factors that affect UP risk among young, low-income, urban women. PUBLIC HEALTH RELEVANCE: Assessing resiliency among young, urban women may provide a framework for understanding why a subset of women exposed to violence practice inconsistent contraceptive use and are at high risk for an unintended pregnancy (UP). Using a social ecological approach and building on the resiliency model, the proposed study will enroll 300 young, non-pregnant, sexually active women and collect baseline and 9-month follow-up surveys to identify the direct and modifying role of resiliency on the relation between community/ interpersonal violence and UP.

描述（由申请人提供）：城市妇女对社区水平的暴力和意外怀孕的看法是意外怀孕（UP）是一种怀孕，在受孕时丧生或不需要，这是与避孕不一致有关的各种风险因素的结果。未婚妇女，少数族裔或城市妇女，受过教育程度有限的妇女，生活在贫困中的妇女，处于生殖时代最年轻的妇女以及经历过人际关系暴力的妇女的妇女的妇女的发生率很高。该项目将研究人际暴力和对社区级暴力的看法对年轻的城市妇女意外怀孕风险的看法。该提案将涉及在年轻，城市，非怀孕，性活跃的妇女中完成300个面对面的基准和9个月的跟进问卷，这些妇女在坦普尔大学附属的计划生育诊所寻求护理，以：1）评估：1）评估独立的作用。 对社区暴力的看法和人际暴力对UP风险的看法，以及2）确定弹性促进性因素和抑郁症状对这种关系的调节作用。这些发现可能会极大地扩展对个人特征的理解，这些特征与某些年轻，城市妇女和其他年轻的城市妇女没有实行安全的性行为来阻止的原因有关。 从拟议的研究中产生的数据将允许对社区水平暴力对UP的直接作用进行准确评估，并量化调节弹性因素对社区暴力，人际关系暴力和年轻城市妇女中UP风险之间关系的重要性。 这些发现将通过允许对个体和社区暴力对意外怀孕风险的作用进行复杂的检查，从而大大扩展UP领域的研究，这是一个基于人群的非怀孕，性活跃的城市妇女的风险。这些结果将为您提供干预措施，以解决可能在城市环境中意外怀孕的风险中起作用的文化和结构特定因素。我们预计这项研究将这项研究转化为行动，特别是考虑到这些提案的重点是确定可改变的，调节的因素，这些因素会影响年轻，低收入，城市妇女的风险。 公共卫生相关性：评估年轻的城市妇女的弹性可能会提供一个框架，以理解为什么一部分暴露于暴力实践的妇女不一致的避孕药使用，并且有意外怀孕的高风险（UP）。拟议的研究使用社会生态学方法并在弹性模型上建立建立，将招募300名年轻，非怀孕，性活跃的女性，并收集基准和9个月的随访调查，以确定弹性在社区/际交往暴力与UP之间的关系上的直接和修改作用。