Young Men's Health and the Transition to Fatherhood

年轻男性的健康和向父亲的过渡

• 批准号: 8252125
• 负责人: Craig F. Garfield
• 金额: $ 10.59万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-15 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8252125
• 关键词: Accounting; Address; Adolescence; Adolescent; Affect; Age; Area; Attention; Behavior; Biological Markers; Birth; Caring; Child; Childhood; Chronic Disease; Climacteric; Clinical; Cross-Sectional Studies; Data; Data Set; Decision Making; Development; Dimensions; Discipline of obstetrics; Economics; Electronics; Event; Family; Fathers; Fertility; Focus Groups; Goals; Health; Health Communication; Health Promotion; Health Services; Health Transition; Health behavior; Healthcare; Healthcare Systems; Hormones; Human; Incentives; Intervention; K-Series Research Career Programs; Knowledge; Lead; Learning; Left; Life; Life Cycle Stages; Life Expectancy; Link; Location; Long-Term Effects; Longevity; Longitudinal Studies; Male Adolescents; Mental Health; Mentors; Methods; Modeling; Morbidity - disease rate; Organ; Outcome; Participant; Persons; Physiological; Play; Population; Prevention; Preventive; Public Health; Randomized; Recommendation; Reporting; Reproduction; Research; Research Methodology; Risk; Risk Behaviors; Role; Services; Siblings; Stress; Sum; Surveys; Technology; Testing; Text; Time; Training; United States; Visit; Woman; Work; base; contextual factors; cost; design; emerging adult; experience; fatherhood; health care service utilization; high risk; improved; intervention program; longitudinal design; male; male health; men; novel; optimism; physical conditioning; preference; protective behavior; psychobiology; public health relevance; skills; social; theories; therapy design; young man; young woman

DESCRIPTION (provided by applicant): The goal of this Career Development Award (K23) is to expand on the applicant's qualitative work on fathers in families and gain the theoretical, methodological, and intervention skills to understand young men's health during the transition to fatherhood and to devise ways to improve men's health. Compared to women, men have a shorter life expectancy, engage in more risky health behaviors, and underutilize recommended health services. However, the predominant conceptualizations of men's health in the United States are largely organ- based and often do not account for social and contextual factors. Though the majority of men are fathers, there is little knowledge about how the transition to fatherhood affects men's health, especially among young men. Men are known to attend their child's birth and are prepared to make life changes during the transition to fatherhood. The specific aims of this proposal are: 1) to examine the effect of the transition to fatherhood on young men's health and health behaviors, 2) to characterize healthcare utilization for young men during this transition and 3) using the information obtained in aims 1-2 and through focus groups, to design and pilot a randomized intervention using technology to promote young men's health during the transition to fatherhood. To examine these aims, the applicant presents a plan for formal and experiential training that was devised along with his four exceptional mentors (Drs. Greg Duncan, P. Lindsay Chase-Lansdale, David Cella, and Eric Whitaker) and noted fathering research expert Dr. Rebekah Levine Coley that will allow him to gain experience and skills in research methodology including survey design, longitudinal and cross-sectional analyses, the psychobiology of stress (including biomarker analyses), economics and decision making, theories of reproduction and fertility, and health communication including the use of technology. To examine aims 1 and 2, this proposal uses data from male participants in the National Longitudinal Study of Adolescent Health (Add Health) a longitudinal, nationally representative dataset that spans adolescence to early adulthood. Aims 1 and 2 use pre-post comparisons and point-in-time comparisons to examine differences between young men with children and those without, and then uses longitudinal methods to create a person-year dataset to examine the contribution of becoming a father to the outcomes. Selection issues are dealt with in a variety of ways, including building sibling models. Aim 3 expands on the above findings through focus groups with new fathers to determine the set of relevant health topics preferences for health information delivery. After pilot testing the delivery of health information via technology, a randomized intervention of 200 fathers will be conducted and changes to health and health behaviors will be evaluated. In sum, the goal of this proposal is to understand and improve the health, healthcare utilization, and longevity of young men, a historically difficult-to reach group. PUBLIC HEALTH RELEVANCE: This proposal seeks to provide the candidate with the research skills and experiences to address the public health concern of young men's health by understanding young men's health and how becoming a father affects it. The intervention proposes a novel use of technology to deliver health information to this historically difficult- to-reach group.

描述（由申请人提供）：本职业发展奖的目标（K23）是扩展申请人在家庭中的父亲的定性工作，并获得理论，方法论和干预技能，以了解在过渡到父亲身份的情况下了解年轻人的健康并设计改善男性健康的方法。与妇女相比，男性的预期寿命较短，从事更风险的健康行为，并且不利于推荐的健康服务。但是，美国男性健康的主要概念基本上是基于器官的，通常不考虑社会和背景因素。尽管大多数男人都是父亲，但对父亲身份的过渡如何影响男人的健康，尤其是在年轻人中，却一无所知。众所周知，男人会参加孩子的出生，并准备在过渡到父亲期间改变生活。该提案的具体目的是：1）检查父亲身份对年轻男性健康和健康行为的过渡的影响，2）在此过渡期间和3）使用AIMS 1-2和通过焦点小组中获得的信息来表征年轻男性的医疗保健利用，以设计和进行随机介入，以设计和进行随机介入技术，以在父亲的过渡期间促进年轻男性的健康。为了研究这些目标，申请人与他的四位杰出导师一起设计了一项计划的正式和体验培训计划（Greg Duncan博士，P。LindsayChase-Lansdale，David Cella和Eric Whitaker），并指出，育儿研究专家Rebekah Levine Coley将允许他在研究过程中获得研究的经验和技能，并进行了调查方法，并进行了研究，并进行了研究，并进行了研究，并进行了研究学，并进行了研究学，并进行了研究学，并进行了研究。 （包括生物标志物分析），经济学和决策，生殖和生育理论以及健康沟通，包括使用技术。为了审查目标1和2，该提案使用了国家青少年健康纵向研究（ADD HEALTY）的男性参与者的数据，这是一个纵向，全国代表性的数据集，跨越了青春期至成年初期。 AIM 1和2使用前比较和时间点比较来检查有孩子的年轻人与没有孩子的年轻人之间的差异，然后使用纵向方法来创建一个人年的数据集，以研究成为父亲对结果的贡献。选择问题以多种方式处理，包括构建同级模型。 AIM 3通过与新父亲的焦点小组扩展了上述发现，以确定有关健康信息提供的相关健康主题偏好的集合。在试点测试通过技术传递健康信息之后，将进行200个父亲的随机干预，并评估健康和健康行为的变化。总而言之，该提议的目的是了解和改善年轻人的健康，医疗保健利用和寿命，这是历史上难以及的小组。 公共卫生相关性：该提案旨在为候选人提供研究技能和经验，以了解年轻男性健康的公共卫生关注，并了解年轻人的健康以及如何成为父亲。该干预措施提出了一种新型技术将健康信息传递给这个历史上困难的距离群体的新型。