Longitudinal Study of Maternal HIV on their Late Adolescent/Early Adult Children

母亲艾滋病毒对其青春期晚期/成年早期儿童的纵向研究

基本信息

批准号：
8241101
负责人：
DEBRA A. MURPHY
金额：
$ 11.74万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
1997
资助国家：
美国
起止时间：
1997-04-01 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8241101
关键词：
11 year old 14 year old 18 year old AIDS/HIV problem Acculturation Adolescence Adolescent Adult Adult Children Affect Age Age Factors Alcohol or Other Drugs use Award Behavior Behavioral Behavioral Symptoms Caring Centers for Disease Control and Prevention (U.S.)Characteristics Child Child Mental Health Childhood Chronic Chronic Disease Communication Complex Coping Skills Data Decision Making Development Disclosure Ethnic Origin Event Expectancy Family Family health status Frequencies Funding Gender Gender Role Goals HIV HIV Seropositivity Health Status International Intervention Intervention Studies Interview Investigation Knowledge Lead Life Longitudinal Studies Marketing Measures Mediating Mediator of activation protein Mental Health Minority Mother-Child Relations Mothers National Institute of Mental Health Outcome Outcome Measure Paper Parent-Child Relations Parenting behavior Parents Pattern Planned Pregnancy Prospective Studies Publications Publishing Research Research Design Sampling Schedule School-Age Population Schools Science Self Concept Severity of illness Small Business Technology Transfer Research Social Adjustment Social support Staging Stigmata Teenagers Time Work Youth base career cohesion cohort coping design emerging adult follow-up high school parent-child communication parental monitoring primary outcome programs public health relevance response sex risk skills social stigma stressor symposium teenage mother young adult

项目摘要

DESCRIPTION (provided by applicant): This is a competing renewal to extend and expand a longitudinal study (RO1-MH 57207-10). "Parents And children Coping Together" (PACT) was the original study, designed to longitudinally assess mothers living with HIV (MLHs) and their young, well children 6 to 11 years old. A subsequent study, "Parents and Adolescents Coping Together" (PACT II), followed up the majority of these families as the children were transitioning to early and middle adolescence (current sample 109 families). The PACT I and II studies have resulted in: 19 publications up to this point (11 published papers, 2 in press, 3 in submission, 3 published chapters); 9 conference presentations (4 international, 5 domestic); and provided data that supported two funded intervention studies for young children with HIV+ mothers, as well as a current STTR submission from a science-to-marketing company. The goal of this competing renewal is to continue to follow the PACT II sample, one final time, every 6 months for 36 months, as the middle adolescents transition to late adolescence/young adulthood. Specific aims are to: 1. evaluate longitudinally youth adjustment (i.e., mental health, behavioral adjustment, social outcomes--and including new measures for late adolescence/young adulthood of career goals, pregnancy planning and expectancies, and further mental health measures); 2. evaluate youth characteristics from across developmental periods that may moderate or mediate the impact of MLHs' chronic illness on patterns of youth adjustment over time, including: (a) background factors of age, gender, ethnicity; (b) moderating and mediating factors, such as self-concept, family cohesion and the parent- child relationship, HIV/AIDS knowledge and perceived stigma, gender role, autonomy, and development of romantic relationships and including new measures of parent-adolescent separation, and communication; interpersonal support; identify formation status, adolescent/mother communication regarding sexual issues; 3. evaluate maternal characteristics that may moderate or mediate the impact of MLHs' chronic illness on the youth (e.g., illness severity, mental health status, social support, parenting skills, "empty nest" issues); and 4. conduct in-depth qualitative interviews once per year for three years, twice with the adolescents and once with MLHs, with research questions derived from PACT II data and from data collected in this study. To our knowledge, this would be the first cohort of children in the U.S. affected by maternal HIV/AIDS followed all the way from early school age through late adolescence/early adulthood. Our findings indicate that growing up with a mother with HIV/AIDS may lead to different outcomes than becoming aware as an older adolescent, and the longer term ramifications of living since childhood with a mother who has a chronic, highly stigmatized illness has not been investigated prospectively. PUBLIC HEALTH RELEVANCE This is a competing renewal to extend and expand a longitudinal study that has been conducted over the last 10 years, assessing mothers living with HIV and their well children. The children are now transitioning to late adolescence/young adulthood, and this research would continue to provide information on interventions needed for children affected by maternal HIV, as well as information on the needs of HIV-positive mothers. This would be the first cohort of children affected by maternal HIV/AIDS followed all the way from early school age through late adolescence/early adulthood, allowing investigation of long-term outcomes of these children.

描述（由申请人提供）：这是扩展和扩展纵向研究（RO1-MH 57207-10）的竞争更新。 “父母和孩子在一起应对”（PACT）是最初的研究，旨在纵向评估艾滋病毒（MLHS）的母亲及其6至11岁的年轻儿童。随后的一项研究“父母和青少年共同应对”（PACT II），随着儿童过渡到青春期早期和中期（当前的样本109个家庭）。 PACT I和II的研究已导致：到目前为止的19个出版物（11篇发表的论文，2篇Press中的第3篇，在提交中为3篇，3个已发表的章节）； 9会议演讲（4个国际，5国内）；并提供了为艾滋病毒+母亲的两项资助干预研究的数据，以及一家科学到营销公司的现任STTR提交。这种竞争更新的目的是继续遵循PACT II样本，最后一次，每6个月36个月，因为中年青少年过渡到青春期晚期/年轻成年。具体目的是：1。评估纵向青年的调整（即心理健康，行为调整，社会成果，包括青春期晚期/年轻成年的新措施，职业目标，怀孕计划和预期以及进一步的心理健康度量）； 2。评估各个发展时期的青年特征，这些特征可能适度或调解MLHS慢性病对随着时间的变化模式的影响，包括：（a）年龄，性别，种族的背景因素；（b）调节和调解因素，例如自我概念，家庭凝聚力和父母关系，艾滋病毒/艾滋病知识和感知的污名，性别角色，自治和浪漫关系的发展，以及包括父母 - 青年分离的新措施和交流；人际支持；确定有关性问题的形成状况，青少年/母亲的交流； 3。评估母体特征，可能会适度或调解MLHS慢性疾病对年轻人的影响（例如，疾病的严重程度，心理健康状况，社会支持，育儿技能，“空巢”问题）；和4。每年一次进行深入的定性访谈三年，两次与青少年一起进行，一次与MLHS进行一次，并从PACT II数据中得出了研究问题，并从本研究中收集的数据中得出。据我们所知，这将是美国第一个受母亲艾滋病毒/艾滋病影响的儿童队列，从早年到青春期/成年初。我们的发现表明，与艾滋病毒/艾滋病的母亲一起长大可能会带来不同的结果，而不是成为年龄较大的青少年，并且从童年时代起着长期生活的长期后果，而母亲患有慢性，高度污名的疾病前瞻性。公共卫生相关性这是一种竞争性的续约，用于扩展和扩展过去十年中进行的纵向研究，评估艾滋病毒及其健康的孩子的母亲。现在，孩子们正在过渡到青春期/成年后期，这项研究将继续提供有关受母亲艾滋病毒影响的儿童所需的干预措施的信息，以及有关艾滋病毒阳性母亲的需求的信息。这将是从孕产妇艾滋病毒/艾滋病影响的第一个儿童群体，从早年到青春期/成年初期，一直遵循，可以调查这些儿童的长期结果。

项目成果

期刊论文数量（17）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Assessment of anxiety and depression in young children: support for two separate constructs.

幼儿焦虑和抑郁的评估：支持两种独立的结构。

DOI：
10.1207/s15374424jccp2903_9
发表时间：
2000
期刊：
Journal of clinical child psychology.
影响因子：
0
作者：
Murphy,DA;Marelich,WD;Hoffman,D
通讯作者：
Hoffman,D

Predictors of Sexual Behavior Among Early and Middle Adolescents Affected by Maternal HIV.

DOI：
10.1080/19317611003800614
发表时间：
2010
期刊：
International journal of sexual health : official journal of the World Association for Sexual Health
影响因子：
0
作者：
Murphy DA;Herbeck DM;Marelich WD;Schuster MA
通讯作者：
Schuster MA

HIV-positive Mothers' Communication About Safer Sex And STD Prevention With Their Children.