Social support and pregnancy outcomes in early adulthood

成年早期的社会支持和妊娠结局

• 批准号: 9013403
• 负责人: Heidi Serene Moseson Lidow
• 金额: $ 3.82万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-02-01 至 2018-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9013403
• 关键词: Address; Advisory Committees; Affect; Age; Biometry; Birth; Characteristics; Child; Counseling; Data; Data Collection; Decision Making; Economics; Ectopic Pregnancy; Enrollment; Ensure; Epidemiology; Exhibits; Face; Family; Family Planning; Friends; Funding; Future; Goals; Health; Health Personnel; Health Professional; Incidence; Interview; Knowledge; Life; Logistic Regressions; Measures; Medical; Methods; Mission; Modeling; National Institute of Child Health and Human Development; Nature; Parents; Participant; Patients; Pattern; Perception; Persons; Play; Postdoctoral Fellow; Pregnancy; Pregnancy Outcome; Principal Investigator; Process; Professional counselor; Provider; Qualitative Methods; Qualitative Research; Reporting; Reproductive Health; Reproductive Process; Research; Research Methodology; Research Personnel; Resolution; Respondent; Risk; Role; Sampling; Sexual Partners; Social support; Source; Spontaneous abortion; Structural Models; Structure; Surveys; Techniques; Termination of pregnancy; Training; Training Programs; United States; Unwanted Birth; Woman; Work; abortion; career; design; emerging adult; empowered; experience; financial decision making; improved; insight; meetings; multidisciplinary; older women; parental role; population based; pregnant; prospective; public health relevance; public health research; satisfaction; sexual relationship; skills; social; stillbirth; study population; success; unintended pregnancy; young adult; young woman

 DESCRIPTION (provided by applicant): In the United States, half of all women will experience an unintended pregnancy by age 45. 1, 2 among younger women, by the age of 20, more than 30% will experience a pregnancy, and over 80% of these pregnancies will be unintended. 1 Unwanted births are associated with negative physical, social and economic consequences for both the woman and her child. 3-5 Ensuring that a woman is able to make the right choice for herself about whether to carry an unintended pregnancy to term is fundamental to her health and wellbeing. Decisions regarding unintended pregnancy have ramifications that affect a woman's educational, professional and personal aspirations, as well as her current and future family life. 6, 7 the importance of social support - from partners, parents and friends - for a woman's decision to carry an unintended pregnancy to term has been identified in previous work, 8-11 but the dynamic nature of this support and the various forms it can take have been under-studied. Particularly, few studies have examined the influence of intimate, sexual relationships on the pregnancy resolution decision. This proposed study aims to 1) identify dynamics of intimate, sexual relationships that predict whether a woman will choose to carry an unintended pregnancy to term during her early adulthood (ages 18-22 years), and any delays in that decision; and 2) describe the needs for decision- making support perceived by young women faced with an unintended pregnancy. Combined, these two aims will provide insight into the overall influence of social support on pregnancy decision-making in young women, with the ultimate goal of helping health professionals address these influences during their counseling - including how to empower women to access the social support that they need, as well as ensuring that their informational needs are met. This enhanced support should reduce costly delays in pregnancy decision- making (financial and medical), and improve women's satisfaction with their choice. For Aim 1, the data will be derived from two and a half years of extensive weekly survey interviews with 196 young women ages 18-22 years who experienced 233 unintended pregnancies during their enrollment in the NICHD-funded Relationship Dynamics and Social Life (RDSL) Study. Logistic regression and marginal structural modeling will be used to explore the influence of relationship dynamics on pregnancy resolution. For Aim 2, the Principal Investigator will collect new qualitative data from in-depth interviews conducted among 25 women drawn from the original sample of 196 RDSL participants. Qualitative methods will be used to analyze interview data to contextualize results from quantitative analyses and to generate hypotheses for future post-doctoral research. The training program that I propose in this application will allow me to not only develop the quantitative and qualitative methodological skills to carry out my dissertation research, but will also help me to obtain the necessary professional skills that I will need for an active career as an independent, academic researcher.

 描述（由适用提供）：在美国，所有妇女中有一半将在45岁的年轻妇女中出现意外怀孕，到20岁，到20岁，超过30％的妇女将经历怀孕，其中80％以上的怀孕将不受欢迎。 1不必要的出生与妇女和她的孩子负面的身体，社会和经济后果有关。 3-5确保妇女能够为自己做出正确的选择，即是否将意外怀孕携带到学期是她的健康和福祉的基础。关于意外怀孕的决定的影响会影响女性的教育，专业和个人愿望，以及她当前和未来的家庭生活。 6，7从伴侣，父母和朋友那里，社会支持的重要性对于妇女决定在先前的工作中确定了意外怀孕任期的决定，但是这种支持的动态性质及其所能采取的各种形式的动态性质是不足的。特别是，很少有研究研究亲密关系对怀孕决策的影响。这项拟议的研究旨在1）确定亲密的，性关系的动态，这些动态预测妇女是否会选择在成年后（18-22岁）期间接受意外怀孕的任期，以及该决定的任何延误； 2）描述面对意外怀孕的年轻妇女决策的需求。这两个目标结合在一起，将洞悉社会支持对年轻女性怀孕决策的整体影响，其最终目的是帮助卫生专业人员在咨询期间解决这些影响，包括如何授权妇女获得所需的社会支持，以及确保满足其信息需求。这种增强的支持应减少怀孕决策（财务和医疗）的昂贵延误，并提高妇女对自己选择的满意度。对于AIM 1，数据将源自两年半的每周一次广泛的调查访谈，对196岁的18-22岁年轻妇女进行了233名意外怀孕期间，他们在NICHD资助的关系动态和社会生活（RDSL）研究期间经历了233名意外怀孕。逻辑回归和边际结构建模将用于探索关系动态对妊娠解决方案的影响。对于AIM 2，首席调查员将从最初的196个RDSL参与者样本中的25名妇女中进行的深入访谈中收集新的定性数据。定性方法将用于分析访谈数据，以将定量分析的结果与结果相关，并为未来的博士后研究产生假设。我在本申请中提出的培训计划将使我不仅能够开发定量和定性的方法学技能来进行我的论文研究，而且还可以帮助我获得必要的专业技能，而我将需要作为一名独立的，学术研究人员积极职业。