Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino Youth

对多代移民拉丁裔青年的前瞻性研究中的情绪健康和生殖健康

基本信息

批准号：
10229466
负责人：
Marissa Raymond-Flesch
金额：
$ 17.2万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10229466
关键词：
Acculturation Adolescence Adolescent Adolescent Development Adolescent Medicine Adolescent and Young Adult Adult Affect Award Behavior Biometry California Child Collaborations Communication Communities Contraceptive methods Data Data Analyses Data Collection Development Emotional Epidemiology Equipment and supply inventories Ethnic group Evidence based intervention Family Fellowship Gender Generations Goals Grant Health Health Policy Health behavior Immigrant Individual Institutes Intervention Interview Intuition Language Latina Latino Link Master of Public Health Measures Medicine Mental Depression Mental Health Mentored Patient-Oriented Research Career Development Award Mentors Methods Modeling Mood Disorders Mothers Outcome Parents Participant Partner Communications Population Positioning Attribute Pregnancy Pregnancy Rate Pregnancy in Adolescence Prospective Studies Prospective cohort study Public Health Education Qualitative Methods Qualitative Research Questionnaires Race Recording of previous events Reproductive Health Research Research Methodology Research Personnel Research Training Risk Role Rural Population Series Sexual Health Sexual Partners Sexually Transmitted Diseases Stress Structure Suicide Teenagers Trauma United States United States National Institutes of Health Universities Vulnerable Populations Well in self Work Youth adolescent health aged agricultural community base career career development child depression community engaged research condoms coping mechanism depressive symptoms design early adolescence eighth grade experience falls family influence family structure follow-up health disparity high risk high school longitudinal analysis migration positive youth development pregnant prospective psychosocial development public health relevance recruit reproductive coercion reproductive health of adolescents research and development sexual debut skills social social science research unintended pregnancy vulnerable adolescent young adult

项目摘要

Project Summary/Abstract This is an application for a K23 award for Marissa Raymond-Flesch, MD, MPH, whose research focuses on the reproductive health and health disparities of Latino adolescents. She has completed three primary data collection projects utilizing community-engaged qualitative methods and has been contributing to the Salinas Teen Health Study, on which this application builds, for the past two years. Her research training includes a masters of public health and fellowships in Adolescent Medicine and Health Policy. Through the activities proposed in this application Dr. Raymond-Flesch will build skills in cross-sectional and longitudinal quantitative data analysis. She will benefit from UCSF's nationally recognized Division of Adolescent and Young Adult Medicine and Institute for Health Policy Studies as well as the university's course work in biostatistics and research methodology. In addition, UCSF will continue to support her productive collaboration with the Salinas Teen Health Study team at RTI. Across these intuitions Dr. Raymond-Flesch has established an experienced mentoring team with expertise in epidemiology, mixed methods research, and adolescent reproductive and mental health. By the completion of this award she will be well positioned to launch a career as an independent investigator, including applying for an R01 award. Informed by the social ecological model, this proposal builds on the Salinas Teen Health Study (R01- HD075787), a prospective cohort study of 600 Latino adolescents over two years as they transition from early to middle adolescence in a Californian agricultural community. Latino youth experience a variety of health disparities, including higher rates of depression and adverse reproductive health outcomes (unintended pregnancy and sexually transmitted infections). Current evidence links depression with negative sexual and reproductive health outcomes in adults, but there is a paucity of research on these associations in Latino adolescents. Additionally, data on how immigrant generation affects these outcomes for Latino adolescents are limited. Dr. Raymond-Flesch's specific aims include a quantitative analysis of the associations between depressive symptoms and sexual and reproductive health outcomes at baseline across first, second, and third generation Latino early adolescents (Aim 1); longitudinal analysis of two years of quantitative data to determine the effect of depressive symptoms during early adolescence on subsequent sexual and reproductive health (Aim 2); qualitative analysis of youth interviews to describe how emotional wellbeing influences sexual and reproductive health (Aim 3); and qualitative interviews with mothers to characterize early environmental and structural factors affecting emotional wellbeing, psychosocial development, and sexual and reproductive health for Latino youth (Aim 4). The roles of immigrant generation and protective family influences will be examined across all aims. At the conclusion of this award Dr. Raymond-Flesch will apply findings to the development of a R01 application for a culturally informed intervention to reduce mental and reproductive health disparities.

项目概要/摘要这是 Marissa Raymond-Flesch（医学博士、公共卫生硕士）申请 K23 奖项的申请，她的研究重点关注拉丁裔青少年的生殖健康和健康差异。她已经完成了三主要数据收集项目利用社区参与的定性方法，并一直致力于萨利纳斯青少年健康研究（该应用程序是在过去两年中建立的）。她的研究训练包括公共卫生硕士学位以及青少年医学和卫生政策研究金。通过 Raymond-Flesch 博士将在本申请中提出的活动培养横截面和纵向方面的技能定量数据分析。她将受益于加州大学旧金山分校全国认可的青少年和青少年部门青年医学和卫生政策研究所以及大学的课程工作生物统计学和研究方法。此外，加州大学旧金山分校将继续支持她富有成效的合作与 RTI 萨利纳斯青少年健康研究团队合作。 Raymond-Flesch 博士根据这些直觉建立了经验丰富的指导团队，拥有流行病学、混合方法研究和青少年方面的专业知识生殖和心理健康。完成该奖项后，她将能够很好地开启自己的职业生涯作为独立调查员，包括申请 R01 奖项。该提案以社会生态模型为基础，以萨利纳斯青少年健康研究（R01- HD075787），这是一项前瞻性队列研究，对 600 名拉丁裔青少年进行了两年多的研究，研究他们从早期过渡到加州农业社区的青春期中期。拉丁裔青年体验各种健康差异，包括抑郁症发病率较高和生殖健康不良结果（意外怀孕和性传播感染）。目前的证据将抑郁症与消极的性行为和成人生殖健康结果，但对拉丁裔这些关联的研究很少青少年。此外，有关移民一代如何影响拉丁裔青少年这些结果的数据是有限的。 Raymond-Flesch 博士的具体目标包括对以下因素之间的关联进行定量分析：第一、第二和第三阶段基线的抑郁症状以及性健康和生殖健康结果一代拉丁裔早期青少年（目标 1）；对两年的定量数据进行纵向分析以确定青春期早期抑郁症状对随后性健康和生殖健康的影响（目标 2）；对青少年访谈进行定性分析，以描述情绪健康如何影响性和行为生殖健康（目标 3）；以及对母亲的定性访谈，以描述早期环境和影响情绪健康、社会心理发展以及性健康和生殖健康的结构性因素为拉丁裔青年（目标 4）。将审查移民一代的作用和保护性家庭的影响跨越所有目标。在该奖项结束时，Raymond-Flesch 博士将应用研究结果来开发 R01 申请文化知情干预措施，以减少心理和生殖健康差异。