Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in Kenya

在肯尼亚弱势青少年群体的背景下，绘制气候变化与心理健康关系的影响并制定缓解策略

• 批准号: 10672516
• 负责人: Manasi Kumar
• 金额: $ 8.08万
• 依托单位: UNIVERSITY OF NAIROBI
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2024-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10672516
• 关键词: Address; Adolescent; Adverse event; Advocacy; Affect; African; Age; Air; Awareness; Biodiversity; Biological; Birth History; Child; Climate; Clinic; Communities; Community Healthcare; Complement; Country; County; Data; Development; Discipline; Droughts; Ecosystem; Educational workshop; Environment; Environmental Risk Factor; Epidemiology; Exposure to; Female Adolescents; Floods; Focus Groups; Geography; Grant; Grasslands; HIV; Health; Health Services Needs; Health care facility; Interest Group; Intervention; Investments; Kenya; Knowledge; Linear Regressions; Link; Location; Logistic Regressions; Medical History; Mental Depression; Mental Health; Mental Health Services; Outcome; Participant; Pathway Analysis; Perinatal; Play; Population; Populations at Risk; Postpartum Period; Pregnant Women; Prevalence; Primary Health Care; Process; Psyche structure; Public Health; Quality of life; Rain; Readiness; Reporting; Research; Research Design; Research Methodology; Risk; Risk Factors; Role; Rural; Series; Services; Shock; Site; Social Policies; Stream; Stressful Event; Temperature; Urbanization; Vulnerable Populations; Water; Water Pollution; Weather; Work; aged; antenatal; built environment; child depression; climate change; climate impact; community involvement; data format; design; environmental change; environmental stressor; epidemiology study; experience; forest; high risk; implementation research; infancy; intervention refinement; low and middle-income countries; offspring; perinatal mental health; perinatal outcomes; physical conditioning; pregnant teen; recruit; rural area; social; social determinants; social health determinants; social vulnerability; socioeconomics; stressor; teenage mother; urban area; vulnerable adolescent; young mother; young woman

Abstract Pregnant adolescents in Sub-Saharan-African (SSA) are burdened by significant unmet health needs including lack of access to mental health services due to rapidly changing climate and environmental factors. This proposed supplemental study titled “Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in Kenya” will be leveraged on the ongoing INSPIRE- K43 study to investigate the influence of climate change and related environmental risks or stressors on adolescents’ mental health and their offspring’s early development. The proposed study will be conducted in four primary care health facilities in two geographically distinct regions: Vishakani and Mwanamwinga sites in Kaloleni, Kilifi County (rural area) and Kariobangi and Kangemi informal settlements in Nairobi County (urban area). A random representative 200 pregnant adolescents and young mothers who meet the recruitment criteria (i.e., ages 13-24 years, from these primary care clinics will be recruited. A set of assessments covering urban climate change indicators, exposure to environmental stressors (including adverse events), adolescent mothers’ mental health, medical history quality of life, and their offspring’s development, birth history and anthropometric, will be assessed for Aim 1. We will also carry out four stakeholder workshops and focus group discussion (FGDs) (n=40; 6-10 participants) that will share scientific knowledge, promote awareness, discuss research methods and results, and explore mitigation and preparedness strategies for Aim 2. Multivariate linear and logistic regression will be used to analyze quantitative data while thematic network analysis will be used to analyze qualitative data. This grant would contribute to developing a clearer intervention that speaks to social and environmental determinants of mental health in Kenya.

抽象的 撒哈拉以下 - 非洲（SSA）中的怀孕青少年被大量未得到的燃烧 健康需求，包括由于迅速改变而无法获得精神卫生服务 气候和环境因素。这项拟议的补充研究标题为“映射 影响和制定缓解策略，以使气候变化健康联系 在肯尼亚脆弱的青少年人群中”将在 正在进行的激发灵感-K43研究研究气候变化和相关的影响 对青少年心理健康及其后代的早期的环境风险或压力源 发展。拟议的研究将在四个初级保健健康中进行 两个地理上不同地区的设施：Vishakani和Mwanamwinga站点 Kaloleni，Kilifi县（农村地区）和Kariobangi和Kangemi非正式定居点 内罗毕县（市区）。随机代表200个怀孕的青少年和年轻人 符合招聘标准的母亲（即13-24岁，从这些初级保健中 诊所将被招募。一组涵盖城市气候变化指标的评估， 暴露于环境压力源（包括不良事件），青少年母亲的心理 健康，病史的生活质量以及其后代的发展，出生史和 人体测量学，将评估AIM 1。我们还将执行四个利益相关者 研讨会和焦点小组讨论（FGD）（n = 40; 6-10名参与者）将分享 科学知识，促进意识，讨论研究方法和结果以及 探索目标2的缓解和准备策略。多元线性和逻辑 回归将用于分析定量数据，而主题网络分析将是 用于分析定性数据。这笔赠款将有助于开发更清晰的 肯尼亚心理健康的社会和环境决定者的干预措施。

项目成果

Depression and its associated factors: perceived stress, social support, substance use and related sociodemographic risk factors in medical school residents in Nairobi, Kenya.

• DOI: 10.1186/s12888-021-03439-0
• 发表时间: 2021-09-08
• 期刊: BMC psychiatry
• 影响因子: 4.4
• 作者: Shah SSNH;Laving A;Okech-Helu VC;Kumar M
• 通讯作者: Kumar M

Cultural and contextual adaptation of mental health measures in Kenya: An adolescent-centered transcultural adaptation of measures study.

• DOI: 10.1371/journal.pone.0277619
• 发表时间: 2022
• 期刊: PloS one
• 影响因子: 3.7

Long COVID, a comprehensive systematic scoping review.

• DOI: 10.1007/s15010-021-01666-x
• 发表时间: 2021-12
• 期刊: Infection
• 影响因子: 7.5
• 作者: Akbarialiabad H;Taghrir MH;Abdollahi A;Ghahramani N;Kumar M;Paydar S;Razani B;Mwangi J;Asadi-Pooya AA;Malekmakan L;Bastani B
• 通讯作者: Bastani B

Mapping services at two Nairobi County primary health facilities: identifying challenges and opportunities in integrated mental health care as a Universal Health Coverage (UHC) priority.

• DOI: 10.1186/s12991-021-00359-x
• 发表时间: 2021-08-17
• 期刊: Annals of general psychiatry
• 影响因子: 3.7
• 作者: Kumar M;Nyongesa V;Kagoya M;Mutamba BB;Amugune B;Krishnam NS;Wambua GN;Petersen I;Gachuno O;Saxena S
• 通讯作者: Saxena S

Engagement and partnership with peer mentors in the development of the "Positive and Healthy Living Program": a process paper.

与同伴导师参与和合作制定“积极健康的生活计划”：过程文件。

• DOI: 10.1080/09540121.2019.1574333
• 发表时间: 2019
• 期刊: AIDS care
• 影响因子: 1.7
• 作者: Wambua,GraceNduku;Musindo,Otsetswe;Machuka,Judy;Kumar,Manasi
• 通讯作者: Kumar,Manasi