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（由申请人提供）：在美国，一半的女性会在 45 岁时经历意外怀孕。1, 2 在年轻女性中，到 20 岁时，超过 30% 的女性会经历怀孕，超过 80 岁的女性会经历意外怀孕。其中 % 是意外怀孕。 1 意外分娩会对妇女及其孩子造成负面的身体、社会和经济后果 3-5 确保妇女能够怀孕。为自己做出是否意外怀孕至足月的正确选择对于她的健康和福祉至关重要。有关意外怀孕的决定会影响女性的教育、职业和个人愿望，以及她当前和未来的家庭生活。 6, 7 来自伴侣、父母和朋友的社会支持对于女性决定意外怀孕的重要性已在之前的工作 8-11 中得到确认，但这种支持的动态性质及其可以采取的各种形式特别是，很少有研究探讨亲密性关系对妊娠解决决策的影响。这项研究的目的是：1）确定亲密性关系的动态，以预测女性是否会选择怀孕。成年早期（18-22 岁）期间意外怀孕到足月，以及该决定的任何延迟；以及 2) 描述面临意外怀孕的年轻女性所感受到的决策支持需求。提供洞察社会支持对年轻女性怀孕决策的总体影响，最终目标是帮助卫生专业人员在咨询过程中解决这些影响，包括如何赋予妇女权力以获得她们所需的社会支持，以及确保她们的信息这种增强的支持应能减少怀孕决策（财务和医疗）方面代价高昂的延误，并提高妇女对其选择的满意度，数据将来自两年半的广泛的每周调查访谈。与 196 名年轻女性同龄在参加 NICHD 资助的关系动态和社交生活 (RDSL) 研究期间经历 233 次意外怀孕的 18-22 岁儿童将被用于探索关系动态对目标 2 怀孕解决的影响。 ，首席研究员将从对 196 名 RDSL 参与者的原始样本中抽取的 25 名女性进行深入访谈中收集新的定性数据。我在本申请中提出的培训计划不仅使我能够培养进行论文研究的定量和定性方法技能，而且还将帮助我获得作为一名独立学术研究员的积极职业所需的必要专业技能。