Health Consequences of Drug Use and IPV Trajectories for Young Latinas

年轻拉丁裔吸毒和 IPV 轨迹的健康后果

基本信息

批准号：
9276638
负责人：
Alice Cepeda
金额：
$ 63.39万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-01 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9276638
关键词：
Address Adolescence Adolescent Affordable Care Act Age Anxiety Attention Behavior Therapy Biological Markers Cardiovascular system Centers for Disease Control and Prevention (U.S.)Communities Complement Data Decision Making Development Disadvantaged Drug usage Family Female Female Adolescents Foundations Friends Funding Gap Junctions Gender Health Health system Heterogeneity Infection Intervention Knowledge Latina Latino Lead Life Life Cycle Stages Long-Term Effects Low income Mental Depression Mental Health Metabolic Methods Mexican Americans Minority National Institute of Drug Abuse Neighborhoods Not Hispanic or Latino Obesity Outcome Pharmaceutical Preparations Policies Population Post-Traumatic Stress Disorders Prediabetes syndrome Prevalence Psyche structure Public Health Recruitment Activity Reproductive Health Research Risk Risk Marker Sampling Sexual Health Shapes Sister Stress Uninsured Violence Wife Woman Women&apos s Group Women&apos s Health Youth adolescent drug use age group analytical tool cohort cost design drug use vulnerability follow-up gang girls health care service health care service utilization health disparity high risk high risk population innovation intimate partner violence knowledge of results male member partner violence physical conditioning programs public health relevance sexual relationship social social attachment theories violence victimization young adult young man

项目摘要

DESCRIPTION (provided by applicant): Few empirical studies have documented the life trajectories of gang-affiliated adolescent females and the long- term health consequences of adolescent drug use and partner violence victimization. The purpose of this study is to identify and determine how distinct drug use and intimate partner violence victimization trajectories that emerge in adolescence through young adulthood contribute to physical and mental health outcomes among Mexican American women within the context of a highly disadvantaged community. This group of women are particularly vulnerable given they have low rates of access and utilization of health care, are the most likely age group to be uninsured, and represent a nexus of risk, vulnerability and potentially high costs to communities given their reproductive and sexual health stage of life. This application proposes a 15 year follow up of a cohort of Mexican American adolescent females previously identified in a CDC funded study who were affiliated with male gang members during their adolescence and involved in high rates of drug use and victims of intimate partner violence. Building upon the research teams previous studies and using analytical tools from the theory of gender and power and social bonding theory, this application will implement a concurrent mixed methods nested design approach to provide a comprehensive understanding of the long-term consequences of drug use and IPV. The sample will consist of 300 young adult Mexican-American females. The specific aims for this study are: 1) determine the prevalence of physical (cardiovascular and metabolic risk markers and STI infection) and mental (depression, PTSD, anxiety/stress) health outcomes; 2) identify and characterize distinct drug use and IPV trajectories from adolescence through young adulthood; 3) determine whether sexual relationship power and family social bonds during distinct age-graded stages alter drug use and IPV trajectories and health outcomes; and 4) characterize qualitatively the culture and community context and their influence on drug use and IPV trajectories over the life course. This research will have an important positive impact by identifying women who are at the highest risk for developing harmful drug and IPV trajectories as they transition into young adulthood. In doing this, we will lay the foundation for identifying critical points of behavioral intervention during key age-graded periods as well as culturally and contextually appropriate values and strategies that will reduce health disparities among similar high-risk female populations that have gone underrepresented in existing research.

描述（由申请人提供）：很少有实证研究记录了参与帮派的青少年女性的生活轨迹以及青少年吸毒和伴侣暴力受害的长期健康后果。本研究的目的是识别和确定毒品的不同之处。从青春期到成年早期出现的暴力使用和亲密伴侣暴力受害轨迹，对处于高度弱势社区背景下的墨西哥裔美国妇女的身心健康造成影响，由于她们的使用率和利用率较低，所以这一群体的妇女特别容易受到伤害。的医疗保健，是最有可能没有保险的年龄组，考虑到他们的生殖和性健康阶段，他们代表着风险、脆弱性和潜在高成本的关系。本申请建议对一群墨西哥人进行 15 年的跟踪调查。疾病预防控制中心资助的一项研究发现，美国青少年女性在青春期与男性帮派成员有联系，吸毒率很高，并且是亲密伴侣暴力的受害者。性别、权力和社会联系理论上，该应用程序将实施并行混合方法嵌套设计方法，以全面了解吸毒和 IPV 的长期后果。该研究的具体目标是 300 名年轻的墨西哥裔美国女性。： 1) 确定身体（心血管和代谢风险标志物以及性传播感染）和精神（抑郁、创伤后应激障碍、焦虑/压力）健康结果的患病率； 2) 识别和描述从青春期到成年早期的不同药物使用和 IPV 轨迹； 3) 确定不同年龄阶段的性关系权力和家庭社会纽带是否会改变吸毒和 IPV 轨迹以及健康结果；4) 定性描述文化和社区背景及其对生命历程中吸毒和 IPV 轨迹的影响；这项研究将产生重要的积极影响，通过识别在进入成年初期时最容易患上有害药物和 IPV 轨迹的女性，我们将为确定关键时期的行为干预关键点奠定基础。年龄分级阶段以及文化和背景适当的价值观和策略，将减少现有研究中代表性不足的类似高风险女性人群之间的健康差异。