Multilevel risk profiles and reproductive health across adolescence and young adulthood.

青春期和成年早期的多层次风险状况和生殖健康。

• 批准号: 9884796
• 负责人: Sara A. Vasilenko
• 金额: $ 8.06万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9884796
• 关键词: Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; Age; Alcohol or Other Drugs use; Centers for Disease Control and Prevention (U.S.); Complex; Data; Data Set; Development; Developmental Course; Disease; Ethnic Origin; Family; Felis catus; Grant; Health; Individual; Infertility; Intervention; Knowledge; Light; Longitudinal Studies; Malignant Neoplasms; Manuscripts; Medical Care Costs; Methods; Modeling; Nature; Neighborhoods; Outcome; Parents; Pattern; Pelvis; Population; Poverty; Pregnancy; Prevention; Prevention program; Process; Public Health; Publishing; Race; Reproductive Health; Research; Research Personnel; Risk; Risk Factors; STI prevention; Safety; Scientist; Sex Behavior; Sexual Health; Sexually Transmitted Diseases; Statistical Models; Subgroup; Time; United States; Ursidae Family; age related; aged; analytical method; base; behavior change; biological sex; condoms; cost estimate; demographics; flexibility; health disparity; high risk; high risk sexual behavior; improved; innovation; insight; novel; novel strategies; peer; protective factors; response; secondary analysis; sexual minority; sexual risk behavior; sexually active; sexually active adolescent; social; syntax; therapy design; time use; trend; unintended pregnancy; young adult

PROJECT SUMMARY/ABSTRACT Sexual and reproductive health continues to be a public health concern. In this United States, rates of sexually transmitted infections and unintended pregnancy are highest among adolescents and young adults, making prevention programs to this group to be particularly important. Longitudinal data now exists that can give greater insight into the factors that underlie sexual and reproductive health outcomes develop across adolescence and young adulthood, but new analytic methods are necessary to unlock the full potential of this data. We propose the use and integration of two innovative analytic methods, the time-varying effect modeling (TVEM) and latent class analysis (LCA) to long-term longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (Add Health). This project has three specific aims. The first aim will elucidate age trends in SRH outcomes (e.g., sexual risk behaviors, STIs, unintended pregnancy) across adolescence through young adulthood at the population level. We will examine how these age-varying trends differ by demographic subgroups (biological sex, race/ethnicity, and sexual minority status). The second aim will examine how profiles of multilevel early risk factors (e.g., parent, peer, neighborhood) predict sexual and reproductive health outcomes across adolescence through young adulthood, and how these age-varying associations differ by demographic subgroup. Finally, the third aim will examine how age-varying individual factors differentially predict SRH outcomes across adolescence and young adulthood, and how these associations differ by demographic subgroups and membership in the early risk profile classes determined in Aim 2. This project will provide population-level knowledge on the developmental course of SRH outcomes, processes which underlie these outcomes, and how they differ by subgroup. Results will allow prevention scientists to design interventions targeting the most relevant risk factors at particular ages for specific subgroups. To maximize the project’s overall impact, published manuscripts will include details of the statistical models and programming syntax so that researchers can use these approaches to answer new questions about age-varying processes.

项目概要/摘要 在美国，性健康和生殖健康仍然是一个公共卫生问题。 传播感染和意外怀孕在青少年和年轻人中最高，使得 现有的纵向数据可以提供针对这一群体的预防计划。 对性健康和生殖健康结果背后的因素有更深入的了解 青春期和青年期，但需要新的分析方法来释放这一点的全部潜力 我们建议使用和集成两种创新的分析方法，即时变效应建模。 （TVEM）和潜在类别分析（LCA）对来自国家纵向研究的长期纵向数据 青少年到成人健康（添加健康）。第一个目标是阐明年龄。 青春期性健康与生殖健康结果（例如性危险行为、性传播感染、意外怀孕）的趋势 我们将研究这些随年龄变化的趋势有何不同。 人口亚群（生物性别、种族/民族和性少数群体身份）。 检查多层次早期风险因素（例如父母、同伴、邻居）的概况如何预测性和 青春期至成年早期的生殖健康结果，以及这些随年龄变化的情况 最后，第三个目标将研究年龄差异如何影响个体。 因素对青春期和青年期 SRH 结果的预测存在差异，以及这些因素如何影响 协会因人口亚组和早期风险状况类别的成员资格而异 目标 2. 该项目将提供人口层面关于性健康和生殖健康成果发展过程的知识， 这些结果背后的过程，以及它们在亚组中的差异结果将有助于预防。 科学家针对特定年龄、特定年龄、最相关的风险因素设计干预措施 为了最大限度地提高项目的整体影响，发表的手稿将包括统计的详细信息。 模型和编程语法，以便研究人员可以使用这些方法来回答新问题 关于年龄变化的过程。

项目成果

Sexual Behavior and Health From Adolescence to Adulthood: Illustrative Examples of 25 Years of Research From Add Health.

从青春期到成年的性行为与健康：Add Health 25 年研究的说明性例子。

• 发表时间: 2022-12
• 作者: Vasilenko; Sara A
• 通讯作者: Sara A

Time-varying associations between parental closeness, self-esteem, and sexual behavior across adolescence and emerging adulthood.

青春期和成年初期父母亲密度、自尊和性行为之间随时间变化的关联。

• 发表时间: 2024-03
• 作者: Jiang, Linghua;Wang, Xiafei;Cui, Shuangyue;Vasilenko, Sara A
• 通讯作者: Vasilenko, Sara A