The Impact of Longitudinal Patterns of Adverse Childhood Experiences on Adolescent Reproductive Health: Examining Factors that Promote Resilience

不良童年经历的纵向模式对青少年生殖健康的影响：检查促进复原力的因素

• 批准号: 10722456
• 负责人: Sara A. Vasilenko
• 金额: $ 14.9万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-19 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10722456
• 关键词: Adolescence; Adolescent; Adolescent and Young Adult; Age; Birth; Black race; Buffers; Centers for Disease Control and Prevention (U.S.); Child; Child Abuse and Neglect; Child Welfare; Childhood; Climacteric; Coitus; Contracts; Data; Data Set; Development; Developmental Course; Dimensions; Ethnic Origin; Ethnic Population; Family; Frequencies; Gender; Grant; Grouping; HIV; Health; Home; Household; Individual; Intervention; Knowledge; Latino; Latinx; Manuscripts; Measures; Methods; Modeling; Multiple Partners; Nature; Neighborhoods; Outcome; Parents; Pattern; Population; Populations at Risk; Poverty; Pregnancy; Prevention; Prevention program; Public Health; Publishing; Race; Recurrence; Reproductive Health; Research; Research Personnel; Resources; Risk; Risk Behaviors; Risk Factors; STI prevention; Sampling; Schools; Scientist; Sex Behavior; Sex Orientation; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Statistical Models; Structure; Subgroup; Trauma; Uncertainty; United States; Violence; Work; adolescent sexual behavior; adolescent sexual health; adverse childhood events; analytical method; community violence; contextual factors; disorder risk; early onset; ethnic minority; experience; health disparity; high risk; improved; innovation; novel; peer victimization; person centered; promote resilience; protective factors; racial disparity; racial minority; racial population; reproductive; reproductive health of adolescents; response; secondary analysis; sex; sexual risk behavior; social; social health determinants; syntax; therapy design; unintended pregnancy; young adult

PROJECT SUMMARY/ABSTRACT Sexual and reproductive health is a crucial public health concern. In the United States, rates of sexually transmitted infections and unintended pregnancy are highest among adolescents and young adults, particularly racial/ethnic minorities, making prevention programs to these populations essential. A social determinants of health perspective necessitates the need to understand how contextual factors are associated with health outcomes, and adverse childhood experiences (ACEs) represent factors that may play a role in adolescent sexual and reproductive health. However, the application of novel methods to longitudinal data is necessary to understand the effects of type, timing, and frequency of ACEs on sexual and reproductive health. We propose the application of an innovative analytic method, Longitudinal Latent Class Analysis, to longitudinal data from the Fragile Families and Child Wellbeing Study. This project has three specific aims. The first aim will uncover patterns of multiple types of ACEs across ages 3, 5, 9, and 15, and examine how these patterns may differ by race/ethnicity. The second aim will examine how longitudinal profiles of ACEs are associated with sexual and reproductive health outcomes at age 15, and how these associations differ by race/ethnicity, gender, and sexual orientation. Finally, the third aim will examine how protective factors at different ages may buffer the effects of longitudinal ACEs profiles on sexual and reproductive health. This project will provide knowledge of the patterns of adverse childhood experiences across childhood in a higher risk sample, how they are associated with sexual and reproductive health outcomes, how these factors may underlie health disparities, and which factors may buffer associations. Results will allow prevention scientists to design interventions that target the most at-risk groups with the most relevant protective factors at the most critical age periods. Published manuscripts will include details of the statistical models and associated syntax to allow other researchers to utilize these methods in their work on adverse childhood experiences and reproductive health.

项目概要/摘要 性健康和生殖健康是一个重要的公共卫生问题。在美国，性行为发生率 传播感染和意外怀孕在青少年和年轻人中最高，尤其是 种族/族裔少数群体，因此针对这些人群的预防计划至关重要。 A 社会决定因素 健康视角需要了解背景因素如何与健康相关 结果和不良童年经历（ACE）代表了可能在青少年时期发挥作用的因素 性和生殖健康。然而，有必要对纵向数据应用新方法 了解 ACE 的类型、时间和频率对性和生殖健康的影响。我们建议 将创新的分析方法（纵向潜在类别分析）应用于纵向数据 脆弱家庭和儿童福祉研究。该项目有三个具体目标。第一个目标将揭开 3、5、9 和 15 岁多种类型 ACE 的模式，并通过以下方式检查这些模式有何不同： 种族/民族。第二个目标将研究 ACE 的纵向特征如何与性和性别相关。 15 岁时的生殖健康结果，以及这些关联如何因种族/民族、性别和年龄而异 性取向。最后，第三个目标将研究不同年龄的保护因素如何缓冲 纵向 ACE 概况对性健康和生殖健康的影响。该项目将提供以下知识 高风险样本中童年时期不良经历的模式，它们是如何发生的 与性健康和生殖健康结果相关，这些因素如何构成健康差异， 以及哪些因素可以缓冲关联。结果将使预防科学家能够设计干预措施 针对最危险的群体，在最关键的年龄阶段提供最相关的保护因素。 发表的手稿将包括统计模型和相关语法的详细信息，以允许其他人 研究人员在有关不良童年经历和生殖健康的工作中利用这些方法。