Health Education and Reproductive Health

健康教育与生殖健康

• 批准号: 10133456
• 负责人: Ariella R Tabaac
• 金额: $ 7.31万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-08 至 2023-04-07
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10133456
• 关键词: Access to Information; Address; Adolescence; Adolescent; Adult; Area; Biometry; Bisexual; Boston; Cohort Studies; Collaborations; Communication; Contraceptive Usage; Contraceptive methods; Data; Daughter; Diagnosis; Discipline; Enrollment; Environment; Epidemiology; Equation; Face; Fellowship; Female; Goals; HIV risk; Health; Health Personnel; Health Psychology; Health education; Heterosexuals; Information Resources; Intervention; Knowledge; Lesbian; Literature; Longitudinal cohort study; Measures; Mediating; Mediation; Mediator of activation protein; Medical; Mentorship; Minority Groups; Modeling; Mothers; National Research Service Awards; Nurses; Nurses' Health Study; Outcome; Pap smear; Parents; Pathway interactions; Patients; Pediatric Hospitals; Population; Pregnancy in Adolescence; Provider; Questionnaires; Recording of previous events; Reporting; Reproductive Health; Reproductive Health Services; Research; Research Methodology; Research Personnel; Risk; Role; STI prevention; Sampling; Schools; Sex Orientation; Sexual Abstinence; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Social Network; Source; Structure; Techniques; Testing; Time; Training; Translations; United States; United States National Institutes of Health; Woman; Work; adolescent health; base; career; cohort; communication theory; condoms; cultural competence; experience; girls; health care service; health communication; health disparity; health disparity populations; i(19); improved; innovation; longitudinal analysis; male; men; minority health; patient oriented; patient-clinician communication; peer; population based; recruit; reproductive outcome; same-sex partnership; sex; sexual minority; social determinants; social epidemiology; social health determinants; success; therapy development

Project Summary. Compared to heterosexual women, sexual minority women (e.g., lesbian and bisexual women) face heightened risk for sexual and reproductive health (SRH) disparities. Though this seems counterintuitive, many sexual minority women have sexual histories with men which place them at risk for outcomes like teenage pregnancy. Research has shown that sexual minority women are also less likely to use contraceptive methods including barrier-based protection that can prevent sexually transmitted infections (STIs), and they have higher rates of STI contraction than heterosexual women. To date, the health communication mechanisms that contribute to these disparities are not well understood. Wider literature on general female populations points to sexual health information, patient-provider communication, and maternal communication as important predictors of SRH in adolescent and adult female samples. However, exploratory descriptive work on the health information and communication experiences of sexual minority women point to themes of difficulty accessing appropriate information, negative or uninformative encounters with providers, and hesitation from mothers about discussing SRH with sexual minority girls. Thus, the goal of this project is to examine how sexual health information, patient-provider communication, and maternal SRH communication differ by sexual orientation and mediate SRH disparities in a sample of women from across the United States. These data, which are derived from three ongoing cohort studies of adolescent health, provide a unique opportunity to examine detailed measures of sexual orientation, health communication, and SRH histories of a large population-based sample of U.S. women. These research goals will be facilitated by the applicant’s training plan, which involves advancement in skillsets of biostatistics, epidemiology, and health communication research methods. Combined with a collaboration team of experts in the disciplines of social epidemiology, sexual minority health, biostatistics, and health communication, all of whom are hosted within the Boston Children’s Hospital network, this fellowship will provide an exceptional training environment and mentorship experience in these subject areas and contribute greatly to the success of this research plan. Findings from this project will be innovative in their ability to address communication facilitators and barriers of SRH in sexual minority women, a population that has been understudied in the wider SRH and health communication literature base. Findings will also be significant in their translation to both the sexual health information and communication practices of medical providers and other sources of health information (like maternal SRH communication). Ultimately, this NRSA addresses an important and vulnerable health area for sexual minority women, a group recently recognized by the NIH as a health disparity population.

项目摘要。 与异性妇女相比，性少数妇女（例如，女同性恋和双性恋妇女）面对 性和生殖健康（SRH）差异的风险增加。虽然这似乎是违反直觉的，但 性少数妇女与男性有性历史，使她们面临诸如青少年之类的结果的风险 怀孕。研究表明，性少数妇女使用避孕方法也不太可能 包括可以防止性传播感染（ETI）的基于障碍的保护，并且它们具有更高的 STI收缩率比异性恋女性。迄今为止，健康沟通机制 对这些差异的贡献尚不清楚。关于一般女性人群的更广泛文献指出 性健康信息，患者提供的沟通和孕产妇沟通很重要 青少年和成年雌性样本​​中SRH的预测因子。但是，关于 性少数妇女的健康信息和沟通经历指出了困难的主题 访问适当的信息，与提供商的负面或无信息相遇，以及犹豫不决 母亲关于与性少数女孩讨论SRH。那是该项目的目标是检查如何 性健康信息，患者提供沟通和母体SRH沟通因性别而不同 来自美国各地的妇女样本中的定​​向和调解SRH差异。这些数据， 这是从三项正在进行的青少年健康研究的研究中得出的，为 检查性取向，健康交流和SRH历史的详细测量 基于人群的美国妇女样本。这些研究目标将由申请人的培训准备 计划，涉及进步生物统计学，流行病学和健康传播的技能 研究方法。结合一个社会流行病学学科专家的合作团队， 性少数民族健康，生物统计学和健康交流，所有这些人都托管在波士顿内部 儿童医院网络，该奖学金将提供出色的培训环境和心态 在这些主题领域的经验，并为该研究计划的成功做出了巨大贡献。来自 该项目将对SRH的沟通促进者和性障碍的能力具有创新性 少数族裔妇女，在更广泛的SRH和健康传播中已经理解的人口 文学基础。调查结果在转化为性健康信息和 医疗提供者和其他健康信息来源的沟通实践（例如材料SRH 沟通）。最终，该NRSA解决了一个重要且脆弱的性少数群体的健康领域 妇女，最近被国立卫生研究署（NIH）认可为健康差异人群的妇女。