Determining the impact of menstruation experiences on the health and well-being of American Indian adolescent females

确定月经经历对美洲印第安人青春期女性健康和福祉的影响

• 批准号: 10570526
• 负责人: Andrea Lynn Huseth-Zosel
• 金额: $ 22.82万
• 依托单位: NORTH DAKOTA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10570526
• 关键词: Address; Adolescent; Adult; Affect; Age; American Indians; Attitude; Behavior; Characteristics; Communities; Custom; Data; Disparity; Education; Educational Status; Educational process of instructing; Environment; Female; Female Adolescents; Focus Groups; Fostering; Frequencies; Future; Gender; Goals; Graduation Rates; Great Plains; Health; High School Faculty; Hygiene; Indian reservation; Intervention; Knowledge; Learning; Link; Low income; Menstruation; Mental Health; Methods; Middle School Faculty; North Dakota; Outcome; Perception; Personal Satisfaction; Physical activity; Policies; Population; Poverty; Pregnancy in Adolescence; Preparation; Puberty; Reporting; Reproductive Health; Research; Reservations; Resource-limited setting; Risk; Risk Factors; Rural; Schools; Sexual Health; Sexual Transmission; South Dakota; Students; Time; Tribal School; Unemployment; United States; Woman; Work; adolescent health outcomes; design; experience; geographic barrier; girls; health disparity; high school; improved; innovation; insight; junior high school; learning outcome; low and middle-income countries; peer; physical conditioning; poor health outcome; reservation-based; rural area; sexual debut; sexual risk behavior; social exclusion; social stigma; success; teacher

Project Summary/Abstract American Indian (AI) adolescent girls in the United States suffer from significant health disparities as compared to their non-AI White peers. Increased sexual risk behaviors, earlier sexual debut, higher rates of teen pregnancy, and higher rates of sexually transmitted infectious are more prevalent among AI adolescents as compared to their non-AI peers. Poor health outcomes for adolescent AIs in the Great Plains are compounded by high rates of poverty perpetuated by low high school graduation rates. Collectively, these risk factors place AI adolescents at greater risk for negative health and educational outcomes. Previous studies have portrayed the challenges of managing menstruation in low-resource settings and demonstrated poor health and well- being outcomes associated with negative menstruation experiences. The goal of this proposed study is to gain an understanding of the impact of menstruation on health and education for AI adolescent girls. The specific aims are to (1) describe the in-school menstruation-related experiences of AI adolescent girls living in rural, reservation communities and (2) describe the experiences, perceptions, and comfort level of middle and high school teachers in tribal schools in responding to the menstrual experiences of their students. Aim 1 will use community-informed focus group research to understand the following issues for AI adolescent females: (1) learning and talking about menstruation; (2) menstruation education at school; (3) getting their first period; (4) preparing for menstruation; (5) menstruation perceptions; (6) traditional menstruation customs; (7) learning how to use menstrual products; (8) school-based menstruation experiences, including teacher behaviors and perceived attitudes; and (9) menstruation benefits. The purpose of Aim 1a will be to compare/contrast early and late adolescent menstruation experiences. Aim 2 will also use community-informed focus group research to understand the following issues for educators at reservation-based middle or high schools: (1) frequency with which they have assisted a student with a menstruation-related issue; (2) presence of menstrual products within the classroom; (3) perceptions of menstruation experiences for girls at school; (4) comfort with addressing menstruation-related issues with students; (5) actions taken when a girl experiences their period in the classroom; (6) traditional menstruation customs; and (7) the impact of menstruation on student learning. Aim 2a will focus on comparing and contrasting the experiences, perceptions, and comfort levels of teachers by demographic, while Aim 2b will compare and contrast the experiences and perceptions of teachers with those of the adolescents. The findings will be used to identify future intervention foci and methods to address menstruation-related issues for this population. This study's focus is innovative and fills a crucial gap in efforts to further understand and eliminate health disparities among AI adolescent girls and its findings will lay the groundwork for designing and implementing culturally-appropriate interventions addressing menstruation- related disparities for AI adolescent girls.

项目摘要/摘要 美国印第安人（AI）青春期女孩的健康差异很大 他们的非耶白人同龄人。增加性风险行为，较早的性行为，青少年率高 在AI青少年中，怀孕和更高的性传播感染率更为普遍 与他们的非同行相比。大平原上青少年AI的健康状况不佳。 由于高中毕业率越来越高的贫困率高。这些危险因素集体位置 AI青少年面临负面健康和教育成果的风险更大。以前的研究描绘了 在低资源环境中管理月经的挑战，表现出不良的健康和良好的挑战 与月经经历相关的结果。这项拟议的研究的目的是获得 了解月经对健康和教育对AI青春期女孩的影响。具体 目的是（1）描述居住在农村的AI青春期女孩的学校月经相关的经历 保留社区以及（2）描述中和高中的经验，看法和舒适水平 部落学校的学校老师回应学生的月经经历。 AIM 1将使用 社区信息焦点小组研究以了解AI青春期女性以下问题：（1） 学习和谈论月经； （2）学校的月经教育； （3）获得第一阶段； （4） 准备月经； （5）月经的看法； （6）传统月经习俗； （7）学习 如何使用月经产品； （8）基于学校的月经经历，包括教师行为和 感知的态度； （9）月经优势。 AIM 1A的目的是尽早比较/对比 和青春期晚期经验。 AIM 2还将使用社区信息焦点小组研究 了解基于预订的中学或中学的教育工作者以下问题：（1）频率 他们通过与月经有关的问题协助学生； （2）月经产品的存在 在教室里； （3）对学校的月经经历的看法； （4）舒适 与学生解决与月经有关的问题； （5）当一个女孩经历自己的时期时采取的行动 教室； （6）传统月经习俗； （7）月经对学生学习的影响。 AIM 2A将专注于比较和对比教师的经验，看法和舒适水平 通过人群，虽然AIM 2B会比较和对比教师的经历和看法 那些青少年。这些发现将用于确定未来的干预焦点和方法来解决 该人群与月经有关的问题。这项研究的重点是创新的，填补了努力的关键空白 为了进一步理解和消除AI青春期女孩之间的健康差异，其发现将奠定 设计和实施文化适当干预措施解决月经的基础 - AI青春期女孩的相关差异。