Women's Reproductive Health Care in the Transition from Adolescence to Adulthood

从青春期到成年期的妇女生殖保健

• 批准号: 7899771
• 负责人: Jillian T Henderson
• 金额: $ 10.78万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-08-15 至 2012-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7899771
• 关键词: Acute; Address; Adolescence; Adolescent; Adult; Affect; California; Contraceptive Usage; Cross-Sectional Studies; Data; Data Analyses; Demography; Discipline of obstetrics; Doctor of Philosophy; Family; Female Adolescents; Growth; Gynecology; Health; Health Services Accessibility; Health Surveys; Healthcare; Healthcare Systems; Knowledge; Life; Living Arrangement; Longitudinal Surveys; Master of Public Health; Measures; Mentors; Occupations; Outcome; Postdoctoral Fellow; Qualitative Methods; Qualitative Research; Reproductive Health; Reproductive Health Services; Research; Resources; Sampling; San Francisco; Science; Statistical Methods; Surveys; Technology; United States; Universities; Woman; Women' s Health; design; emerging adult; experience; health training; improved; interest; racial and ethnic disparities; reproductive; sexually active; social inequality; unintended pregnancy; young adult

DESCRIPTION (provided by applicant): Jillian T. Henderson, Ph.D., M.P.H. is currently a postdoctoral fellow in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco (UCSF). She is primarily interested in research aimed at improving women's access to reproductive health services and technologies, and addressing social inequalities in health. With mentoring from leading scholars in demography and reproductive health, and training in demography, advanced statistical methods, and qualitative research, she will examine young women's reproductive health care in the transition from adolescence to young adulthood. Rates of unintended pregnancy and STI acquisition are most prevalent during the transition from adolescence to adulthood, as young women become sexually active, and tend to experience major shifts in living arrangements, occupation, and relationships. In the United States, these changes may disrupt already tenuous health care contacts or the necessity of reproductive health care may become more acute without a corresponding level of knowledge about how to navigate the health care system. The proposed study will investigate how young women use health care, differences in access among women with different resources and life circumstances, and the contributions of health care use to contraceptive use and other reproductive health outcomes. Specifically, the study will: 1) examine young women's health care access across the transition from adolescence to early adulthood; 2) investigate the relationship of health care to reproductive health outcomes; 3) examine the contribution of health care to sociodemographic and racial/ethnic disparities in reproductive health outcomes; and, 4) develop measures related to health care use during the transition from adolescence to early adulthood. Secondary analysis of data from the National Survey of Family growth and the National Longitudinal Survey of Adolescent Health will be conducted, and a qualitative study of young adult women will be undertaken.

描述（由申请人提供）： Jillian T. Henderson，博士，公共卫生硕士目前是加州大学旧金山分校 (UCSF) 妇产科和生殖科学系的博士后研究员。她主要感兴趣的是旨在改善妇女获得生殖健康服务和技术的机会以及解决健康方面的社会不平等问题的研究。在人口学和生殖健康领域顶尖学者的指导下，以及人口学、先进统计方法和定性研究方面的培训，她将研究年轻女性在从青春期到成年早期的过渡过程中的生殖保健问题。意外怀孕和性传播感染的发生率在从青春期到成年的过渡期间最为普遍，因为年轻女性性行为变得活跃，并且往往会经历生活安排、职业和人际关系的重大转变。在美国，这些变化可能会扰乱本已脆弱的医疗保健联系，或者如果没有相应水平的关于如何驾驭医疗保健系统的知识，生殖保健的必要性可能会变得更加迫切。拟议的研究将调查年轻女性如何使用医疗保健、具有不同资源和生活环境的妇女在获得医疗服务方面的差异，以及医疗保健的使用对避孕药具使用和其他生殖健康结果的贡献。 具体来说，该研究将： 1）调查年轻女性从青春期到成年早期的过渡时期的医疗保健获取情况； 2）调查医疗保健与生殖健康结果的关系； 3) 审查卫生保健对生殖健康结果中社会人口和种族/民族差异的影响； 4) 制定与青春期到成年早期过渡期间医疗保健使用相关的措施。将对全国家庭成长调查和全国青少年健康纵向调查的数据进行二次分析，并对年轻成年妇女进行定性研究。