Risks and protective factors for unintended pregnancy in women with disabilities

残疾妇女意外怀孕的风险及保护因素

基本信息

批准号：
9111562
负责人：
JEANNE L ALHUSEN
金额：
$ 27.84万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-05-20 至 2018-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9111562
关键词：
Address Affordable Care Act Alcohol or Other Drugs use Birth Caring Child Cognition Cognitive Communities Complex Data Data Set Development Disabled Persons Discrimination Ensure Evaluation Evidence based intervention Exposure to Family Family Planning Female of child bearing age Foundations Future Goals Growth Health Health Insurance Health Personnel Health Planning Health Promotion Healthcare Healthy People 2020 Hearing Improve Access Incidence Income Infant Infant Mortality Interdisciplinary Study Intervention Interview Knowledge Life Link Low Birth Weight Infant Maternal and Child Health Mediating Mental Depression Mental Health Methods Mining Monitor National Institute of Child Health and Human Development Outcome Personal Satisfaction Planned Pregnancy Policies Preconception Care Pregnancy Pregnancy Outcome Premature Birth Prenatal care Prevalence Prevention Preventive Intervention Provider Recommendation Recruitment Activity Reproductive Health Research Research Personnel Risk Risk Factors Role Rural Sampling Stress Surveys Testing Transportation Underserved Population United States Violence Vision Wit Woman Women&apos s Group adverse pregnancy outcome aged design disability early childhood ethnic minority population evidence base experience health care service health disparity improved intimate partner violence low socioeconomic status maternal stress meetings member peripartum depression population based prevent public health relevance racial and ethnic residence therapy development unintended pregnancy working group

项目摘要

DESCRIPTION (provided by applicant) Nearly half of all pregnancies in the United States are unintended. Preventing unintended pregnancy is critical to optimize pregnancy outcomes as unintended pregnancy is strongly associated with inadequate prenatal care, poor maternal mental health, and adverse birth and early childhood outcomes. Unintended pregnancy may be particularly salient for the approximately 11% of U.S. women of childbearing age with disabilities, who are more likely to be of low socioeconomic status, to lack health insurance, and to experience intimate partner violence (IPV), all factors associated with unintended pregnancy. Yet research describing the incidence or correlates of unintended pregnancy among women with disabilities is extremely limited. To address this gap our multi-disciplinary team, together with a community advisory board of diverse women living with disabilities, proposes a mixed-methods study to meet the following specific aims: 1) To identify risk and protective factors for unintended pregnancy among women with disabilities and to compare these factors across women with and without disabilities; 2) To examine whether receipt of reproductive health care services moderates or mediates the association between disability and unintended pregnancy; and 3) to explore the experiences and barriers to reproductive health care of diverse women with disabilities who have experienced unintended pregnancy, including personal, interpersonal, and physical factors, as well as women's own priorities for intervention development. We will analyze recently released data from the 2011-13 National Survey for Family Growth (NSFG) (N=5600), the first population-based survey to employ evidence-based data standards set forth by the Affordable Care Act for defining disability. Quantitative findings will then inform qualitative interviews wit a sample of women with disabilities (N=50), recruited purposively to maximize diversity in terms of disability type (i.e., racial/ethnic minority status, and urban/rural residence. Study findings wil be the first to quantify the prevalence of unintended pregnancy, and risk and protective factors for unintended pregnancy, among a historically marginalized group of women who have frequently experienced disparities in health care. Further, qualitative interviews with women living with diverse disabilities will explore additional factors, not fully captured in the NSFG, to best understand barriers to optimal reproductive health care. Importantly, hearing, vision, cognition, mobility) this research will also serve as the foundation for the development and evaluation of future prevention interventions, including our own team's planned R01 submission to support development and testing of an evidence-based intervention to support effective preconception care, prevent unintended pregnancies, and thereby optimize pregnancy outcomes for women of childbearing age living with disability.

描述（由申请人提供）预期的几乎一半是预期的。（IPV），与意外的任何因素相关。在残疾人中意外的遗物，并比较妇女h的因素，而没有依据，也没有意外的怀孕； 3）以及妇女自身国际发展的优先事项。有目的的妇女（n = 50），目的是为了最大程度地提高残疾类型的多样性（即状态和城市/农村住所。 d医疗保健方面的差异。基于干预有效的护理，防止意外怀孕的育龄患有残疾的妇女。