Smokeless Tobacco Use and Reproductive Health Among Married Women in a Low-income

低收入已婚妇女的无烟烟草使用与生殖健康

基本信息

批准号：
7694646
负责人：
Jean J Schensul
金额：
$ 5.66万
依托单位：
INSTITUTE FOR COMMUNITY RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-01 至 2012-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7694646
关键词：
Accounting Acquired Immunodeficiency Syndrome Address Advertising Affect Age Alcohol consumption Alcohol or Other Drugs use Alcohols Area Behavior Therapy Belief Biometry Birth Burn injury Categories Collaborations Communities Conflict (Psychology)Connecticut Data Decision Making Development Dimensions Doctor of Philosophy Drug usage Early treatment Economics Educational workshop Electronics Epidemiologic Studies Ethnography Event Face Family Feedback Female Fetal Development Film Focus Groups Foundations Funding Gender Grant HIV/STD Harm Reduction Head Health Household Human Resources India Individual Institutes Institution International Intervention Intervention Studies Interview Journals Life Life Stress Low Birth Weight Infant Low income Maps Marketing Marriage Medical Research Methodology Methods Morbidity - disease rate National Institute of Drug Abuse National Institute on Alcohol Abuse and Alcoholism Natural History Newspapers Oral Tobacco Outcome Paste substance Pathway interactions Pattern Perception Persuasive Communication Pharmaceutical Preparations Pilot Projects Play Population Sciences Pregnancy Premature Birth Prevention Preventive Public Health Qualitative Methods Qualitative Research Radio Recording of previous events Reproductive Health Reproductive History Research Research Institute Research Methodology Research Personnel Risk Role Role Concepts Sampling Scientist Senior Scientist Sexuality Shapes Site Slum Smokeless Smokeless Tobacco Social Marketing Staging Survey Methodology Surveys Symptoms Techniques Television Time Tobacco Tobacco use Training Translations United States National Institutes of Health Unmarried Violence Woman Women&apos s Health Work Youth base behavioral/social science community setting comparative contextual factors cost drinking drinking behavior ecstasy experience improved innovation interest lifestyle factors male men mortality parent grant programs protective behavior psychologic psychosocial public health relevance reproductive sex social therapy development tobacco control tobacco prevention young adult

项目摘要

DESCRIPTION (provided by applicant): This FIRCA application entitled "Smokeless Tobacco Use And Reproductive Health Among Women Users In A Low Income Community Of Mumbai" proposes to explore the use of new and highly addictive forms of smokeless tobacco increasingly used by Indian women during their reproductive years. Smokeless tobacco use is increasing dramatically among women in India and has been shown to contribute to reproductive health problems including premature birth, low birth weight, still birth and maternal morbidity among (low income) Indian women. The study will be conducted with Drs. Saritha Nair, Scientist and Donta Balaiah, Deputy Director and Scientist, National Institute for Research on Reproductive Health, Mumbai and is an extension of NIH Grant number 1 R01 DA020393-01A2. The five study aims are: 1) to conduct qualitative research with a sample of 90 women and 20 community experts in one large low income/slum area of Western Mumbai on the meanings, and practices associated with smokeless tobacco during three stages in reproductive history, immediately post marriage, during first (or second) pregnancy, and between 2nd and 4th pregnancy. 2) to understand marketing, promotion and availability of SL to low income women; 3) to conduct a survey with 400 women in one low income/slum area of western Mumbai known to be receptive to prevention studies, approximately 125 in each reproductive health category. 4) to use data to generate and evaluate social acceptability of intervention approaches with women in the study community and others affected by smokeless tobacco use: 5) to increase capacity of NIRRH, the partner organization, to conduct social and behavioral intervention research on smokeless tobacco and reproductive health issues in India through capacity building training on qualitative research methods, tobacco's implications for morbidity and mortality prior to, after and during pregnancy and proposal development. The proposed research will contribute to culturally and contextually appropriate interventions focused on smokeless tobacco prevention and cessation among women in low income communities of Mumbai. Consultants to the study will include P.C. Gupta, Ph.D. internationally recognized expert on tobacco use/control in India and tobacco use, pregnancy and female morbidity and mortality, Stephen Schensul, Ph.D., and partners conducting intervention research in a similar community on life stress (tenshun), perceived reproductive health symptoms (kamjori and safed pani) marital conflict and STI/HIV risk. Other Indian and U.S. consultants will be added to capacity building workshops each year based on topic. Significance lies in the study's capacity to address a critical public health problem in India, the apparent increase in risky and addictive new forms of smokeless tobacco with potentially serious implications for pregnancy and morbidity and mortality of women, and to provide the basis for educational and other forms of appropriate intervention to reduce smokeless tobacco use, a practice intertwined with other aspects of their lives, among women of reproductive age. PUBLIC HEALTH RELEVANCE: This study addresses a significant public health problem unique to the Indian context, the growing use of dangerous and addictive forms of smokeless tobacco among women living in low-income urban communities. New ways of conducting research to highlight the cultural and contextual factors contributing to smokeless tobacco use among women of reproductive age will contribute to the development of situationally and culturally appropriate interventions in the India context, and to multilevel approaches that can be applied to diverse communities of smokeless tobacco users in the U.S.

描述（由申请人提供）：这份题为“孟买低收入社区女性用户的无烟烟草使用和生殖健康”的 FIRCA 申请建议探索印度妇女在生育期间越来越多地使用新型且高度成瘾的无烟烟草形式。生育年数。印度妇女的无烟烟草使用量急剧增加，并已被证明会导致生殖健康问题，包括早产、低出生体重、死产和（低收入）印度妇女的孕产妇发病率。该研究将与博士一起进行。孟买国家生殖健康研究所科学家 Saritha Nair 和副主任兼科学家 Donta Balaiah 是 NIH 拨款号 1 R01 DA020393-01A2 的延伸。这五个研究目标是：1) 对孟买西部一大片低收入/贫民窟地区的 90 名妇女和 20 名社区专家进行定性研究，研究生殖史三个阶段与无烟烟草相关的含义和做法，婚后立即、第一次（或第二次）怀孕期间以及第二次和第四次怀孕期间。 2) 了解 SL 对低收入女性的营销、促销和可用性； 3) 对孟买西部一个已知愿意接受预防研究的低收入/贫民窟地区的 400 名妇女进行一项调查，每个生殖健康类别大约有 125 名妇女。 4) 使用数据来生成和评估对研究社区中的妇女和其他受无烟烟草使用影响的人的干预方法的社会可接受性： 5) 提高合作组织 NIRRH 对无烟烟草进行社会和行为干预研究的能力通过关于定性研究方法、烟草对怀孕前、怀孕后和怀孕期间发病率和死亡率的影响以及提案制定的能力建设培训，解决印度的生殖健康问题。拟议的研究将有助于在文化和背景上采取适当的干预措施，重点关注孟买低收入社区妇女的无烟烟草预防和戒烟。该研究的顾问包括 P.C.古普塔博士印度烟草使用/控制以及烟草使用、怀孕和女性发病率和死亡率方面国际公认的专家 Stephen Schensul 博士和合作伙伴在类似的社区中针对生活压力（tenshun）、感知的生殖健康症状（感知的生殖健康症状）进行干预研究（ kamjori 和 safed pani）婚姻冲突和性传播感染/艾滋病毒风险。每年都会根据主题增加其他印度和美国顾问参加能力建设研讨会。其意义在于该研究能够解决印度的一个关键公共卫生问题，即有风险和成瘾的新型无烟烟草明显增加，对妇女的怀孕和发病率和死亡率有潜在的严重影响，并为教育和其他方面提供基础。减少育龄妇女无烟烟草使用的适当干预措施，这种做法与她们生活的其他方面交织在一起。公共卫生相关性：本研究解决了印度特有的一个重大公共卫生问题，即生活在低收入城市社区的妇女越来越多地使用危险且令人上瘾的无烟烟草。开展研究以强调导致育龄妇女使用无烟烟草的文化和背景因素的新方法将有助于在印度背景下制定适合情况和文化的干预措施，并有助于制定可应用于印度不同社区的多层次方法。美国的无烟烟草使用者