The Effects of Unintended Pregnancy on Children

意外怀孕对儿童的影响

• 批准号: 10440519
• 负责人: Martha Jane Bailey
• 金额: $ 65.52万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10440519
• 关键词: Adult; Age; Behavior; Birth; Birth Certificates; Birth Records; Career Mobility; Censuses; Child; Child Health; Child Rearing; Childhood; Clinic; Consent; Contraceptive Agents; Contraceptive methods; Cost-Benefit Analysis; Criminal Justice; Data; Dimensions; Disadvantaged; Education; Elderly; Employment; Enrollment; Etiology; Evaluation; Evaluation Studies; Facebook; Family; Family Planning; Family Planning Policy; Family Planning Programs; Funding; Health; Health Insurance; Health Policy; Health system; Healthcare; Heterogeneity; Income; Intervention; Life; Link; Long-Term Effects; Medicaid; Michigan; Mothers; Outcome; Parents; Participant; Personal Satisfaction; Planned Parenthood Federation of America; Policies; Poverty; Principal Investigator; Privatization; Public Health; Public Policy; Quasi-experiment; Race; Randomized; Randomized Controlled Trials; Recontacts; Records; Reporting; Research; Resources; Role; Running; Sample Size; Sampling; Schools; Siblings; Social Sciences; Subgroup; Surveys; Taxes; Time; Twitter; United States; United States Public Health Service; Woman; college; cost; data infrastructure; experimental study; foster care; health knowledge; improved; innovation; intergenerational; novel; post intervention; recruit; reproductive health intervention; research study; social media; treatment effect; unintended pregnancy; voucher

ABSTRACT In the United States, nearly half of pregnancies are unintended, and unintended pregnancies occur five times more often among poor women compared to affluent women. The proposed project investigates how providing access to free contraceptives impacts unintended pregnancy and, ultimately, the lives of children—both children whose births are unintended and their older siblings who may lose resources (both material resources and time) as a result of a mother’s unintended pregnancy. The proposed project significantly expands the scope of Michigan Contraceptive Access, Research, and Evaluation Study (M-CARES), a large-scale, randomized control trial that provides no-cost access to any type of contraception and tracks women longitudinally in surveys and rich, administrative data. The proposed project aims to: (1). Double the M-CARES recruitment period and increase the sample of children born before the intervention that are in the study by 1,000; (2). Develop and field two survey supplements (year 2 and year 4 post enrollment) of M-CARES participants to ask about (a) intendedness of each birth (pre- and post-intervention), (b) time and money spent on each child, (c) parenting practices, and (d) children’s health, schooling, extra- curricular activities, behavior and well-being; (3). Compile comprehensive longitudinal data using surveys (aim 2) and administrative records to document the outcomes of the children of M-CARES participants in (a) the short-term (5-year study period) and (b) long-term (until children reach age 18); and (4). Evaluate the causal effects of mothers’ access to free contraception on children’s outcomes in survey data (aims 2a-d) and administrative records (3a), including heterogeneity analyses by income, race, and education. Achieving these aims will contribute to social science and public health policy by providing novel experimental evidence on the understudied, intergenerational effects of making contraception free to women within the existing U.S. public health system. This study will, therefore, contribute to a larger cost-benefit analysis of a feasible and easy to implement reproductive health intervention—an intervention that potentially helps break the cycle of poverty and improve children’s life-time opportunities.

抽象的 在美国，几乎一半的怀孕是意外的，意外怀孕发生了五次 与影响妇女相比，贫困女性中更多。拟议的项目调查了如何提供 获得免费避孕药会影响意外怀孕，最终会影响儿童的生活 - 包括儿童 他们的出生是意外的，他们的年长兄弟姐妹可能会失去资源（物质资源和时间） 由于母亲的意外怀孕。 拟议的项目大大扩大了密歇根州的避孕范围，研究和 评估研究（M-CARES），这是一项大规模的随机控制试验，可无效访问任何类型 在调查和富裕的行政数据中，避孕和追踪妇女。拟议的项目 目的是： （1）。将M-CARES的招聘期加倍，并增加在 研究中的干预措施是1,000； （2）。开发和现场M-cares的两个调查补品（2年级和第4年入学后） 参与者要询问（a）每个出生的预期性（干预前后），（b）时间和时间 在每个孩子上花钱，（c）育儿习惯，以及（d）儿童健康，上学，额外的 课程活动，行为和福祉； （3）。使用调查（AIM 2）和行政记录编译全面的纵向数据 记录（a）短期（5年研究）中M-CARES参与者的孩子的结果 时期）和（b）长期（直到儿童年满18岁）；和 （4）。评估母亲获取免费避孕对儿童结果调查数据结果的因果关系 （AIMS 2A-D）和行政记录（3A），包括根据收入，种族和 教育。 实现这些目标将通过提供新颖的实验性来为社会科学和公共卫生政策做出贡献 关于使避孕自由避孕妇女在现有的中自由避孕的证据的证据 美国公共卫生系统。因此，这项研究将有助于对可行和 易于实施复制品健康干预措施 - 干预措施可能有助于破坏 贫穷并改善儿童的终身机会。