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.

摘要 在美国，近一半的怀孕是意外的，意外怀孕发生5次 与富裕妇女相比，贫穷妇女更经常这样做。该项目旨在研究如何提供 获得免费避孕药具会影响意外怀孕，并最终影响儿童的生活， 他们的出生是意外的，他们的哥哥姐姐可能会失去资源（包括物质资源和时间） 因为母亲意外怀孕 拟议的项目大大扩大了密歇根州避孕药具获得、研究和 评估研究（M-CARES），一项大规模随机对照试验，提供任何类型的免费访问 并在调查和丰富的管理数据中纵向跟踪妇女。拟建项目 旨在： （一）.将M-CARES的招募期延长一倍，并增加2010年之前出生的儿童的样本。 研究中的1,000个干预措施; （二）、制定和实施两份M-CARES调查补充材料（入学后第2年和第4年） 参与者询问（a）每次分娩的意图（干预前和干预后），（B）时间和 （c）养育子女的做法，以及（d）儿童的健康、上学、课外活动、 课程活动、行为和福祉; （三）、利用调查（目标2）和行政记录汇编全面的纵向数据， 记录M-CARES参与者的子女在（a）短期（5年）研究中的结果 时期）和（B）长期（直到儿童年满18岁）;以及 （四）、评估调查数据中母亲获得免费避孕对儿童结局的因果影响 (aims 2a-d）和行政记录（3a），包括按收入、种族和 教育 实现这些目标将有助于社会科学和公共卫生政策，提供新的实验 关于在现有体制内向妇女免费提供避孕药具的未充分研究的代际影响的证据 美国公共卫生系统。因此，这项研究将有助于对一项可行的、 易于实施的生殖健康干预措施----这种干预措施可能有助于打破生殖健康的恶性循环， 贫困和改善儿童的生活机会。