Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino Youth

对多代移民拉丁裔青年的前瞻性研究中的情绪健康和生殖健康

• 批准号: 10462593
• 负责人: Marissa Raymond-Flesch
• 金额: $ 17.2万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10462593
• 关键词: Acculturation; Adolescence; Adolescent; Adolescent Development; Adolescent Medicine; Adolescent and Young Adult; Adult; Affect; Award; Behavior; Biometry; California; Child; Collaborations; Communication; Communities; Contraceptive methods; Data; Data Analyses; Data Collection; Development; Emotional; Epidemiology; Equipment and supply inventories; Ethnic group; Evidence based intervention; Family; Fellowship; Gender; Generations; Goals; Grant; Health; Health Policy; Health behavior; Immigrant; Individual; Institutes; Intervention; Interview; Intuition; Language; Latina Population; Latino; Latino Population; Link; Master of Public Health; Measures; Medicine; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Modeling; Mood Disorders; Mothers; Outcome; Parents; Participant; Partner Communications; Population; Positioning Attribute; Pregnancy; Pregnancy Rate; Pregnancy in Adolescence; Prospective Studies; Prospective cohort study; Public Health Education; Qualitative Methods; Qualitative Research; Questionnaires; Race; Recording of previous events; Reduce health disparities; Reproductive Health; Research; Research Methodology; Research Personnel; Research Training; Risk; Role; Rural Population; Series; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Stress; Suicide; Teenagers; Trauma; United States; United States National Institutes of Health; Universities; Vulnerable Populations; Well in self; Work; Youth; adolescent health; aged; agricultural community; base; career; career development; child depression; community engaged research; condoms; coping mechanism; depressive symptoms; design; early adolescence; eighth grade; experience; falls; family influence; follow-up; health disparity; high risk; high school; longitudinal analysis; migration; positive youth development; pregnant; prospective; psychosocial development; public health relevance; recruit; reproductive coercion; reproductive health of adolescents; research and development; sexual debut; skills; social; social science research; unintended pregnancy; vulnerable adolescent; young adult

Project Summary/Abstract This is an application for a K23 award for Marissa Raymond-Flesch, MD, MPH, whose research focuses on the reproductive health and health disparities of Latino adolescents. She has completed three primary data collection projects utilizing community-engaged qualitative methods and has been contributing to the Salinas Teen Health Study, on which this application builds, for the past two years. Her research training includes a masters of public health and fellowships in Adolescent Medicine and Health Policy. Through the activities proposed in this application Dr. Raymond-Flesch will build skills in cross-sectional and longitudinal quantitative data analysis. She will benefit from UCSF's nationally recognized Division of Adolescent and Young Adult Medicine and Institute for Health Policy Studies as well as the university's course work in biostatistics and research methodology. In addition, UCSF will continue to support her productive collaboration with the Salinas Teen Health Study team at RTI. Across these intuitions Dr. Raymond-Flesch has established an experienced mentoring team with expertise in epidemiology, mixed methods research, and adolescent reproductive and mental health. By the completion of this award she will be well positioned to launch a career as an independent investigator, including applying for an R01 award. Informed by the social ecological model, this proposal builds on the Salinas Teen Health Study (R01- HD075787), a prospective cohort study of 600 Latino adolescents over two years as they transition from early to middle adolescence in a Californian agricultural community. Latino youth experience a variety of health disparities, including higher rates of depression and adverse reproductive health outcomes (unintended pregnancy and sexually transmitted infections). Current evidence links depression with negative sexual and reproductive health outcomes in adults, but there is a paucity of research on these associations in Latino adolescents. Additionally, data on how immigrant generation affects these outcomes for Latino adolescents are limited. Dr. Raymond-Flesch's specific aims include a quantitative analysis of the associations between depressive symptoms and sexual and reproductive health outcomes at baseline across first, second, and third generation Latino early adolescents (Aim 1); longitudinal analysis of two years of quantitative data to determine the effect of depressive symptoms during early adolescence on subsequent sexual and reproductive health (Aim 2); qualitative analysis of youth interviews to describe how emotional wellbeing influences sexual and reproductive health (Aim 3); and qualitative interviews with mothers to characterize early environmental and structural factors affecting emotional wellbeing, psychosocial development, and sexual and reproductive health for Latino youth (Aim 4). The roles of immigrant generation and protective family influences will be examined across all aims. At the conclusion of this award Dr. Raymond-Flesch will apply findings to the development of a R01 application for a culturally informed intervention to reduce mental and reproductive health disparities.

项目总结/摘要 这是Marissa Raymond-Flesch，MD，MPH的K23奖申请，其研究 重点关注拉丁美洲青少年的生殖健康和健康差异。她已经完成了三个 利用社区参与的定性方法的原始数据收集项目，并一直在促进 萨利纳斯青少年健康研究，本应用程序的基础上，在过去的两年。她的研究训练 包括公共卫生硕士学位和青少年医学和卫生政策奖学金。通过 雷蒙德-弗莱施博士将在本申请中提出的活动中培养横截面和纵向的技能 定量数据分析。她将受益于加州大学旧金山分校全国公认的青少年部， 青年成人医学和卫生政策研究所以及大学的课程工作， 生物统计学和研究方法。此外，UCSF将继续支持她富有成效的合作， 萨利纳斯青少年健康研究小组的研究。通过这些直觉， 一个经验丰富的指导团队，在流行病学，混合方法研究和青少年 生殖健康和精神健康。通过这个奖项的完成，她将很好地定位，推出一个职业生涯 作为独立调查员，包括申请R 01奖。 根据社会生态模型，该提案建立在萨利纳斯青少年健康研究（R 01- HD 075787），这是一项为期两年的前瞻性队列研究，涉及600名拉丁裔青少年， 在加州的一个农业社区度过了青春期中期。拉丁裔青年体验各种健康 差异，包括抑郁症和不良生殖健康结果的发生率较高（意外 怀孕和性传播感染）。目前的证据表明抑郁症与消极的性生活和 成年人的生殖健康结果，但对拉丁美洲人这些协会的研究很少 青少年。此外，关于移民一代如何影响拉丁裔青少年这些结果的数据是 有限公司Raymond-Flesch博士的具体目标包括定量分析 第一次、第二次和第三次基线时的抑郁症状与性健康和生殖健康结局 拉丁裔早期青少年（目标1）;两年定量数据的纵向分析，以确定 青春期早期抑郁症状对随后性健康和生殖健康的影响 (Aim 2）;青年访谈的定性分析，以描述情绪健康如何影响性和 生殖健康（目标3）;与母亲进行定性访谈，以确定早期环境和 影响情感健康、心理社会发展以及性健康和生殖健康的结构性因素 拉丁美洲青年（目标4）。移民一代的作用和保护性的家庭影响将被审查 所有目标。在这个奖项的结论博士雷蒙德Flesch将应用研究结果的发展， R 01：为减少精神和生殖健康差距而采取文化知情干预措施的申请。

项目成果

Disparities in access to eating disorders treatment for publicly-insured youth and youth of color: a retrospective cohort study.

• DOI: 10.1186/s40337-022-00730-7
• 发表时间: 2023-01-24
• 期刊: JOURNAL OF EATING DISORDERS
• 影响因子: 4.1
• 作者: Moreno, Ruby;Buckelew, Sara M.;Accurso, Erin C.;Raymond-Flesch, Marissa
• 通讯作者: Raymond-Flesch, Marissa

Early Sexual Debut and Neighborhood Social Environment in Latinx Youth.

• DOI: 10.1542/peds.2021-050861
• 发表时间: 2022-03-01
• 期刊: PEDIATRICS
• 影响因子: 8
• 作者: Minnis, Alexandra M.;Browne, Erica N.;Chavez, Marisol;McGlone, Linda;Raymond-Flesch, Marissa;Auerswald, Colette
• 通讯作者: Auerswald, Colette

Social environment risk factors for violence, family context, and trajectories of social-emotional functioning among Latinx adolescents.

• DOI: 10.1002/jad.12088
• 发表时间: 2022-12
• 期刊: JOURNAL OF ADOLESCENCE
• 影响因子: 3.8
• 作者: Stoner, Marie C D;Browne, Erica N;Raymond-Flesch, Marissa;McGlone, Linda;Morgan-Lopez, Antonio;Minnis, Alexandra M
• 通讯作者: Minnis, Alexandra M

Labeling in a Latinx Community: Public Health Implications for Youth and Role in Community Narratives.

拉丁裔社区中的标签：对青少年的公共卫生影响和社区叙事中的作用。

• DOI: 10.21203/rs.3.rs-2626181/v1
• 发表时间: 2023
• 期刊: Research square
• 作者: Caballero,Elodia;Minnis,Alexandra;Parmar,Deepika;Zerofsky,Melissa;Comfort,Megan;Raymond-Flesch,Marissa
• 通讯作者: Raymond-Flesch,Marissa

Family and School Connectedness Associated with Lower Depression among Latinx Early Adolescents in an Agricultural County.

• DOI: 10.1002/ajcp.12499
• 发表时间: 2021-09
• 期刊: American journal of community psychology
• 影响因子: 3.1
• 作者: Raymond-Flesch M;Browne EN;Auerswald C;Minnis AM
• 通讯作者: Minnis AM