Teen Mothers’ Prenatal Cannabis Use and Co-Use with Tobacco

青少年母亲——产前大麻的使用以及与烟草的共同使用

• 批准号: 10555381
• 负责人: Natacha Marie De Genna
• 金额: $ 22.23万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10555381
• 关键词: Administrative Supplement; Adolescent and Young Adult; Adult; Age; Alcohols; Cannabis; Cigarette; Clinic; Collaborations; Communities; Discrimination; English Language; English Learner; Face; Feedback; Funding; Health Promotion; Human; Immigrant; Immigration; Individual; Infrastructure; Interpersonal Violence; Interview; Language; Language Development; Linguistics; Link; Longitudinal Studies; Low Birth Weight Infant; Maternal and Child Health; Measures; Mental Depression; Mental Health; Methods; Not Hispanic or Latino; Parents; Participant; Persons; Plant Roots; Play; Policies; Population; Postpartum Period; Poverty; Pregnancy; Premature Infant; Process; Prospective cohort study; Protocols documentation; Public Health; Race; Reproductive Health; Research; Research Project Grants; Resources; Risk; Role; Services; Shapes; Social support; Stress; Structural Racism; Substance Use Disorder; Tobacco; Tobacco use; Translating; Trauma; Trust; Underrepresented Populations; United States National Institutes of Health; Voice; Woman; Women' s Health; Work; Youth; adverse pregnancy outcome; base; cigarette smoking; community engagement; community partnership; depressive symptoms; disparities in morbidity; experience; girls; health disparity; human centered design; infant morbidity; innovation; interest; intersectionality; intimate partner violence; lens; marijuana use; marijuana use in pregnancy; maternal morbidity; meetings; new growth; parent project; pilot test; pregnant; pregnant teen; prenatal; prenatal risk factor; programs; racism; rapid growth; recruit; response; smoking cessation; substance use; teenage mother; theories; tool; underserved community; unintended pregnancy

This is a proposal for an administrative supplement in response to NOT-OD-22-03: Notice of Special Interest (NOSI): Research on the Health of Women of Understudied, Underrepresented and Underreported (U3) Populations. Structural racism and discrimination (SRD) has been linked to adverse pregnancy outcomes among Latine girls and women, especially those who identify as English language learners (ELL; also called limited English proficient or non-English speaking) and immigrants. SRD create compounding challenges for ELL Latine immigrant pregnant girls and women from emerging or “new growth” Latine communities that have seen rapid growth and may lack the structural and social supports available in established Latine communities. SRD may impact maternal and child health among adolescent and young adult (AYA) pregnant ELL Latine immigrants by interacting with substance use, intimate partner violence (IPV), and depression, all of which are prevalent in this group. In the proposed study, we will be pursuing the aims of the YoungMoms project (R01046401) a mixed-methods longitudinal study of cannabis and tobacco use in AYA pregnant and postpartum people in Pittsburgh. We will leverage our partnerships with community leaders at Casa San José and the Salud Para Niños program to recruit pregnant and postpartum ELL immigrant Latine AYA to contextualize SRD, IPV and depression in this underserved community and to adapt the YoungMoms protocol. The YoungMoms project currently measures discrimination related to racism with the Everyday Discrimination measure, as well as substance use, depressive symptoms and IPV. However, ELL Latine people, who are under-represented in research, are currently excluded from the YoungMoms project because study materials are only available in English. They also may have experiences that are not captured by the current YoungMoms measures. We seek supplemental funding to achieve two aims: (1) conduct interviews with postpartum ELL immigrant Latine ages 14-24 to better understand how SRD intersects with substance use, IPV, and depression; and (2) use the Method for Program Adaptation through Community Engagement process and human centered design to translate, pilot test, and refine the protocols and measures for the YoungMoms study so that they are linguistically and culturally affirming for pregnant ELL immigrant Latine AYA in Pittsburgh. This community-partnered research project will center the voices of this population with the use of qualitative interviews and innovative community collaborative meeting activities. Results from this proposal will inform expansion of recruitment for the YoungMoms study to also include Latine ELL people, advance our understanding of how SRD impacts pregnant ELL Latine AYA, and establish tools and methods for further research to promote the health and thriving of Latine people from emerging communities.

这是针对 NOT-OD-22-03：特别兴趣通知的行政补充提案 (NOSI)：研究不足、代表性不足和报告不足的妇女健康研究 (U3) 人口。结构性种族主义和歧视（SRD）与不良妊娠结局有关 拉丁裔女孩和妇女，尤其是那些被认为是英语学习者（ELL；也称为 英语水平有限或不会说英语）和移民。 SRD 带来了复杂的挑战 ELL 来自新兴或“新增长”拉丁社区的拉丁移民怀孕女孩和妇女 增长迅速，但可能缺乏现有拉丁社区的结构和社会支持。 SRD 可能会影响怀孕青少年 (AYA) 的孕产妇和儿童健康 ELL Latine 移民与药物滥用、亲密伴侣暴力（IPV）和抑郁症相互作用，所有这些都是 普遍存在于这个群体中。在拟议的研究中，我们将追求 YoungMoms 项目的目标 (R01046401) AYA 怀孕和吸烟者使用大麻和烟草的混合方法纵向研究 匹兹堡的产后人士。我们将利用与卡萨圣何塞社区领袖的合作关系 Salud Para Niños 计划招募怀孕和产后 ELL 移民拉丁裔 AYA 将 SRD、IPV 和抑郁症置于这个服务不足的社区中，并调整 YoungMoms 协议。 YoungMoms 项目目前通过日常歧视来衡量与种族主义相关的歧视 测量，以及物质使用、抑郁症状和 IPV。然而，ELL 拉丁裔人士 在研究中代表性不足，目前被排除在 YoungMoms 项目之外，因为研究材料 仅提供英文版本。他们也可能有当前未涵盖的经历 年轻妈妈的措施。我们寻求补充资金以实现两个目标：（1）对 产后 ELL 移民拉丁裔年龄 14-24 岁，以更好地了解 SRD 如何与物质使用交叉， IPV 和抑郁症； (2) 使用通过社区参与进行项目调整的方法 流程和以人为本的设计，以翻译、试点测试和完善协议和措施 YoungMoms 进行研究，以便在语言和文化上肯定怀孕的 ELL 移民拉丁裔 AYA 在匹兹堡。这个社区合作的研究项目将通过使用来集中这一人群的声音 定性访谈和创新的社区协作会议活动。该提案的结果 将通知扩大 YoungMoms 研究的招募范围，将拉丁裔 ELL 人员纳入其中，推进我们的研究 了解 SRD 如何影响怀孕的 ELL 拉丁语 AYA，并建立进一步的工具和方法 旨在促进新兴社区拉丁人健康和繁荣的研究。