TOPOWA Study: Social Drivers of Mental Illness among AGYW in Slums.
TOPOWA 研究:贫民窟 AGYW 精神疾病的社会驱动因素。
基本信息
- 批准号:10552045
- 负责人:
- 金额:$ 65.44万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-01-18 至 2026-12-31
- 项目状态:未结题
- 来源:
- 关键词:AcuteAddressAdverse effectsAfrica South of the SaharaAgeAlcoholsAnxietyArousal and Regulatory SystemsAwardBudgetsBuffersClinical TrialsCohort StudiesCollaborationsCommunitiesComplexDevelopmentDiseaseEmploymentEnrollmentEvaluationFemale AdolescentsFocus GroupsFutureHormonesHousingHydrocortisoneInfrastructureInterventionLinkLocationLongterm Follow-upMapsMeasuresMental DepressionMental HealthMental Health ServicesMental disordersMethodsModelingNational Institute of Mental HealthNegative ValenceNeighborhoodsOutcomeParticipantPathway interactionsPatient Self-ReportPerceptionPhysiologicalPopulationPovertyProspective cohortPsychosocial Assessment and CarePublic HealthRadialResearchResearch Domain CriteriaResource-limited settingRoleSalivaSalivarySamplingSleepSlumStressSurveysSymptomsTabletsTestingTimeTrainingTraining ProgramsUgandaUniversitiesVocationWakefulnessWorkYouthalpha-amylasecohortcommunity organizationsconditioned feardehydroepiandrosteronedesigndiariesempowermentenvironmental stressorexperiencefitbitfollow-upimprovedintervention deliveryintervention programoperationpost interventionpreventprogramsprospectiverecruitresilienceresponsesensorskills trainingsleep patternsleep qualitysocialsocial determinantssocial stressorsocioeconomicsstressorsubstance usesuicidalurban settingwearable sensor technologyyoung woman
项目摘要
Project Summary Abstract
Despite extensive research linking poverty to mental illness, there is a dearth of studies examining
mechanisms of resilience against complex proximal stressors in low-resource settings. Our
previous work, conducted during Dr. Swahn’s Fulbright Award and via long-standing
collaborations with Makerere University, demonstrates that urban youth in Kampala, Uganda,
particularly Adolescent Girls and Young Women (AGYW) experience many adverse social
drivers which contribute to their poor mental health.
Our proposed TOPOWA project (meaning empowerment) will used a mixed-methods
approach to examine the mechanisms for which Socioeconomic Strengthening Targeted
Training (SeSTT) moderates the pathway between the adverse effects of poverty (proximal social
and environmental stressors) and mental illness among AGYW in Kampala. Previous, but
limited, research demonstrates the positive impact of SeSTT on employment and improved
mental health among AGYW. Building on the Social Determinants of Mental Health (SDoMH)
and the Research Domain Criteria (RDoC) frameworks, we will target AGYW ages 18-24 years,
the age period when most mental health symptoms are manifested and expressed. Embedded
within the SDoMH conceptual model we will focus on stress, operationalized through the RDoC
framework as Negative Valence -Acute, Sustained Threat and Arousal and Regulatory Systems.
Using a multicomponent 27-month, parallel prospective cohort design of AGYW, we will
recruit 300 participants to determine the pathways and mechanisms of mental health outcomes
using 10 quarterly, tablet administered survey assessments (Time 1-10). Participants will be
those enrolled in a community-based intervention program (n=150and an age- and location-
matched non-intervention community sample (n=150). The objective is to determine the
mechanistic changes of SeSTT on the proximal social stressors and mental health outcomes
(i.e., anxiety, depression, suicidality and substance use symptoms and disorders) among
AGYW.
项目概要 摘要
尽管有大量研究将贫困与精神疾病联系起来,但仍缺乏研究
资源匮乏环境中针对复杂近端压力源的恢复机制。我们的
之前的工作,在 Swahn 博士获得富布赖特奖期间进行,并通过长期
与马凯雷雷大学的合作表明,乌干达坎帕拉的城市青年,
特别是少女和年轻女性 (AGYW) 经历了许多不利的社会影响
导致他们心理健康状况不佳的司机。
我们提出的TOPOWA项目(意思是赋权)将使用混合方法
方法来审查社会经济强化目标的机制
培训(SeSTT)调节贫困的不利影响之间的途径(近端社会
和环境压力因素)和坎帕拉 AGYW 的精神疾病。以前的,但是
有限,研究表明 SeSTT 对就业和改善的积极影响
AGYW 的心理健康。以心理健康的社会决定因素 (SDoMH) 为基础
和研究领域标准 (RDoC) 框架,我们将针对年龄 18-24 岁的 AGYW,
大多数心理健康症状表现出来的年龄阶段。嵌入式
在 SDoMH 概念模型中,我们将重点关注压力,并通过 RDoC 进行操作
框架作为负价-急性、持续的威胁和唤醒和监管系统。
使用 AGYW 的多组分 27 个月平行前瞻性队列设计,我们将
招募 300 名参与者来确定心理健康结果的途径和机制
使用 10 个季度平板电脑进行调查评估(时间 1-10)。参加者将是
参加基于社区的干预计划的人(n=150,年龄和地点
匹配的非干预社区样本(n=150)。目标是确定
SeSTT 对近端社会压力源和心理健康结果的机制变化
(即焦虑、抑郁、自杀和药物滥用症状和障碍)
AGYW。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Monica H Swahn其他文献
Social norms regarding alcohol use, perceptions of alcohol advertisement and intent to drink alcohol among youth in Uganda
乌干达青少年有关饮酒的社会规范、对酒类广告的看法和饮酒意愿
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:1
- 作者:
Monica H Swahn;Rachel E. Culbreth;Cherell Cottrell;N. Tumwesigye;D. Jernigan;R. Kasirye;I. Obot - 通讯作者:
I. Obot
Towards agreement amongst parents, teachers and children on perceived psychopathology in children in a Kenyan socio-cultural context: a cross-sectional study
就肯尼亚社会文化背景下的儿童精神病理学问题达成共识:一项横断面研究
- DOI:
10.1186/s12888-024-05679-2 - 发表时间:
2024 - 期刊:
- 影响因子:4.4
- 作者:
Victoria N Mutiso;D. Ndetei;C. Musyimi;Jenelle R Shanley;Monica H Swahn;Kamaldeep Bhui - 通讯作者:
Kamaldeep Bhui
Monica H Swahn的其他文献
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{{ truncateString('Monica H Swahn', 18)}}的其他基金
TOPOWA Study: Social Drivers of Mental Illness among AGYW in Slums.
TOPOWA 研究:贫民窟 AGYW 精神疾病的社会驱动因素。
- 批准号:
10375045 - 财政年份:2022
- 资助金额:
$ 65.44万 - 项目类别:
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