NIH D.C. INITIATIVE TO REDUCE INFANT MORTALITY

NIH 华盛顿特区降低婴儿死亡率倡议

• 批准号: 6387914
• 负责人: AYMAN A EL-MOHANDES
• 金额: $ 118.67万
• 依托单位: GEORGE WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-06-01 至 2003-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6387914
• 关键词: adolescence (12-20); age at pregnancy; clinical research; family structure /dynamics; gestational age; human subject; infant mortality; longitudinal human study; maternal behavior; outcomes research; paternal behavior; prenatal care; prevention; social support network

This study examines the causal associations for first time adolescent pregnancy, and evaluates the efficacy of community based interventions targeting adolescent mothers alone, or together with their male partners, and existing kinship support. The primary outcomes include improved health, educational behavioral, and social outcomes in the mother/infant dyad. The final desired outcome is preventing or delaying repeat pregnancies in these first time mothers. Furthermore the investigators will study the specific issue of violence and abuse in pregnant teens and how it relates to mental health status and their pregnancy outcomes. In addition, an intervention is proposed to target health providers caring for pregnant teens. This intervention is intended to heighten their awareness of the health and behavioral risks in pregnant teens and improve their skills in addressing these risks with their patients. The area of repeat adolescent pregnancy was selected because of the rapidly deteriorating patterns of prenatal care utilization and pregnancy outcomes associated with short interval repeated pregnancies in these mothers. The research design for this study is quasi-experimental. First time pregnant mothers will be recruited prospectively and randomized in two groups. Both groups will receive an intervention starting at 24 weeks gestationally and continuing up to 18 months corrected post-natal age. In GRP1 only the mother/infant dyads will receive the intervention, while in GRP2 the male partners and the surrounding kinship structure will also receive the intervention. Outcomes will be compared between the two groups of mother to examine the added efficacy of including the pregnant adolescents' male partners and families in this community based intervention. The impact of the intervention on fathers and kinship and how they relate to the mother/infant dyad will also be analyzed.

这项研究检查了首次的因果关系 怀孕，并评估基于社区干预的功效 独自针对青少年母亲或与男性一起 合作伙伴和现有的亲属支持。主要结果包括 改善了健康，教育行为和社会成果 母/婴儿二元。 最终预期的结果是预防或延迟 在这些第一次母亲中重复怀孕。 此外 调查人员将研究特定的暴力和虐待问题 怀孕的青少年及其与心理健康状况及其之间的关系 怀孕结果。 此外，提出了一项干预措施以靶向 保健提供者照顾怀孕的青少年。这种干预是 旨在提高他们对健康和行为风险的认识 在怀孕的青少年中，并提高了解决这些风险的技能 和他们的患者。 重复怀孕的地区是 因产前护理的迅速恶化而被选择 与短时间间隔相关的利用和妊娠结局 这些母亲反复怀孕。 研究设计 研究是准实验性的。 第一次怀孕的母亲会 前瞻性地招募并随机分为两组。 两组都会 从妊娠24周开始接受干预，然后 持续长达18个月纠正了产后年龄。 在Grp1中仅 母/婴儿二元组将接受干预，而在GRP2中 男性伴侣和周围的亲属结构也将获得 干预。 将比较两组的结果 母亲检查包括怀孕的额外功效 青少年的男性伴侣和基于这个社区的家庭 干涉。 干预对父亲和亲属关系的影响以及 它们与母/婴儿二元组的关系也将进行分析。