Teen Males Reproductive Health Needs & Barriers to Care

青少年男性生殖健康需求

• 批准号: 6812351
• 负责人: Arik V Marcell
• 金额: $ 13.15万
• 依托单位: UNIVERSITY OF MARYLAND BALTIMORE
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-01 至 2009-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6812351
• 关键词: adolescence (12-20); age at pregnancy; age difference; behavior prediction; behavioral /social science research tag; clinical research; health care service availability; health care service evaluation; health disparity; health insurance; health services research tag; high risk behavior /lifestyle; human data; human subject; interview; longitudinal human study; low socioeconomic status; male; parent offspring interaction; racial /ethnic difference; reproduction; sex behavior; sexually transmitted diseases; social perception; social support network; socioeconomics

DESCRIPTION (provided by applicant): In the U.S, teen males, especially older and minority adolescent males, engage in sexual risk behaviors that result in reproductive problems among adolescents of both genders, including sexually transmitted infections and unintended pregnancy. Efforts to promote safe sexual behaviors have been shown to be effective to prevent such morbidity and should start ideally during adolescence. Practice guidelines recommend that clinicians promote reproductive health among all adolescents, such as screening and counseling about sex and its consequences. Current efforts however target primarily females. We know very little about how to effectively promote reproductive health for males or how males think about their reproductive health needs. This is especially relevant since boys' use of health care declines during adolescence, which can ultimately result in unmet health needs. The ultimate goal of this study is to better understand adolescent males' perceived reproductive health needs in context of their general needs and identify those factors that are amenable to change in order to inform the development of adolescent male reproductive health intervention programs. The candidate is a pediatrician and specialist in adolescent medicine at the University of Maryland, Baltimore (UMB) who has conducted preliminary research on adolescent males. The training phase of the award will include 5 activities: 1) to learn how to develop study measures for behavioral research, 2) to develop further skills in data collection, including semi-structured patient-oriented interviews, 3) to learn how to design and analyze longitudinal studies, 4) to develop skills in the responsible conduct of research, and 5) to refine skills in presenting, publishing and grant writing. These objectives will be accomplished through mentored research activities, and complemented by focused coursework available through an existing UMB K30 award for training of clinical investigators. The research phase of the award includes a description of adolescent males' (ages 12-19) actual and perceived reproductive health needs, reproductive health care use, predictors of care use, and reproductive health morbidity by using an existing dataset and primary data collection. Using data from the National Longitudinal Study on Adolescent Health, Aim 1 of this study is to determine the extent to which adolescent males have reproductive health needs and the factors that predict reproductive health care use. Using primary data collection and analysis among adolescent males, parents and clinical experts, Aim 2 of this study is to explore adolescent males' perceived general and reproductive health needs and experiences with the health care system. Upon completion of this award, the candidate will become a rigorous behavioral scientist informed by his clinical orientation and enrich our understanding of domestic adolescent males' reproductive health and mechanisms by which to increase their access to clinical reproductive services.

描述（由申请人提供）：在美国，青少年男性，特别是年龄较大的和少数族裔的青少年男性，从事性危险行为，导致青少年中的生殖问题，包括性传播感染和意外怀孕。促进安全性行为的努力已被证明对预防此类发病率是有效的，最好从青春期开始。实践指南建议临床医生在所有青少年中促进生殖健康，例如关于性及其后果的筛查和咨询。然而，目前的努力主要针对女性。我们对如何有效促进男性生殖健康或男性如何看待他们的生殖健康需求知之甚少。这一点尤其重要，因为男孩在青春期使用保健服务的人数下降，最终可能导致保健需求得不到满足。本研究的最终目的是为了更好地了解青少年男性在总体需求背景下的生殖健康需求，并识别那些可改变的因素，从而为青少年男性生殖健康干预计划的制定提供信息。候选人是马里兰大学巴尔的摩分校（UMB）的儿科医生和青少年医学专家，他对青少年男性进行了初步研究。该奖项的培训阶段将包括5项活动：1)学习如何制定行为研究的研究措施；2)进一步发展数据收集的技能，包括半结构化的以患者为导向的访谈；3)学习如何设计和分析纵向研究；4)发展负责任的研究行为的技能；5)完善演讲、出版和拨款写作的技能。这些目标将通过指导的研究活动来实现，并通过现有的UMB K30临床研究人员培训奖提供的重点课程来补充。该奖项的研究阶段包括利用现有数据集和初级数据收集，描述青少年男性（12-19岁）实际和感知的生殖健康需求、生殖保健使用情况、保健使用预测因素和生殖健康发病率。利用国家青少年健康纵向研究的数据，本研究的目的1是确定青春期男性有生殖健康需求的程度以及预测生殖保健使用的因素。通过对青少年男性、父母和临床专家的初步数据收集和分析，本研究的目的2是探讨青少年男性对卫生保健系统的一般和生殖健康需求和体验。完成该奖项后，候选人将成为一名严谨的行为科学家，并根据他的临床方向，丰富我们对国内青少年男性生殖健康和机制的理解，从而增加他们获得临床生殖服务的机会。