Vaginal Douching in Latina Women and Adolescents
拉丁妇女和青少年的阴道冲洗
基本信息
- 批准号:6965956
- 负责人:
- 金额:$ 8.25万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2005
- 资助国家:美国
- 起止时间:2005-07-01 至 2007-06-30
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
DESCRIPTION (provided by applicant): The health risks of vaginal douching are well documented, including increased risk of pelvic inflammatory disease, ectopic pregnancy, Chlamydia infection, reduced fecundity, and preterm delivery. However, for reasons that are not well understood, douching remains a common practice, especially among ethnic minority women in the United States. Douching practices are likely to be shaped by social norms regarding feminine hygiene and sexuality, and by folk models of vaginal and reproductive anatomy. Yet there has been little research taking a qualitative, ethnographic approach to understanding the cultural and social context of douching; none have explored the potentially unique beliefs and practices of Latinas. The overall goal of this study is to design a primary care practice-based intervention to reduce or eliminate vaginal douching among Latina women and adolescents. This intervention will be culturally sensitive, practical to deliver in busy primary care settings, and grounded in the Transtheoretical Model and Motivational Interviewing. We propose 2 phases. In Phase I, ethnographic investigation will describe the socially and culturally shaped beliefs and attitudes that influence douching practices from the perspective of adolescent and young adult Latinas, and Hispanic men. We will also describe the contexts (e.g. postmenstrual, post-coital, or prophylactic), products, and practices associated with douching. In Phase II, we will design a culturally sensitive practice-based behavioral counseling intervention to reduce douching, informed by the qualitative findings. We will create and evaluate patient education materials to be used as an adjunct to the counseling intervention. The investigators will be trained in Behavior Change Counseling, and pilot test the behavioral intervention with 20 adolescents and 20 young adult women to assess feasibility and acceptability of the intervention in anticipation of a larger efficacy trial.
描述(由申请人提供):阴道冲洗的健康风险已得到充分证明,包括盆腔炎、异位妊娠、衣原体感染、生殖力降低和早产的风险增加。然而,由于不太清楚的原因,灌洗仍然是一种常见的做法,特别是在美国的少数民族妇女中。冲洗做法很可能受到有关女性卫生和性行为的社会规范以及阴道和生殖解剖学的民间模式的影响。然而,很少有研究采取定性的,民族志的方法来理解冲洗的文化和社会背景;没有人探索拉丁美洲人潜在的独特信仰和做法。本研究的总体目标是设计一种基于初级保健实践的干预措施,以减少或消除拉丁妇女和青少年的阴道冲洗。这种干预将具有文化敏感性,在忙碌的初级保健环境中提供实用性,并以跨理论模型和动机访谈为基础。我们提出两个阶段。在第一阶段,人种学调查将描述社会和文化形成的信仰和态度,影响冲洗的做法,从青少年和年轻的成年拉丁美洲人的角度来看,和西班牙裔男子。我们还将描述与冲洗相关的背景(例如月经后、性交后或预防性)、产品和实践。在第二阶段,我们将设计一个文化敏感的实践为基础的行为咨询干预,以减少冲洗,告知定性结果。我们将创建和评估患者教育材料,作为咨询干预的辅助手段。研究人员将接受行为改变咨询方面的培训,并对20名青少年和20名年轻成年女性进行行为干预的试点测试,以评估干预的可行性和可接受性,以期待更大的疗效试验。
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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MELISSA DIANE MCKEE其他文献
MELISSA DIANE MCKEE的其他文献
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{{ truncateString('MELISSA DIANE MCKEE', 18)}}的其他基金
Enhancing Delivery of Confidential Care and STI Screening in Urban Health Centers
加强城市卫生中心的保密护理和性传播感染筛查
- 批准号:
7418467 - 财政年份:2008
- 资助金额:
$ 8.25万 - 项目类别:
Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT)
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- 批准号:
7531356 - 财政年份:2008
- 资助金额:
$ 8.25万 - 项目类别:
Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT)
针灸减少疼痛治疗结果的差异 (ADDOPT)
- 批准号:
7916349 - 财政年份:2008
- 资助金额:
$ 8.25万 - 项目类别:
Enhancing Delivery of Confidential Care and STI Screening in Urban Health Centers
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- 批准号:
7577345 - 财政年份:2008
- 资助金额:
$ 8.25万 - 项目类别:
Acupuncture to Decrease Disparities in Outcomes of Pain Treatment (ADDOPT)
针灸减少疼痛治疗结果的差异 (ADDOPT)
- 批准号:
7681156 - 财政年份:2008
- 资助金额:
$ 8.25万 - 项目类别:
A Collaborative Approach to Control Hypertension in Diabetes (COACH-D)
控制糖尿病高血压的协作方法 (COACH-D)
- 批准号:
7305317 - 财政年份:2007
- 资助金额:
$ 8.25万 - 项目类别:
A Collaborative Approach to Control Hypertension in Diabetes (COACH-D)
控制糖尿病高血压的协作方法 (COACH-D)
- 批准号:
7491534 - 财政年份:2007
- 资助金额:
$ 8.25万 - 项目类别:
Vaginal Douching in Latina Women and Adolescents
拉丁妇女和青少年的阴道冲洗
- 批准号:
7085498 - 财政年份:2005
- 资助金额:
$ 8.25万 - 项目类别:
New York Regional Center for Diabetes Translation Research - Population Health and Health Systems Core
纽约区域糖尿病翻译研究中心 - 人口健康和健康系统核心
- 批准号:
9868109 - 财政年份:
- 资助金额:
$ 8.25万 - 项目类别:
New York Regional Center for Diabetes Translation Research - Population Health and Health Systems Core
纽约区域糖尿病翻译研究中心 - 人口健康和健康系统核心
- 批准号:
9354481 - 财政年份:
- 资助金额:
$ 8.25万 - 项目类别: