Poverty Health and Adolescent Risk Behavior

贫困健康与青少年危险行为

• 批准号: 7117256
• 负责人: PAUL J GERTLER
• 金额: $ 32.87万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7117256
• 关键词: Mexico; academic achievement; adolescence (12-20); alcoholism /alcohol abuse; behavioral /social science research tag; child mental disorders; clinical research; condoms; developmental nutrition; drug abuse; health behavior; health care service utilization; high risk behavior /lifestyle; human subject; interview; longitudinal human study; low socioeconomic status; mental disorder prevention; outcomes research; pregnancy; questionnaires; rural health; safe sex /sex abstinence; sex behavior; sexually transmitted diseases; socioenvironment; tobacco abuse

DESCRIPTION (provided by applicant): In this application, we propose to extend a parent grant that investigates the effect of a unique poverty alleviation program called PROGRESA on child health and nutrition in Mexico. The proposed extension is to investigate the impact of economic development and poverty reduction on adolescent risk behavior. Specifically, we will evaluate the impact of PROGRESA on drug, alcohol and tobacco use, and on sexual practices. Since PROGRESA increases household income and provides financial incentives for children to stay in school, we will be testing the hypothesis that improving the education and living conditions of adolescents in extremely poor households reduces risky behaviors. We hypothesize that improved education and living conditions will reduce adolescent alcohol, tobacco and drug use, and will reduce sexual practices leading to unwanted pregnancies and sexually transmitted diseases. Our analysis will take advantage of a matched case-control longitudinal design. In 2002, the program, previously well established in rural areas, began incorporating beneficiaries in large urban areas. The government engaged faculty from Berkeley and other institutions to prospectively evaluate the impact of the program in these areas. In 2002, UC Berkeley, along with it's partner the Mexican National Institute of public Health (INSP) conducted a baseline survey of 16,000 households in treatment and comparison areas. A follow-up survey funded by the Mexican Government will be implemented by the INSP in 2004. We propose to use funding from this proposal to substantially enhance the adolescent risk behavior module for the 2004 survey, adding questions about sexual risk behavior, administering the questions with audio computer assisted technology (A-CASI), and collecting samples for biological endpoints. The risk module will be administered to close to 10,000 adolescents age 15-22. In this project, we propose to test the hypothesis that a poverty reduction program will reduce the rates of risky behavior in adolescents, by adding an adolescent risk behavior module to the 2003 survey funded by the parent grant. Therefore, this proposal is related to the parent grant through a common survey and taking advantage of the PKOGRESA intervention to study the impact of poverty alleviation on individual health and welfare. Our research will be guided by the theoretical model of behavioral economics.

描述（由申请人提供）：在本申请中，我们建议延长父母补助金，调查一个独特的扶贫计划，称为PROGRESA对墨西哥儿童健康和营养的影响。拟议的扩展是调查经济发展和减贫对青少年风险行为的影响。具体而言，我们将评估PROGRESA对药物，酒精和烟草使用以及性行为的影响。由于PROGRESA增加了家庭收入，并为儿童留在学校提供了经济激励，我们将检验这样一个假设，即改善极端贫困家庭青少年的教育和生活条件会减少危险行为。我们假设，教育和生活条件的改善将减少青少年酗酒、吸烟和吸毒，并减少导致意外怀孕和性传播疾病的性行为。 我们的分析将利用匹配的病例对照纵向设计。2002年，该方案以前在农村地区行之有效，现在开始将受益者纳入大城市地区。政府聘请伯克利和其他机构的教师前瞻性地评估该计划在这些领域的影响。2002年，加州大学伯克利分校沿着其合作伙伴墨西哥国家公共卫生研究所（INSP）一起对治疗和比较地区的16，000个家庭进行了基线调查。2004年，国家统计研究所将开展一项由墨西哥政府资助的后续调查。我们建议利用该提案的资金来大幅增强2004年调查的青少年风险行为模块，添加有关性风险行为的问题，使用音频计算机辅助技术（A-CASI）管理问题，并收集生物学终点的样本。将对近10 000名15至22岁的青少年实施风险模块。 在这个项目中，我们建议通过在2003年由父母补助金资助的调查中增加一个青少年风险行为模块来检验减贫计划将降低青少年风险行为发生率的假设。因此，这项建议与父母补助金有关，通过一项共同调查，并利用PKOGRESA的干预措施，研究减轻贫困对个人健康和福利的影响。我们的研究将以行为经济学的理论模型为指导。