Poverty Health and Adolescent Risk Behavior

描述(由申请者提供)：在这份申请中，我们建议延长一项家长补助金，调查一项名为Progresa的独特扶贫计划对墨西哥儿童健康和营养的影响。拟议的延期是为了调查经济发展和减贫对青少年危险行为的影响。具体地说，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可以减少危险行为。我们假设，教育和生活条件的改善将减少青少年饮酒、吸烟和吸毒，并将减少导致意外怀孕和性传播疾病的性行为。 我们的分析将利用配对的病例对照纵向设计。2002年，以前在农村地区很好地建立的该计划，开始在大城市地区纳入受益者。政府聘请了伯克利分校和其他机构的教师，对该项目在这些领域的影响进行前瞻性评估。2002年，加州大学伯克利分校与其合作伙伴墨西哥国家公共卫生研究所(INSP)在治疗和比较地区对16,000户家庭进行了基线调查。2004年，由墨西哥政府资助的一项后续调查将由国家调查组执行。我们建议利用这项提案的资金大幅增强2004年调查中的青少年风险行为模块，增加有关性风险行为的问题，使用音频计算机辅助技术(A-CASI)管理这些问题，并收集生物终点的样本。风险模块将对近10,000名15-22岁的青少年进行管理。 在这个项目中，我们建议通过在2003年由父母拨款资助的调查中增加一个青少年危险行为模块来检验减贫计划将降低青少年危险行为比率的假设。因此，这一建议与家长助学金有关，通过共同调查，并利用PKOGRESA干预，研究扶贫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。

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.