Family Planning Clinics and Adolescent Sexual Behavior

计划生育诊所和青少年性行为

基本信息

项目摘要

DESCRIPTION (provided by applicant): Research suggests that availability of and access to family planning clinics and services (FPCs) may reduce adolescents' risk for early sexual intercourse and increase the likelihood of effective contraceptive use. However, most of these studies have relied on crude (i.e., county level) measures of FPC availability and access, which do not adequately capture spatial relationships between adolescents' place of residence and FPC locations (e.g., an adolescent who lives across the street from an FPC may be treated the same as one who lives 15 miles away). The proposed study will help fill this research gap by examining the relationship between availability and access to FPCs using physical (miles to) and temporal (time to) distance and density measures as more precise and sensitive measures of the spatial relationship between adolescents' place of residence and FPC locations. In addition, the proposed study will examine both direct and indirect effects, specifically, whether and to what degree sexual expectancies, perceived peer attitudes and behaviors, parental attitudes and parental communication, mediate the relationship between FPCs and adolescent sexual behavior. This study will also consider the possible moderating effects of age, gender, SES, and sexual experience, as well as control for important background variables. This study will utilize data from a longitudinal NICHD-funded study on adolescent sexual behavior with data on a range of adolescent sexual behaviors (oral sex, vaginal intercourse, and anal sex), contraceptive use, pregnancy, sexually transmitted infections, and psychosocial predictors. The proposed study will supplement the existing data set with geospatial coordinates of publicly-funded FPCs in California. Longitudinal data will also be used to determine whether FPC availability affects changes in adolescent sexual behavior and hypothesized mediators. Identifying effective strategies to reduce risky adolescent sexual behavior and related negative outcomes remains a public health research priority. Results of this study may have significant implications for both public policy and public health. For example, if access and availability to family planning clinics have an identifiable effect on adolescent sexual behaviors and subsequent outcomes, community leaders and city planners could use this information to better identify served and underserved areas and populations and plan future clinic development and services accordingly. Identifying effective strategies to reduce risky adolescent sexual behavior and related negative outcomes remains a public health research priority. Results of this study may have significant implications for both public policy and public health. For example, if access and availability to family planning clinics have an identifiable effect on adolescent sexual behaviors and subsequent outcomes, community leaders and city planners could use this information to better identify served and underserved areas and populations and plan future clinic development and services accordingly.
描述(由申请人提供):研究表明,计划生育诊所和服务(FPC)的可用性和可获得性可能会降低青少年过早性交的风险,并增加有效避孕的可能性。然而,大多数这些研究都依赖于原油(即,县一级)的FPC可用性和访问的措施,这并没有充分捕捉青少年的居住地和FPC位置之间的空间关系(例如,住在FPC街对面的青少年可能会受到与住在15英里外的青少年相同的待遇)。拟议中的研究将有助于填补这一研究空白,检查可用性和访问FPC使用物理(英里)和时间(时间)的距离和密度的措施之间的关系作为更精确和敏感的措施青少年的居住地和FPC的位置之间的空间关系。此外,拟议的研究将探讨直接和间接的影响,具体来说,是否以及在何种程度上的性期望,感知同伴的态度和行为,父母的态度和父母的沟通,调解之间的关系FPC和青少年的性行为。本研究还将考虑年龄、性别、社会经济地位和性经验的可能调节作用,以及对重要背景变量的控制。本研究将利用NICHD资助的青少年性行为纵向研究的数据,包括一系列青少年性行为(口交、阴道性交和肛交)、避孕药具使用、妊娠、性传播感染和心理社会预测因素的数据。拟议的研究将补充现有的数据集与地理空间坐标的公共资助的FPC在加州。纵向数据也将被用来确定FPC的可用性是否会影响青少年性行为的变化和假设的调解人。确定有效的策略,以减少危险的青少年性行为和相关的负面结果仍然是公共卫生研究的优先事项。这项研究的结果可能对公共政策和公共卫生产生重大影响。例如,如果计划生育诊所的可获得性和可用性对青少年的性行为和随后的结果有明显的影响,社区领导人和城市规划者可以利用这些信息更好地确定服务和服务不足的地区和人口,并相应地规划未来的诊所发展和服务。确定有效的策略,以减少危险的青少年性行为和相关的负面结果仍然是公共卫生研究的优先事项。这项研究的结果可能对公共政策和公共卫生产生重大影响。例如,如果计划生育诊所的可获得性和可用性对青少年的性行为和随后的结果有明显的影响,社区领导人和城市规划者可以利用这些信息更好地确定服务和服务不足的地区和人口,并相应地规划未来的诊所发展和服务。

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Does distance matter? Access to family planning clinics and adolescent sexual behaviors.
  • DOI:
    10.1007/s10995-010-0618-3
  • 发表时间:
    2011-07
  • 期刊:
  • 影响因子:
    2.3
  • 作者:
    Bersamin M;Todd M;Remer L
  • 通讯作者:
    Remer L
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MELINA BERSAMIN其他文献

MELINA BERSAMIN的其他文献

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{{ truncateString('MELINA BERSAMIN', 18)}}的其他基金

School-based Health Clinics: Effects on Youth and Young Adult Sexual Behavior
学校健康诊所:对青少年和青少年性行为的影响
  • 批准号:
    8503905
  • 财政年份:
    2013
  • 资助金额:
    $ 18.75万
  • 项目类别:
School-based Health Clinics: Effects on Youth and Young Adult Sexual Behavior
学校健康诊所:对青少年和青少年性行为的影响
  • 批准号:
    8897177
  • 财政年份:
    2013
  • 资助金额:
    $ 18.75万
  • 项目类别:
School-based Health Clinics: Effects on Youth and Young Adult Sexual Behavior
学校健康诊所:对青少年和青少年性行为的影响
  • 批准号:
    8704974
  • 财政年份:
    2013
  • 资助金额:
    $ 18.75万
  • 项目类别:
Component 5: Research
第五部分:研究
  • 批准号:
    7497350
  • 财政年份:
    2008
  • 资助金额:
    $ 18.75万
  • 项目类别:
Family Planning Clinics and Adolescent Sexual Behavior
计划生育诊所和青少年性行为
  • 批准号:
    7256201
  • 财政年份:
    2007
  • 资助金额:
    $ 18.75万
  • 项目类别:

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