Advancing Research on the Consequences of Unintended Childbearing

推进对意外生育后果的研究

• 批准号: 8194355
• 负责人: Kathryn L Kost
• 金额: $ 26.35万
• 依托单位: GUTTMACHER INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8194355
• 关键词: Address; Affect; American; Area; Attitude; Awareness; Behavior; Birth; Child; Child Development; Child health care; Data; Data Sources; Dimensions; Family; Fathers; Future; Goals; Health; Infant; Infant Health; Intention; Interview; Knowledge; Maternal Behavior; Measurement; Measures; Methods; Multivariate Analysis; Outcome; Paternal Behavior; Perception; Personal Satisfaction; Predictive Value; Pregnancy; Recording of previous events; Regression Analysis; Relative (related person); Research; Research Design; Sampling; Social Development; Statistical Models; Surveys; Techniques; Testing; Time; Validity and Reliability; Woman; Work; child bearing; experience; improved; infant outcome; innovation; insight; men; opportunity cost; social; unintended pregnancy

DESCRIPTION (provided by applicant): The goal of the proposed research is to improve the health and well-being of American families by detailing the ways in which unintended childbearing affects women's and men's behaviors during and after pregnancy, and the health and well-being of infants and children. Despite a general perception that intentions matter, findings from past studies have demonstrated a weak and often inconsistent relationship of unintended childbearing to negative behaviors and outcomes for women and children. However, over the past decade, awareness of limitations of the conventional measure of unintended pregnancy has led to survey questions that better capture multiple dimensions of intention, such as timing and desire. With new data sources and new and more refined measures of childbearing intentions now available, it is time to reassess the relationship between pregnancy intention, parental behaviors and infant and child health. The work proposed in this project will advance knowledge in this area by addressing shortcomings of prior research with an innovative research design and a comprehensive analytical approach that will illuminate the impact of unintended births on American families. The aims of this project are: Aim 1: Investigate the consequences of intention status on parental behaviors and on infant and child health outcomes using recent advances in the measurement of childbearing intentions in new quantitative data sources. Identify specific dimensions of pregnancy intention, including timing and desire, and test their predictive values in analyses of consequences. Assess the relative explanatory value of the conventional measure of childbearing intention compared to the newer multidimensional measures. Expand the study of the consequences of unintended childbearing to include fathers. Apply and evaluate new statistical techniques - propensity scoring matched sample approaches - to improve controls for shared underlying causes of both unintended childbearing and its consequences. Aim 2: Carry out an exploratory qualitative study utilizing in-depth interviews to gain a better understanding of women's and men's attitudes about and experiences with consequences of unintended births. PUBLIC HEALTH RELEVANCE: The goal of the proposed research is to improve the health and well-being of American families by detailing the ways in which unintended childbearing affects women's and men's behaviors during and after pregnancy, and the health and well-being of infants and children. The work of this project will advance knowledge of unintended childbearing by addressing shortcomings of prior research with an innovative research design, using newly available data and statistical techniques, and by developing a comprehensive analytical approach that will illuminate the health and social consequences of unintended births on American families.

描述（由申请人提供）：拟议研究的目标是通过详细说明意外生育如何影响女性和男性在怀孕期间和怀孕后的行为以及婴儿和儿童的健康和福祉，从而改善美国家庭的健康和福祉。尽管人们普遍认为意图很重要，但过去的研究结果表明，意外生育与妇女和儿童的负面行为和结果之间存在微弱且往往不一致的关系。然而，在过去的十年中，人们意识到意外怀孕的传统衡量方法的局限性，引发了一些调查问题，这些问题可以更好地捕捉意图的多个维度，例如时间和愿望。随着新的数据来源和新的、更精细的生育意愿测量方法的出现，现在是重新评估怀孕意愿、父母行为和婴幼儿健康之间关系的时候了。该项目提出的工作将通过创新的研究设计和全面的分析方法解决先前研究的缺陷，从而阐明意外分娩对美国家庭的影响，从而推进该领域的知识。该项目的目标是： 目标 1：利用新的定量数据源中生育意图测量的最新进展，调查意图状态对父母行为以及婴儿和儿童健康结果的影响。确定怀孕意图的具体维度，包括时间和愿望，并在后果分析中测试其预测价值。评估传统的生育意愿测量与新的多维测量相比的相对解释价值。扩大对意外生育后果的研究范围，将父亲纳入其中。应用和评估新的统计技术——倾向评分匹配样本方法——以改善对意外生育及其后果的共同根本原因的控制。目标 2：利用深度访谈开展探索性定性研究，以更好地了解女性和男性对意外分娩后果的态度和经历。 公共健康相关性：拟议研究的目标是通过详细说明意外生育如何影响女性和男性在怀孕期间和怀孕后的行为以及婴儿和儿童的健康和福祉，从而改善美国家庭的健康和福祉。该项目的工作将通过创新的研究设计解决先前研究的缺陷，利用新的数据和统计技术，并通过开发全面的分析方法来阐明意外生育对美国家庭的健康和社会后果，从而增进对意外生育的认识。