Mapped and perceived context of adolescent health risk

描述（由申请人提供）：我计划从事以患者为导向的研究职业，研究健康的背景决定因素。该提案总结了一项为期5年的专业发展指导计划，该计划与一项创新的多方法研究项目有关，旨在更好地定义与健康相关的行为发生的社会和物理空间，以及了解年轻女性对这些空间的解释。我的教育目标是（1）获得青少年性行为的理论理解;（2）概念化，执行和整合时空，定性和纵向分析;（3）适当地解决使用自我报告，地理和摄影数据测量位置和敏感行为的复杂伦理问题。我将在青少年医学，生物统计学，地理学和社会学导师的指导下完成这些;通过课程和定向阅读获得的实践知识;以及拟议的研究计划。我们的研究重点是动态环境，或改变个人周围的身体和社会条件，如何影响青春期女性的健康风险行为。具体而言，我们的目标是（1）开发，使用民族志访谈和视觉社会学技术，一套可能与城市青春期女性的健康风险行为相关的背景特征;（2）通过（a）比较个体从事性行为的时间和空间，以及（B）评估一天中的时间、一天或一周，和季节改变这种关联。为了更好地了解与物理和社会环境相关的主观因素，我们将调查年轻女性花时间使用定性和照片启发技术。我们将使用GPS和人种学数据来定义一组结构，以监测20名年轻女性在20个月内的环境和行为变化。一项使用GPS手机的试点研究证明，我们有能力利用这项技术准确可靠地跟踪年轻女性的位置，并记录她们的日常性行为。我将在我的主要导师的指导下实现这些目标。Fortenberry博士和来自生物统计学，地理学，健康行为和卫生服务研究以及社会学领域的导师团队。 公共卫生相关性：健康促进和疾病预防工作取得成功的一个障碍是对青少年如何与其社区的物质和社会空间互动的了解有限。这项研究将结合联合收割机新的方法，包括民族志，摄影和GPS技术，以更好地了解青少年花费时间的地方如何与他们的性行为有关。

DESCRIPTION (provided by applicant): I plan to pursue a patient-oriented research career studying contextual determinants of health. This proposal summarizes a 5-year program of mentored professional development linked to an innovative, multi-method research project intended to better define the social and physical spaces in which health-related behaviors occur, as well as understand young women's interpretation of these spaces. My educational objectives are (1) to gain a theoretical understanding of adolescent sexual behaviors; (2) to conceptualize, perform, and integrate spacetime, qualitative, and longitudinal analyses; and (3) to appropriately address complex ethical issues of measuring location and sensitive behaviors using self-reported, geographic, and photographic data. I will accomplish these with guidance of mentors from adolescent medicine, biostatistics, geography, and sociology; practical knowledge obtained through coursework and directed readings; and the proposed research plan. Our research focuses on how dynamic context, or changing physical and social conditions surrounding an individual, affects an adolescent woman's health-risk behavior. Specifically, we aim to (1) develop, using ethnographic interviews and visual sociology techniques, a set of contextual characteristics potentially pertinent to urban adolescent women's health-risk behavior; (2) test whether a dynamic model of context is associated with sexual behaviors by (a) comparing times and spaces where an individual engages in sexual behavior, and (b) assessing whether time of day, day or week, and season modify this association. In order to better understand subjective factors associated with physical and social environments, we will investigate where young women spend time using qualitative and photo-elicitation techniques. We will use GPS and ethnographic data to define a set of constructs to monitor how context and behaviors change among 20 young women over a 20-month period. A pilot study using GPS-enabled cell phones documented our capacity to utilize this technology to accurately and reliably track young women's locations and record their daily sexual behaviors. I will accomplish these aims with the guidance of my primary mentor. Dr. Fortenberry, and a team of mentors from the fields of biostatistics, geography, health behavior and health services research, and sociology. PUBLIC HEALTH RELEVANCE: A barrier to the success of health promotion and disease prevention efforts is limited understanding of how adolescents interact with the physical and social spaces of their communities. This study will combine novel methodologies, including ethnography, photography, and GPS technology, to better understand how places where adolescents spend time relate to their sexual behavior.