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事业，研究健康的环境决定因素。该提案总结了一个为期5年的专业发展指导方案，该方案与一个创新的多方法研究项目相关联，旨在更好地定义与健康有关的行为发生的社会和物理空间，并了解年轻女性对这些空间的解释。我的教育目标是：(1)从理论上了解青少年的性行为；(2)概念化、执行和整合时空、定性和纵向分析；(3)适当解决使用自我报告、地理和摄影数据测量位置和敏感行为的复杂伦理问题。我将在来自青少年医学、生物统计学、地理学和社会学的导师的指导下完成这些工作；通过课程作业和指导阅读获得的实用知识；并提出了研究计划。我们的研究重点是动态环境，或个人周围不断变化的身体和社会条件，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)利用民族志访谈和视觉社会学技术，开发一套可能与城市青少年女性健康风险行为相关的背景特征；(2)通过(a)比较个体发生性行为的时间和空间，以及(b)评估一天、一天或一周的时间和季节是否会改变这种关联，来检验动态情境模型是否与性行为相关。为了更好地理解与物理和社会环境相关的主观因素，我们将使用定性和照片激发技术调查年轻女性在哪里花费时间。我们将使用GPS和人种学数据来定义一套结构，以监测20个月期间20名年轻女性的环境和行为变化。一项使用具有gps功能的手机的初步研究证明了我们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日常性行为的能力。我将在我的主要导师的指导下完成这些目标。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等领域的一组导师。

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.