Parenting, Alcohol Use and Sexual Risk Among Young African-American Mothers

年轻非洲裔美国母亲的育儿、饮酒和性风险

• 批准号: 8466159
• 负责人: Andrea Swartzendruber
• 金额: $ 5.16万
• 依托单位: EMORY UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8466159
• 关键词: 16 year old; AIDS/HIV problem; Address; Adolescence; Affect; African; African American; Age-Years; Alcohol abuse; Alcohol consumption; Alcohols; Anal Sex; Appointment; Cause of Death; Child; Child Abuse; Chlamydia; Computer Assisted; Data; Faculty; Family; Female; Focus Groups; Funding; Future; Goals; Gonorrhea; Grant; HIV; HIV Infections; HIV prevention trial; Health; Heterosexuals; Hot Spot; Incidence; Infection; Interview; Link; Literature; Location; Minority; Modeling; Mothers; National Institute on Alcohol Abuse and Alcoholism; Outcome; Parenting behavior; Parents; Participant; Pattern; Perinatal; Perinatal Epidemiology; Postpartum Period; Pregnancy; Prevalence; Prevention; Preventive Intervention; Public Health; Recruitment Activity; Relative (related person); Reporting; Research; Research Personnel; Resources; Risk; Sales; Sexual Health; Sexually Transmitted Diseases; Source; Southeastern United States; Stress; Stress and Coping; Substance abuse problem; Time; Training; Treatment Efficacy; United States; United States National Institutes of Health; Universities; Unmarried; Vagina; Woman; Writing; aged; career; condoms; coping; design; efficacy testing; experience; high risk; improved; prevent; programs; reproductive epidemiology; sex risk; skills; transmission process; young adult; young mother

DESCRIPTION (provided by applicant): The overarching goal of the proposed research is to yield a better understanding of alcohol use and STI risk among young African-American mothers, within the framework of Lazarus and Folkman's Transactional Model of Stress and Coping.1 The proposed research extends the literature by adding to the limited number of studies on sexual risk and alcohol use among young postpartum mothers,2-4 who are at high risk of STIs and repeat pregnancy.2 Alcohol use among young mothers is related to inconsistent condom use5 and appears to be related to stress and to serve as a means of coping among young minority mothers.4,6 Importantly, alcohol and substance abuse by parents of young children has been linked to impaired parenting capacity, child abuse and neglect.7 However, very few studies have explored associations between stress, alcohol use and sexual risk among young mothers. The proposed research will utilize baseline data from and serve as a supplemental study to an HIV prevention trial funded by NIAAA (1R01AA018096-01A1) to test the efficacy of an intervention to reduce sexual risk behavior and STIs among alcohol-using African-American females aged 18-24 years. The specific aims of the proposed research are to: 1) Among young African-American women who use alcohol, compare perceived stress, alcohol use, sexual risk behavior and STI prevalence among young mothers relative to non-parenting women; 2) Among young African-American mothers, describe patterns of perinatal alcohol use (resumption from pre-pregnancy, initiation, continuation from pregnancy) and examine associations between available coping resources and alcohol use and sexual risk, and 3) Qualitatively describe young African-American mothers' views on the influences between parenting, alcohol use and sexual risk behavior. The proposed research will recruit 400 participants from the parent study to complete an additional audio computer-assisted self-interview at the baseline assessment. In addition, 50 mothers participating in the parent study will be recruited to participate in focus groups. Findings from the proposed research may be useful for designing prevention interventions to improve the health of young mothers and their children and may also be useful for exploring how and why HIV/STI programs are effective or not. The proposed research will be a valuable training experience, allowing the applicant to practice, enhance and acquire new skills in support of her career goals of obtaining a university faculty appointment and becoming an independent researcher in the field of sexual, reproductive and perinatal epidemiology. The proposed training plan involves integrating research experience, coursework and trainings, and grant writing experience. The proposed research will also provide an important source of pilot data for future NIH grant submissions. PUBLIC HEALTH RELEVANCE: Alcohol use among young mothers, who are at high risk for adverse sexual health outcomes such as sexually transmitted infections and repeat pregnancy, appears to be common and related to stress as well as inconsistent condom use; however, few studies have explored stress, sexual risk and alcohol use among young mothers. The proposed research will explore stress, sexual risk and alcohol use among African- American mothers 18-24 years of age. The findings are expected to inform prevention efforts to improve the health of young African-American mothers and their children.

描述（申请人提供）：拟议研究的总体目标是在Lazarus和Folkman的压力和应对的跨性别模型框架内，更好地了解年轻非洲裔美国母亲的饮酒和性传播疾病风险。拟议的研究通过增加关于年轻产后母亲性风险和饮酒的研究数量有限，扩展了文献，2年轻母亲酗酒与不经常使用避孕套有关，5而且似乎与压力有关，是少数民族年轻母亲的一种应对手段。4，6重要的是，年幼子女父母酗酒和滥用药物与养育能力受损、虐待儿童和忽视儿童有关。很少有研究探讨年轻母亲的压力、饮酒和性风险之间的关系。 这项研究将利用NIAAA资助的一项艾滋病毒预防试验（1 R 01 AA 018096 - 01 A1）的基线数据，并作为该试验的补充研究，以测试干预措施在18-24岁饮酒的非洲裔美国女性中减少性风险行为和性传播感染的有效性。本研究的具体目的是：1）在饮酒的年轻非洲裔美国妇女中，比较年轻母亲与非父母妇女之间的感知压力、饮酒、性风险行为和STI患病率; 2）在年轻的非洲裔美国母亲中，描述围产期饮酒的模式（从怀孕前恢复，开始，继续怀孕），并检查可用的应对资源与酒精使用和性风险之间的关联，（3）质性维度描述了年轻非裔美国母亲对养育方式、饮酒和性风险行为之间的影响的看法。拟议的研究将招募400名来自母研究的参与者，在基线评估时完成额外的音频计算机辅助自我访谈。此外，还将招募50名参与父母研究的母亲参加焦点小组。拟议研究的结果可能有助于设计预防干预措施，以改善年轻母亲及其子女的健康，也可能有助于探索艾滋病毒/性传播感染方案如何以及为什么有效。 拟议的研究将是一个宝贵的培训经验，使申请人能够实践，提高和获得新的技能，以支持她的职业目标，获得大学教师的任命，并成为性，生殖和围产期流行病学领域的独立研究人员。拟议的培训计划包括整合研究经验，课程和培训，并授予写作经验。拟议的研究还将为未来的NIH拨款申请提供重要的试点数据来源。 公共卫生相关性：年轻母亲中饮酒似乎很常见，她们面临性传播感染和重复怀孕等不良性健康后果的高风险，与压力以及不一致的避孕套使用有关;然而，很少有研究探讨年轻母亲中的压力、性风险和饮酒。这项拟议中的研究将探讨18-24岁的非裔美国母亲的压力、性风险和饮酒情况。预计这些发现将为预防工作提供信息，以改善年轻非洲裔美国母亲及其子女的健康状况。