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: 8545522
• 负责人: Andrea Swartzendruber
• 金额: $ 5.37万
• 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/8545522
• 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; HIV risk; 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; 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; preventive intervention; 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.

说明(申请人提供)：拟议的研究的总体目标是在Lazarus和Folkman的压力和应对交易模型的框架内，更好地了解年轻的非裔美国母亲的酒精使用和性传播感染风险。1拟议的研究扩展了文献，增加了关于年轻产后母亲的性风险和酒精使用的有限数量的研究，2-4她们是性传播感染的高危人群和重复怀孕的高危人群。2年轻母亲的酒精使用与安全套的使用不一致有关5，似乎与压力有关，并作为年轻少数族裔母亲的一种应对手段。4，6重要的是，幼儿父母酗酒和滥用药物与父母养育能力受损、虐待儿童和疏忽有关。7然而，很少有研究探讨年轻母亲的压力、酗酒和性风险之间的联系。这项拟议的研究将利用NIAAA资助的艾滋病毒预防试验(1R01AA018096-01A1)的基线数据，并作为其补充研究，以测试在18-24岁使用酒精的非裔美国女性中减少性行为风险和性传播感染的干预措施的有效性。拟议研究的具体目的是：1)在饮酒的年轻非裔美国妇女中，比较年轻母亲与没有养育子女的妇女相比，感受到的压力、酒精使用、性风险行为和性传播感染的患病率；2)在年轻的非裔美国母亲中，描述围产期酒精使用的模式(怀孕前恢复、怀孕开始、怀孕后继续)，并检查可用的应对资源与酒精使用和性风险之间的关系，以及3)定性地描述年轻的非裔美国母亲对育儿、饮酒和性风险行为之间的影响的看法。拟议的研究将从家长研究中招募400名参与者，以在基线评估时完成额外的音频计算机辅助自访。此外，参与家长研究的50名母亲将被招募参加焦点小组。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/性传播感染计划如何以及为什么有效或无效。拟议的研究将是一次宝贵的培训经验，使申请者能够练习、增强和获得新的技能，以支持她获得大学教职并成为性、生殖和围产期流行病学领域的独立研究人员的职业目标。拟议的培训计划包括整合研究经验、课程作业和培训，以及授予写作经验。这项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。