Exposure to violence and unsafe sex in late adolescent African American women

青春期晚期非裔美国女性遭受暴力和不安全性行为的情况

• 批准号: 8235399
• 负责人: HELEN Wadsworth WILSON
• 金额: $ 15.75万
• 依托单位: ROSALIND FRANKLIN UNIV OF MEDICINE & SCI
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-01 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8235399
• 关键词: Adolescence; Adolescent; Adrenal Glands; Affect; African American; Age; Behavior; Biological Markers; Characteristics; Chicago; Childhood; Conflict (Psychology); Data Collection; Development; Emotional; Exposure to; Female Adolescents; Fostering; Funding; Gender; Gender Role; Goals; HIV; Health; Hydrocortisone; Hypothalamic structure; Intervention; Interview; Link; Longitudinal Studies; Low income; Measures; Mediating; Mediator of activation protein; Methods; Multivariate Analysis; NIH Program Announcements; Neighborhoods; Participant; Pathway interactions; Patient Self-Report; Physiological; Pituitary Gland; Process; Public Health; Recording of previous events; Records; Reporting; Research; Risk; Risk Behaviors; Sampling; Sex Behavior; Sexually Transmitted Diseases; Structure; Sympathetic Nervous System; Teen Dating Violence; Time; Trauma; United States National Institutes of Health; Unsafe Sex; Victimization; Violence; Woman; Work; alpha-amylase; anti social; base; biological adaptation to stress; dating violence; follow-up; high risk; innovation; intimate partner violence; programs; psychologic; salivary assay; sexual relationship; young woman

DESCRIPTION (provided by applicant): Dating violence and unsafe sexual behavior represent major public health concerns that disproportionately affect young African American (AA) women.1-3 This R01 proposal responds to the Research on Teen Dating Violence Program Announcement (PA-09-169) by requesting funds to build on an NIH-funded longitudinal study of AA adolescent women from low-income, urban neighborhoods in Chicago. Consistent with the goals of the program, the proposed etiological research is aimed at providing a better understanding of the precursors and consequences of teen dating violence through use of longitudinal, multivariate analyses to examine pathways from early violence exposure to dating violence and unsafe sexual behavior in late adolescence. AA women ages 18-22 represent the demographic group at highest risk for both intimate partner violence (IPV)1, 4-6 and sexually transmitted infections (STIs).2, 7 Dating violence is a health concern not only because of direct physical and emotional risks, but also due to increased risk of unsafe sexual behavior in violent relationships.8, 9 The specific aims of this project are to: (1) Prospectively examine the pathway from violence exposure to dating violence and unsafe sexual behavior; (2) Examine relationships among dating violence, unsafe sexual behavior, and STIs; (3) Examine romantic relationship characteristics that may explain the pathway from violence exposure to dating violence and unsafe sexual behavior; (4) Examine physiological stress response as a mediator of the pathway from violence exposure to dating violence and unsafe sexual behavior; and (5) Examine psychological mechanisms that may explain the pathway from violence exposure to dating violence and unsafe sexual behavior. Adolescent girls who participated in a 2-year longitudinal study focused on HIV risk behavior (R01 MH65155) and a follow-up assessment of trauma and victimization history (R03 MH086361) will be re-contacted to participate in a new wave of data collection focused on romantic relationships in late adolescence (ages 18-22). To capture the interactive processes that contribute to violence and unsafe sex in romantic relationships, we will also attempt to interview a romantic partner of each young woman and observe a structured interaction between the two. The proposed study will expand upon previous work in a number of innovative ways that include: (1) broadening relationship risk to dating violence; (2) assessing romantic partners; and (3) measuring biological markers of physiological stress response and sexually transmitted infections. Using multiple measures and methods (self report, partner report, observation, official records, and biological markers), we will examine links among early violence exposure, teen dating violence, and unsafe sexual behavior, and we will examine mechanisms that may explain the pathway from early violence exposure to dating violence and unsafe sexual behavior in late adolescent relationships. These findings can be used to develop culturally tailored, gender sensitive interventions to foster healthy romantic and sexual relationships in young African American women with histories of violence exposure. PUBLIC HEALTH RELEVANCE: Dating violence and unsafe sex represent major public health concerns that take place within romantic relationships and disproportionately affect young, urban African American (AA) women. The proposed study will examine pathways from early violence exposure to dating violence and unsafe sex in a sample of low- income, urban AA women at ages 18-22. Results will yield information that can be used to foster healthy dating relationships in late adolescent urban AA women.

描述（由申请人提供）：约会暴力和不安全的性行为代表了主要的公共卫生问题，不成比例地影响年轻的非洲裔美国人（AA）女性。1 -3本R 01提案响应了青少年约会暴力研究计划公告（PA-09-169），要求提供资金，以建立在NIH资助的芝加哥低收入城市社区AA青少年女性纵向研究的基础上。与该计划的目标相一致，拟议的病因学研究旨在通过使用纵向，多变量分析来更好地了解青少年约会暴力的前兆和后果，以检查从早期暴力暴露到青春期后期约会暴力和不安全性行为的途径。18-22岁的AA女性代表了亲密伴侣暴力（IPV）1，4-6和性传播感染（STI）风险最高的人口群体。2，7约会暴力是一个健康问题，不仅因为直接的身体和情感风险，而且还因为暴力关系中不安全性行为的风险增加。（1）Prosthesis检查从暴力暴露到约会暴力和不安全的性行为的途径;（2）检查约会暴力，不安全的性行为和STI之间的关系;（3）检查浪漫关系的特征，可以解释从暴力暴露到约会暴力和不安全的性行为的途径;（4）检查生理应激反应作为从暴力暴露到约会暴力和不安全性行为途径的中介;（5）检查可能解释从暴力暴露到约会暴力和不安全性行为途径的心理机制。参加了一项为期2年的纵向研究，重点是艾滋病毒风险行为（R 01 MH 65155）和创伤和受害史（R 03 MH 086361）的后续评估的青春期女孩将重新接触，以参与新一波的数据收集，重点是青春期后期（18-22岁）的浪漫关系。为了捕捉浪漫关系中导致暴力和不安全性行为的互动过程，我们还将尝试采访每个年轻女性的浪漫伴侣，并观察两者之间的结构化互动。这项拟议中的研究将以一些创新的方式扩展以前的工作，包括：（1）将关系风险扩大到约会暴力;（2）评估浪漫的伴侣;（3）测量生理应激反应和性传播感染的生物标志物。使用多种措施和方法（自我报告，合作伙伴报告，观察，官方记录和生物标志物），我们将研究早期暴力暴露，青少年约会暴力和不安全性行为之间的联系，我们将研究可能解释早期暴力暴露到约会暴力和不安全性行为的途径的机制。这些研究结果可用于制定文化定制，性别敏感的干预措施，以促进健康的浪漫和性关系的年轻非洲裔美国妇女的暴力暴露的历史。 公共卫生相关性：约会暴力和不安全的性行为代表了发生在浪漫关系中的主要公共卫生问题，并不成比例地影响年轻的城市非裔美国人（AA）妇女。拟议的研究将审查从早期暴力暴露到约会暴力和不安全性行为的途径，以18-22岁的低收入城市AA妇女为样本。结果将产生的信息，可用于促进健康的约会关系，在青春期后期的城市AA妇女。