Health Consequences of Drug Use and IPV Trajectories for Young Latinas

 描述（由申请人提供）：很少有实证研究记录了帮派附属青少年女性的生活轨迹以及青少年吸毒和伴侣暴力受害的长期健康后果。本研究的目的是确定和确定如何不同的药物使用和亲密伴侣暴力受害轨迹，出现在青春期，通过年轻的成年有助于身体和心理健康的结果在墨西哥裔美国妇女在一个高度弱势群体的背景下。这一妇女群体特别脆弱，因为她们获得和利用保健的比率很低，是最有可能没有保险的年龄组，而且由于其生殖健康和性健康所处的阶段，她们是风险、脆弱性和潜在的高成本的联系纽带。本申请提出了一个为期15年的后续队列的墨西哥裔美国青少年女性先前确定的疾病预防控制中心资助的研究谁是附属于男性帮派成员在他们的青春期和参与高利率的药物使用和亲密伴侣暴力的受害者。基于研究团队以前的研究，并使用性别和权力理论以及社会联系理论的分析工具，该应用程序将实施并行混合方法嵌套设计方法，以全面了解药物使用和IPV的长期后果。样本将由300名年轻的成年墨西哥裔美国女性组成。本研究的具体目的是：1）确定物理的患病率（心血管和代谢风险标志物和STI感染）和精神（抑郁症，创伤后应激障碍，焦虑/压力）的健康结果; 2）确定和表征不同的药物使用和IPV的轨迹，从青春期到年轻的成年; 3）确定不同年龄阶段的性关系权力和家庭社会纽带是否会改变药物使用和IPV轨迹以及健康结果;定性描述文化和社区背景及其对药物使用和IPV轨迹的影响。这项研究将产生重要的积极影响，确定谁是在发展有害药物和IPV轨迹的最高风险的妇女，因为他们过渡到年轻的成年。在这样做的过程中，我们将为确定关键年龄段期间行为干预的关键点以及文化和背景适当的价值观和策略奠定基础，这些价值观和策略将减少在现有研究中代表性不足的类似高风险女性人群之间的健康差异。

 DESCRIPTION (provided by applicant): Few empirical studies have documented the life trajectories of gang-affiliated adolescent females and the long- term health consequences of adolescent drug use and partner violence victimization. The purpose of this study is to identify and determine how distinct drug use and intimate partner violence victimization trajectories that emerge in adolescence through young adulthood contribute to physical and mental health outcomes among Mexican American women within the context of a highly disadvantaged community. This group of women are particularly vulnerable given they have low rates of access and utilization of health care, are the most likely age group to be uninsured, and represent a nexus of risk, vulnerability and potentially high costs to communities given their reproductive and sexual health stage of life. This application proposes a 15 year follow up of a cohort of Mexican American adolescent females previously identified in a CDC funded study who were affiliated with male gang members during their adolescence and involved in high rates of drug use and victims of intimate partner violence. Building upon the research teams previous studies and using analytical tools from the theory of gender and power and social bonding theory, this application will implement a concurrent mixed methods nested design approach to provide a comprehensive understanding of the long-term consequences of drug use and IPV. The sample will consist of 300 young adult Mexican-American females. The specific aims for this study are: 1) determine the prevalence of physical (cardiovascular and metabolic risk markers and STI infection) and mental (depression, PTSD, anxiety/stress) health outcomes; 2) identify and characterize distinct drug use and IPV trajectories from adolescence through young adulthood; 3) determine whether sexual relationship power and family social bonds during distinct age-graded stages alter drug use and IPV trajectories and health outcomes; and 4) characterize qualitatively the culture and community context and their influence on drug use and IPV trajectories over the life course. This research will have an important positive impact by identifying women who are at the highest risk for developing harmful drug and IPV trajectories as they transition into young adulthood. In doing this, we will lay the foundation for identifying critical points of behavioral intervention during key age-graded periods as well as culturally and contextually appropriate values and strategies that will reduce health disparities among similar high-risk female populations that have gone underrepresented in existing research.