Social support and pregnancy outcomes in early adulthood

成年早期的社会支持和妊娠结局

• 批准号: 9215527
• 负责人: Heidi Serene Moseson Lidow
• 金额: $ 2.13万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-02-01 至 2017-05-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9215527
• 关键词: Address; Advisory Committees; Affect; Age; Biometry; Birth; Characteristics; Child; Counseling; Data; Data Collection; Decision Making; Economics; Ectopic Pregnancy; Enrollment; Ensure; Epidemiology; Exhibits; Face; Family; Family Planning; Friends; Funding; Future; Goals; Health; Health Personnel; Health Professional; Incidence; Individual; Interview; Knowledge; Life; Logistic Regressions; Measures; Medical; Methodology; Methods; Mission; Modeling; National Institute of Child Health and Human Development; Nature; Parents; Participant; Patients; Pattern; Perception; Persons; Play; Population Study; Postdoctoral Fellow; Pregnancy; Pregnancy Outcome; Principal Investigator; Process; Professional counselor; Provider; Qualitative Methods; Qualitative Research; Reporting; Reproductive Health; Reproductive Process; Research; Research Methodology; Research Personnel; Resolution; Respondent; Risk; Role; Sampling; Sexual Partners; Social support; Source; Spontaneous abortion; Statistical Data Interpretation; Structural Models; Structure; Surveys; Techniques; Termination of pregnancy; Time; Training; Training Programs; United States; Unwanted Birth; Woman; Work; abortion; career; cost; design; emerging adult; experience; improved; insight; meetings; multidisciplinary; parental role; pregnant; prospective; public health relevance; public health research; satisfaction; sexual relationship; skills; social; stillbirth; success; unintended pregnancy; young adult; young woman

 DESCRIPTION (provided by applicant): In the United States, half of all women will experience an unintended pregnancy by age 45. 1, 2 among younger women, by the age of 20, more than 30% will experience a pregnancy, and over 80% of these pregnancies will be unintended. 1 Unwanted births are associated with negative physical, social and economic consequences for both the woman and her child. 3-5 Ensuring that a woman is able to make the right choice for herself about whether to carry an unintended pregnancy to term is fundamental to her health and wellbeing. Decisions regarding unintended pregnancy have ramifications that affect a woman's educational, professional and personal aspirations, as well as her current and future family life. 6, 7 the importance of social support - from partners, parents and friends - for a woman's decision to carry an unintended pregnancy to term has been identified in previous work, 8-11 but the dynamic nature of this support and the various forms it can take have been under-studied. Particularly, few studies have examined the influence of intimate, sexual relationships on the pregnancy resolution decision. This proposed study aims to 1) identify dynamics of intimate, sexual relationships that predict whether a woman will choose to carry an unintended pregnancy to term during her early adulthood (ages 18-22 years), and any delays in that decision; and 2) describe the needs for decision- making support perceived by young women faced with an unintended pregnancy. Combined, these two aims will provide insight into the overall influence of social support on pregnancy decision-making in young women, with the ultimate goal of helping health professionals address these influences during their counseling - including how to empower women to access the social support that they need, as well as ensuring that their informational needs are met. This enhanced support should reduce costly delays in pregnancy decision- making (financial and medical), and improve women's satisfaction with their choice. For Aim 1, the data will be derived from two and a half years of extensive weekly survey interviews with 196 young women ages 18-22 years who experienced 233 unintended pregnancies during their enrollment in the NICHD-funded Relationship Dynamics and Social Life (RDSL) Study. Logistic regression and marginal structural modeling will be used to explore the influence of relationship dynamics on pregnancy resolution. For Aim 2, the Principal Investigator will collect new qualitative data from in-depth interviews conducted among 25 women drawn from the original sample of 196 RDSL participants. Qualitative methods will be used to analyze interview data to contextualize results from quantitative analyses and to generate hypotheses for future post-doctoral research. The training program that I propose in this application will allow me to not only develop the quantitative and qualitative methodological skills to carry out my dissertation research, but will also help me to obtain the necessary professional skills that I will need for an active career as an independent, academic researcher.

 描述（由申请人提供）：在美国，一半的女性在45岁之前会经历意外怀孕。1，2在年轻女性中，到20岁时，超过30%的人会怀孕，其中超过80%的怀孕是意外的。1意外生育对妇女及其子女的身体、社会和经济造成负面影响。3-5确保妇女能够为自己做出正确的选择，决定是否将意外怀孕进行到底，这对她的健康和福祉至关重要。关于意外怀孕的决定会影响妇女的教育、职业和个人抱负，以及她目前和未来的家庭生活。6，7来自伴侣、父母和朋友的社会支持对于妇女决定将意外怀孕的决定的重要性已经在以前的工作中得到确认，8-11但这种支持的动态性质及其可能采取的各种形式尚未得到充分研究。特别是，很少有研究探讨了亲密的性关系对怀孕决定的影响。这项拟议的研究旨在：1）确定亲密性关系的动态，预测女性是否会选择在成年早期（18-22岁）进行意外怀孕，以及该决定的任何延迟; 2）描述面临意外怀孕的年轻女性对决策支持的需求。结合起来，这两个目标将提供深入了解社会支持对年轻女性怀孕决策的整体影响，最终目标是帮助卫生专业人员在咨询期间解决这些影响-包括如何使妇女能够获得所需的社会支持，以及确保他们的信息需求得到满足。这种加强的支持应减少昂贵的怀孕决策延误（财务和医疗），并提高妇女对其选择的满意度。对于目标1，数据将来自两年半的广泛每周调查访谈，其中196名年龄在18-22岁之间的年轻女性在NICHD资助的关系动态和社会生活（RDSL）研究中登记期间经历了233次意外怀孕。逻辑回归和边际结构模型将用于探索关系动力学对妊娠解决的影响。对于目标2，首席研究员将从196名RDSL参与者的原始样本中抽取25名妇女进行深入访谈，收集新的定性数据。定性方法将用于分析访谈数据，从定量分析的结果，并为未来的博士后研究产生假设的背景。我在本申请中提出的培训计划将使我不仅能够发展定量和定性的方法论技能来进行我的论文研究，而且还将帮助我获得必要的专业技能，我将需要一个积极的职业生涯作为一个独立的，学术研究人员。