Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino Youth

对多代移民拉丁裔青年的前瞻性研究中的情绪健康和生殖健康

• 批准号: 10229466
• 负责人: Marissa Raymond-Flesch
• 金额: $ 17.2万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10229466
• 关键词: Acculturation; Adolescence; Adolescent; Adolescent Development; Adolescent Medicine; Adolescent and Young Adult; Adult; Affect; Award; Behavior; Biometry; California; Child; Collaborations; Communication; Communities; Contraceptive methods; Data; Data Analyses; Data Collection; Development; Emotional; Epidemiology; Equipment and supply inventories; Ethnic group; Evidence based intervention; Family; Fellowship; Gender; Generations; Goals; Grant; Health; Health Policy; Health behavior; Immigrant; Individual; Institutes; Intervention; Interview; Intuition; Language; Latina; Latino; Link; Master of Public Health; Measures; Medicine; Mental Depression; Mental Health; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Modeling; Mood Disorders; Mothers; Outcome; Parents; Participant; Partner Communications; Population; Positioning Attribute; Pregnancy; Pregnancy Rate; Pregnancy in Adolescence; Prospective Studies; Prospective cohort study; Public Health Education; Qualitative Methods; Qualitative Research; Questionnaires; Race; Recording of previous events; Reproductive Health; Research; Research Methodology; Research Personnel; Research Training; Risk; Role; Rural Population; Series; Sexual Health; Sexual Partners; Sexually Transmitted Diseases; Stress; Structure; Suicide; Teenagers; Trauma; United States; United States National Institutes of Health; Universities; Vulnerable Populations; Well in self; Work; Youth; adolescent health; aged; agricultural community; base; career; career development; child depression; community engaged research; condoms; coping mechanism; depressive symptoms; design; early adolescence; eighth grade; experience; falls; family influence; family structure; follow-up; health disparity; high risk; high school; longitudinal analysis; migration; positive youth development; pregnant; prospective; psychosocial development; public health relevance; recruit; reproductive coercion; reproductive health of adolescents; research and development; sexual debut; skills; social; social science research; unintended pregnancy; vulnerable adolescent; young adult

Project Summary/Abstract This is an application for a K23 award for Marissa Raymond-Flesch, MD, MPH, whose research focuses on the reproductive health and health disparities of Latino adolescents. She has completed three primary data collection projects utilizing community-engaged qualitative methods and has been contributing to the Salinas Teen Health Study, on which this application builds, for the past two years. Her research training includes a masters of public health and fellowships in Adolescent Medicine and Health Policy. Through the activities proposed in this application Dr. Raymond-Flesch will build skills in cross-sectional and longitudinal quantitative data analysis. She will benefit from UCSF's nationally recognized Division of Adolescent and Young Adult Medicine and Institute for Health Policy Studies as well as the university's course work in biostatistics and research methodology. In addition, UCSF will continue to support her productive collaboration with the Salinas Teen Health Study team at RTI. Across these intuitions Dr. Raymond-Flesch has established an experienced mentoring team with expertise in epidemiology, mixed methods research, and adolescent reproductive and mental health. By the completion of this award she will be well positioned to launch a career as an independent investigator, including applying for an R01 award. Informed by the social ecological model, this proposal builds on the Salinas Teen Health Study (R01- HD075787), a prospective cohort study of 600 Latino adolescents over two years as they transition from early to middle adolescence in a Californian agricultural community. Latino youth experience a variety of health disparities, including higher rates of depression and adverse reproductive health outcomes (unintended pregnancy and sexually transmitted infections). Current evidence links depression with negative sexual and reproductive health outcomes in adults, but there is a paucity of research on these associations in Latino adolescents. Additionally, data on how immigrant generation affects these outcomes for Latino adolescents are limited. Dr. Raymond-Flesch's specific aims include a quantitative analysis of the associations between depressive symptoms and sexual and reproductive health outcomes at baseline across first, second, and third generation Latino early adolescents (Aim 1); longitudinal analysis of two years of quantitative data to determine the effect of depressive symptoms during early adolescence on subsequent sexual and reproductive health (Aim 2); qualitative analysis of youth interviews to describe how emotional wellbeing influences sexual and reproductive health (Aim 3); and qualitative interviews with mothers to characterize early environmental and structural factors affecting emotional wellbeing, psychosocial development, and sexual and reproductive health for Latino youth (Aim 4). The roles of immigrant generation and protective family influences will be examined across all aims. At the conclusion of this award Dr. Raymond-Flesch will apply findings to the development of a R01 application for a culturally informed intervention to reduce mental and reproductive health disparities.

项目总结/文摘