Sociocultural context and mental health around an unintended pregnancy

意外怀孕的社会文化背景和心理健康

• 批准号: 10644488
• 负责人: Julia Renee Steinberg
• 金额: $ 26.04万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10644488
• 关键词: Adult; Adverse event; Age; Anxiety; Attenuated; Buffers; Characteristics; Child; Clinic; Cognitive; Cohort Studies; Coping Skills; Data Set; Disease; Emotions; Empirical Research; Family; Feeling suicidal; Florida; Future Generations; Geographic Locations; Geography; Goals; Individual; Iowa; Knowledge; Legal; Longevity; Low income; Maryland; Mediating; Mental Health; Mental health promotion; Methodology; Mothers; Patients; Personal Satisfaction; Policies; Psyche structure; Research; Role; Social support; Stigmatization; Stress; Stress and Coping; Symptoms; Termination of pregnancy; Texas; Time; Variant; Woman; brief intervention; clinical practice; coping; depressive symptoms; ethnic diversity; expectation; experience; feasibility testing; novel; perceived stress; post-traumatic symptoms; pregnancy health; racial diversity; recruit; reduce symptoms; reproductive; social culture; social stigma; theories; unintended pregnancy

Project Summary This project examines mental health from before to after an elective termination of pregnancy and whether and how the sociocultural context is associated with mental health around an elective termination. This research is important for effectively and efficiently promoting mental health in women and their families and for the well- being of future generations. Only one U.S. study conducted 30 years ago has examined depressive symptoms from before to after an elective termination, and no research has directly examined whether or how the sociocultural context influences mental health around an elective termination. Much has changed in the past 30 years regarding the sociocultural context and who has elective terminations. Patients who have elective terminations are more racially and ethnically diverse, more likely to be low income, and more likely to be mothers already. With respect to the sociocultural context, there has been an overall increase in the volume of enacted policies around elective terminations (with 2021 having the most since 1973), a decrease in the number of clinics providing elective terminations, and an increase in the percentage of U.S. adults believing elective terminations should be legal in all or most cases. Furthermore, within the U.S. these sociocultural indicators vary by geographical location. The long-term goal of this research is to understand whether and how the sociocultural context influences mental health around an elective termination so that brief interventions to promote mental health among those having elective terminations may be implemented most effectively and efficiently. The primary objectives of this proposal are to test the feasibility of a novel methodology that assesses mental health (including depressive, anxiety, stress, and post-traumatic stress symptoms, and suicidal ideation) from before to after an elective termination and examines whether and how the sociocultural context influences mental health around an elective termination. To do this, we propose to recruit and follow for a year 560 women having elective terminations in two very different sociocultural contexts (280 in each context). Informed by stress and coping theory, empirical research, and our recently conducted pilot cohort study, we have the following aims: 1) To detail mental health changes from 1 week before to 1 year after an elective termination, 2) To examine the extent to which the sociocultural context influences mental health around an elective termination, 3) To investigate whether stigma, logistical experiences, cognitive appraisals and coping expectations mediate the association between sociocultural context and mental health around an elective termination, and 4) To explore whether social support buffers the effects of a negative sociocultural context on mental health around an elective termination. Knowledge gained from the proposed research will guide next steps in research and inform brief interventions and clinical practice aimed at promoting mental health around an elective termination.

项目摘要 该项目从以前到之后审查了心理健康，以及是否及之后 社会文化背景如何与选修课终止的心理健康相关。这项研究是 对于有效，有效地促进妇女及其家人的心理健康以及良好 是子孙后代。 30年前，只有一项美国研究检查了抑郁症状 从以前到之后的选修终止之后，没有任何研究直接检查 社会文化背景影响围绕选修课的心理健康。在过去的30年中发生了很多变化 关于社会文化背景和选修终止的年份。有选修课的患者 终止在种族和种族上更加多样化，更可能是低收入，更有可能是 母亲已经关于社会文化的背景，总体上增加了 围绕选修终止制定的政策（2021年以来，自1973年以来的政策最多），减少了 提供选修终止的诊所数量，以及美国成年人的百分比增加 在所有或大多数情况下，选修终止应是合法的。此外，在美国，这些社会文化 指标因地理位置而异。这项研究的长期目标是了解是否以及如何 社会文化背景影响围绕选修终止的心理健康，因此简短的干预措施 在选修终止的人中促进心理健康可能最有效地实施，并且 有效。该提案的主要目标是测试一种新方法的可行性 评估心理健康（包括抑郁，焦虑，压力和创伤后压力症状，以及 自杀构想）从选修课终止之前到之后，并检查社会文化是否以及如何 背景会影响选修终止周围的心理健康。为此，我们建议招募和关注 在两个非常不同的社会文化背景下有选修终止的560名妇女 语境）。由压力和应对理论，实证研究和我们最近进行的飞行员队列所告知 研究，我们有以下目的：1）详细说明心理健康的变化，从1周之前到1年 选修终止，2）检查社会文化背景影响心理健康的程度 围绕选修终止，3）研究污名，后勤经验，认知评估是否是否 应付期望调解了社会文化背景与心理健康之间的关联 选修终止，以及4）探索社会支持是否缓解了负面社会文化的影响 关于选修课终止的心理健康的背景。从拟议的研究中获得的知识将 指导研究的下一步，并为简短的干预措施和临床实践提供旨在促进心理的临床实践 围绕选修课的健康。