在肯尼亚弱势青少年群体的背景下，绘制气候变化与心理健康关系的影响并制定缓解策略-猫眼课题宝

在肯尼亚弱势青少年群体的背景下，绘制气候变化与心理健康关系的影响并制定缓解策略

批准号：

10672516

负责人：

Manasi Kumar

金额：

$8.08万

依托单位：

UNIVERSITY OF NAIROBI

依托单位国家：

美国

项目类别：

财政年份：

2018

资助国家：

美国

项目状态：

已结题

起止时间：

2018-09-20 至 2024-02-28

来源：

https://reporter.nih.gov/project-details/10672516

关键词：

Address Adolescent Adverse event Advocacy Affect African Age Air Awareness Biodiversity Biological Birth History Child Climate Clinic Communities Community Healthcare Complement Country County Data Development Discipline Droughts Ecosystem Educational workshop Environment Environmental Risk Factor Epidemiology Exposure to Female Adolescents Floods Focus Groups Geography Grant Grasslands HIV Health Health Services Needs Health care facility Interest Group Intervention Investments Kenya Knowledge Linear Regressions Link Location Logistic Regressions Medical History Mental Depression Mental Health Mental Health Services Outcome Participant Pathway Analysis Perinatal Play Population Populations at Risk Postpartum Period Pregnant Women Prevalence Primary Health Care Process Psyche structure Public Health Quality of life Rain Readiness Reporting Research Research Design Research Methodology Risk Risk Factors Role Rural Series Services Shock Site Social Policies Stream Stressful Event Temperature Urbanization Vulnerable Populations Water Water Pollution Weather Work aged antenatal built environment child depression climate change climate impact community involvement data format design environmental change environmental stressor epidemiology study experience forest high risk implementation research infancy intervention refinement low and middle-income countries offspring perinatal mental health perinatal outcomes physical conditioning pregnant teen recruit rural area social social determinants social health determinants social vulnerability socioeconomics stressor teenage mother urban area vulnerable adolescent young mother young woman

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Abstract Pregnant adolescents in Sub-Saharan-African (SSA) are burdened by significant unmet health needs including lack of access to mental health services due to rapidly changing climate and environmental factors. This proposed supplemental study titled “Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in Kenya” will be leveraged on the ongoing INSPIRE- K43 study to investigate the influence of climate change and related environmental risks or stressors on adolescents’ mental health and their offspring’s early development. The proposed study will be conducted in four primary care health facilities in two geographically distinct regions: Vishakani and Mwanamwinga sites in Kaloleni, Kilifi County (rural area) and Kariobangi and Kangemi informal settlements in Nairobi County (urban area). A random representative 200 pregnant adolescents and young mothers who meet the recruitment criteria (i.e., ages 13-24 years, from these primary care clinics will be recruited. A set of assessments covering urban climate change indicators, exposure to environmental stressors (including adverse events), adolescent mothers’ mental health, medical history quality of life, and their offspring’s development, birth history and anthropometric, will be assessed for Aim 1. We will also carry out four stakeholder workshops and focus group discussion (FGDs) (n=40; 6-10 participants) that will share scientific knowledge, promote awareness, discuss research methods and results, and explore mitigation and preparedness strategies for Aim 2. Multivariate linear and logistic regression will be used to analyze quantitative data while thematic network analysis will be used to analyze qualitative data. This grant would contribute to developing a clearer intervention that speaks to social and environmental determinants of mental health in Kenya.

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