Examining Contraceptive Access and Use among Youth with Child Welfare Involvement

检查参与儿童福利的青少年的避孕药具获取和使用情况

• 批准号: 10667208
• 负责人: Katie Massey Combs
• 金额: $ 7.83万
• 依托单位: UNIVERSITY OF COLORADO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10667208
• 关键词: Adolescence; Adolescent; Adult; African American; Age; American Indians; Attitude to Health; Buffers; Categories; Characteristics; Child; Child Abuse and Neglect; Child Welfare; Code; Collection; Communities; Contraceptive Agents; Contraceptive Usage; Data; Education; Ethnic Origin; Ethnic Population; Face; Family; Female; Female Adolescents; Future; General Population; Health behavior; Home; Intervention; Interview; Investigation; Knowledge; Longitudinal Studies; Modeling; Outcome; Participant; Personal Satisfaction; Persons; Policy Maker; Population; Predictive Factor; Pregnancy; Pregnancy in Adolescence; Prevalence; Prevention; Preventive; Race; Reporting; Reproductive Health; Research; Research Personnel; Risk; Risk Factors; Role; Sampling; Schools; Services; Sexual Health; Social support; Source; Surveys; System; Testing; Vulnerable Populations; Youth; adverse childhood events; biological sex; career; child protective service; experience; foster care; high school; male; marginalization; multilevel analysis; participant interview; psychosocial; racial population; reproductive; response; service delivery; sex; socioeconomics; unintended pregnancy

Project Summary Roughly half of females with child welfare involvement report a pregnancy by age 19 , which is twice the rate of a national sample of youth of similar age and racial/ethnic composition. To date, little is known about sexual and reproductive health of youth with child welfare involvement beyond that they are at increased risk of unintended pregnancy. Even less is known about the sexual and reproductive health of younger adolescents, males, and youth who are not removed from their homes, and few data exist on contraceptive access and use. Contraceptive access and use are critical, not only because of their implications for reducing unintended pregnancy, but because of their effect on agency, autonomy, and lifelong socioeconomic opportunities. While contraceptive access and use have been studied in other populations, these topics are likely distinct for youth with child welfare involvement, given disruptions they commonly experience with systems and adults who typically provide such education and support (i.e., families, schools), and the unique connection to another formal system - child welfare. This project fills these gaps by using existing data from a longitudinal study of youth with open child welfare cases during the transition to high school. The multi-wave study interviewed male and female participants (n=245) three times across adolescence (between ages 12 to 18), and included key variables on contraceptive access and use, sexual and reproductive health attitudes, psychosocial predictors, and child welfare characteristics. We will first estimate the longitudinal experiences of contraceptive access across these critical adolescent ages (Aim 1). We will also code open-ended responses to items on sources of contraceptive access and types of contraceptives used and describe themes. After estimating trajectories of contraceptive access and use, this project will examine modifiable factors that may buffer the risk of adversities that youth with child welfare involvement face (Aim 2). Specifically, the project will examine whether the following predict contraceptive access and use: a) sexual and reproductive health attitudes, b) school attachment, c) adult social support, and d) future orientation. In Aim 3, we will assess how relationships between the modifiable factors and contraceptive access and use may differ depending on biological sex, race/ethnicity, and living instability. Thus, in addition to contributing knowledge around what promotes contraceptive access and use, this project will shed light on for whom those factors predict these contraceptive outcomes. This project will open the door for interventions and services by providing basic data on contraceptive access and use, identifying factors that promote reproductive agency and autonomy, and distinguishing how these factors may differ by key demographic and child welfare characteristics for a population who encounter marginalization through a collection of intersecting identities and adverse childhood experiences.

项目摘要 大约一半的女性患有儿童福利参与报告19岁时怀孕，这是两倍 年龄和种族/种族组成的年轻人的全国样本。迄今为止，对性知之甚少 以及儿童福利参与年轻人的生殖健康之外，他们的风险增加了 意外怀孕。关于年轻青少年的性健康和生殖健康的了解甚至更少， 男性和未从家里撤离的年轻人，在避孕访问和使用中存在很少的数据。 避孕药访问和使用至关重要，不仅因为它们对减少意外的影响 怀孕，但由于它们对代理，自治和终身社会经济机会的影响。尽管 在其他人群中已经研究了避孕药访问和使用，这些主题可能与青年不同 随着儿童福利的参与，鉴于他们通常会经历系统和成年人的经历 通常提供此类教育和支持（即家庭，学校），以及与另一个的独特联系 正式系统 - 儿童福利。该项目通过使用纵向研究中的现有数据来填补这些空白 在过渡到高中期间，有开放儿童福利案件的青年。多波研究采访了男性 和女性参与者（n = 245）在青春期（12至18岁之间），并包括钥匙 关于避孕访问和使用的变量，性和生殖健康态度，社会心理预测因素， 和儿童福利特征。我们将首先估计避孕仪的纵向经历 在这些关键的青少年时代（AIM 1）。我们还将编码对项目来源的项目的开放式响应 使用和描述主题的避孕药访问和类型。估计了 避孕访问和使用，该项目将检查可修改的因素，以缓解逆境风险 那个具有儿童福利参与面对面的青年（AIM 2）。具体来说，该项目将检查是否 按照预测避孕药的访问和使用：a）性和生殖健康态度，b）学校 依恋，c）成人社会支持和d）未来的取向。在AIM 3中，我们将评估如何关系 可修改因素与避孕访问和使用之间可能会有所不同，具体取决于生物学性别， 种族/种族和生活不稳定。因此，除了围绕促进的知识提供知识 避孕药访问和使用，该项目将阐明这些因素预测这些避孕药的因素 结果。该项目将通过提供基本数据来打开干预和服务的大门 避孕访问和使用，识别促进生殖机构和自治的因素，以及 区分这些因素如何通过关键的人口统计和儿童福利特征来差异 通过一系列相交的身份和不利的童年遇到边缘化的人口 经验。