An intervention to reduce risk factors for adolescent pregnancy

减少青少年怀孕危险因素的干预措施

• 批准号: 9789680
• 负责人: Elizabeth Ann Reed
• 金额: $ 18.81万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9789680
• 关键词: Address; Adolescent; Adoption; Age; Attitude; Birth; California; Cities; Communities; Contraceptive Usage; County; Data; Decision Making; Dependence; Deposition; Diabetes Mellitus; Discipline; Economics; Educational Status; Effectiveness; Eligibility Determination; Enrollment; Ethnic Origin; Ethnic group; Female; Focus Groups; Friends; Funding; Future; Gender; Goals; Health; Health behavior; Intervention; Interview; Knowledge; Latina; Latino; Life; Methodology; Mexican; Mexico; Modality; Modeling; Neighborhoods; Obesity; Outcome; Participant; Patient Recruitments; Persons; Population; Pregnancy; Pregnancy Rate; Pregnancy in Adolescence; Prevention strategy; Preventive Intervention; Public Health; Questionnaires; Race; Randomized; Randomized Controlled Trials; Regression Analysis; Reproductive Health; Rest; Risk; Risk Behaviors; Risk Factors; Sampling; Savings; Sexual Health; Social Behavior; Social Interaction; Social Network; Testing; Time; Training; Training Activity; Training and Education; Waiting Lists; Work; Youth; aged; arm; base; career; condoms; early childbearing; economic behavior; efficacy trial; empowerment; expectation; family support; financial literacy; follow-up; food insecurity; girls; health economics; health knowledge; improved; innovation; interest; intervention effect; male; mobile application; mobile computing; multidisciplinary; novel strategies; participant retention; peer; pregnancy prevention; programs; racial and ethnic; recruit; reproductive; response; skills; skills training; social; social norm; treatment effect

Project Summary We will assess the preliminary effects of Girls Invest, an innovative savings intervention that aims to reduce economic, social, and health behavior risks associated with disproportionately high rates of pregnancy among US Latina adolescents. Recommended models of adolescent pregnancy prevention in the US focus on modifying social norms (e.g., norms supporting early childbearing), as well as sexual health knowledge and skill-building; however, such efforts are not likely effective in reducing economic risk factors (e.g., financial reliance on male partners, low expectations for future career and educational achievements). Girls Invest involves a multidisciplinary conceptual model adapting the most effective prevention strategies from the disciplines of public health and economics to address social and economic risks associated with adolescent pregnancy. Participants receive a savings account (via our collaborating bank) with $100 deposited in increments based on completion of each module of a gender and life skills training via a mobile “app.” Girls Invest will be evaluated among a community sample of Latina adolescents residing in economically disenfranchised neighborhoods in San Diego County with high rates of adolescent pregnancy. Adolescent pregnancy is a concern in San Diego and other US-Mexico border regions, where rates are higher compared to the rest of the US or elsewhere in Mexico. Compared to other racial/ethnic groups, Latina adolescents of Mexican origin have the highest pregnancy rates. In California, where Latinos constitute 39% of the population, 30% of all Latinas give birth prior to their 20th birthday. Latina adolescents ages 15-19 will be recruited via community-based sampling in City Heights and National City, CA. Eligible and interested girls will recruit one of their same-gender friends who are part of their social network to participate in the intervention with them. Friends must meet eligibility criteria, except can be of any race/ethnicity. Half of the dyads will be randomized to receive Girls Invest and the remaining assigned to a wait-list control condition (n= 50 dyads per arm; total = 200 girls). To assess feasibility and fidelity, we will track (via data logs and app-based data) all aspects of recruitment, retention, and intervention completion. In-depth interviews with Girls Invest participants and focus groups with key stakeholders will inform acceptability and scalability of Girls Invest. Participants will complete a questionnaire at baseline and 6 months follow-up to assess evidence of improvements in intermediate outcomes. Regression analyses will assess treatment effects on intermediate outcomes. We hypothesize that at follow-up, compared to control participants, Girls Invest participants will have reduced economic vulnerability (e.g., reduced financial reliance on male partners, improved expectations for future career and educational achievements), decreased social risks for pregnancy (e.g., intentions to delay pregnancy), and improved prioritization, knowledge of, and attitudes supportive of contraceptive use. Study findings will inform a full-scale efficacy trial of Girls Invest.

项目总结