DYnamics of Contraception in Eswatini (DYCE)

项目总结/摘要 本申请中概述的五年培训和研究项目将促进阿比盖尔博士的职业生涯 Greenleaf是一位在撒哈拉以南地区基于手机的横断面数据收集方面已经取得成就的学者， 非洲将掌握高频率、纵向的性健康和生殖健康研究。你的职业生涯 发展和研究活动，候选人将准备在该领域作出重大贡献， 国际性和生殖人口研究。这个指导研究科学家发展奖 旨在满足Greenleaf博士了解避孕的近期职业发展目标 动态-采用、继续、中止和转换-少女和年轻妇女 在艾滋病毒高流行率的环境（斯威士兰），并实现她的首要职业目标，成为一个独立的 促进性健康和生殖健康知识的学者。因此，K01研究将得到支持 由导师指导的职业发展培训在四个互补的领域，以促进她的长期研究 目标.为了丰富她的生殖健康奖学金，格林里夫博士将（1）接受社会学理论的培训， 怀孕的欲望为了（2）分析高频纵向数据，她需要高级统计技能 方法.她将（3）获得预防艾滋病毒感染和风险方面的专业知识。最后，成为一名独立人士 由NIH资助的研究者Greenleaf博士将（4）开展专业发展活动。这一创新 该提案与NICHD人口动态分支的一个关键科学优先事项相一致：研究避孕药具的使用 不使用。该研究计划有三个目标：（1）调查国家（学校教育，收入， （2）检查怀孕意愿与避孕措施使用之间的关系; （3）测试妇女对艾滋病毒风险的看法是否会改变其感染艾滋病毒的可能性。 避孕药具使用和艾滋病预防行为。将监督职业发展和研究活动 由一个导师团队，包括主要导师伊莱恩艾布拉姆斯博士，流行病学和儿科教授， 哥伦比亚大学和两名共同导师：詹妮弗巴伯博士，社会学教授，印第安纳州大学和博士。 John Santelli，哥伦比亚海尔布伦人口与家庭健康及儿科系教授 大学拟议中的K01项目将使Greenleaf博士处于一个独特而重要的位置， 在中国的少女和年轻妇女中开展避孕和艾滋病毒预防行为的创新研究 撒哈拉以南非洲是实现全球性健康和生殖健康改善的重点人群。

PROJECT SUMMARY/ABSTRACT The five-year training and research project outlined in this application will foster the career of Dr. Abigail Greenleaf, an already accomplished scholar in cell phone-based cross-sectional data collection in sub-Saharan Africa to master high-frequency, longitudinal sexual and reproductive health studies. With the proposed career development and research activities, the candidate will be poised to make significant contributions in the field of international sexual and reproductive population studies. This Mentored Research Scientist Development award is designed to meet Dr. Greenleaf’s near-term career development goal of understanding contraceptive dynamics – adoption, continuation, discontinuation, and switching – among adolescent girls and young women in a high HIV prevalence setting (Eswatini), and to meet her overarching career goal to become an independent scholar who advances knowledge of sexual and reproductive health. Thus, the K01 research will be supported by mentor-guided career development training in four complementary areas to facilitate her long-term research goals. To enrich her reproductive health scholarship, Dr. Greenleaf will be (1) trained in sociology theories of pregnancy desire. To (2) analyze high-frequency longitudinal data, she requires skills in advanced statistical methods. She will (3) gain expertise in prevention and risk of HIV acquisition. Finally, to become an independent NIH-funded investigator, Dr. Greenleaf will (4) undertake professional development activities. This innovative proposal aligns with a key scientific priority of NICHD Population Dynamics Branch: studying contraceptive use and non-use. The research plan has three aims: (1) Investigate how changing states (schooling, income, residential mobility) impact contraceptive use; (2) Examine the relationship between pregnancy desires and contraceptive use; (3) Test whether changes in a woman’s perception of her HIV risk changes her probability of contraceptive use and HIV prevention behaviors. Career development and research activities will be supervised by a team of mentors including primary mentor Dr. Elaine Abrams, Professor of Epidemiology and Pediatrics at Columbia University and two co-mentors: Dr. Jennifer Barber, Sociology Professor, Indiana University; and Dr. John Santelli, Professor, Heilbrunn Department of Population and Family Health and Pediatrics at Columbia University. The proposed K01 project will place Dr. Greenleaf in a unique and important position to conduct truly innovative studies of contraceptive and HIV-prevention behavior among adolescent girls and young women in Sub-Saharan Africa, a priority population for reaching global sexual and reproductive health improvements.