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Health Consequences of Drug Use and IPV Trajectories for Young Latinas

年轻拉丁裔吸毒和 IPV 轨迹的健康后果

基本信息

批准号：
9096033
负责人：
Alice Cepeda
金额：
$ 65.24万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-01 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9096033
关键词：
Accounting Address Adolescence Adolescent Affordable Care Act Age Anxiety Attention Behavior Therapy Biological Markers Cardiovascular system Centers for Disease Control and Prevention (U.S.)Communities Complement Data Decision Making Development Disadvantaged Drug usage Family Female Female Adolescents Foundations Friends Funding Gap Junctions Gender Health Health system Heterogeneity Infection Intervention Knowledge Latina Latino Lead Life Life Cycle Stages Long-Term Effects Low income Mental Depression Mental Health Metabolic Methods Mexican Americans Minority National Institute of Drug Abuse Neighborhoods Not Hispanic or Latino Obesity Outcome Pharmaceutical Preparations Policies Population Post-Traumatic Stress Disorders Prediabetes syndrome Prevalence Psyche structure Public Health Recruitment Activity Reproductive Health Research Risk Risk Marker Sampling Sexual Health Shapes Sister Staging Stress Uninsured Violence Wife Woman Women&apos s Group Women&apos s Health Youth adolescent drug use age group analytical tool cohort cost design follow-up gang girls health care service health care service utilization health disparity high risk innovation intimate partner violence knowledge of results male member partner violence physical conditioning programs sexual relationship social social attachment theories violence victimization young adult young man

项目摘要

DESCRIPTION (provided by applicant): Few empirical studies have documented the life trajectories of gang-affiliated adolescent females and the long- term health consequences of adolescent drug use and partner violence victimization. The purpose of this study is to identify and determine how distinct drug use and intimate partner violence victimization trajectories that emerge in adolescence through young adulthood contribute to physical and mental health outcomes among Mexican American women within the context of a highly disadvantaged community. This group of women are particularly vulnerable given they have low rates of access and utilization of health care, are the most likely age group to be uninsured, and represent a nexus of risk, vulnerability and potentially high costs to communities given their reproductive and sexual health stage of life. This application proposes a 15 year follow up of a cohort of Mexican American adolescent females previously identified in a CDC funded study who were affiliated with male gang members during their adolescence and involved in high rates of drug use and victims of intimate partner violence. Building upon the research teams previous studies and using analytical tools from the theory of gender and power and social bonding theory, this application will implement a concurrent mixed methods nested design approach to provide a comprehensive understanding of the long-term consequences of drug use and IPV. The sample will consist of 300 young adult Mexican-American females. The specific aims for this study are: 1) determine the prevalence of physical (cardiovascular and metabolic risk markers and STI infection) and mental (depression, PTSD, anxiety/stress) health outcomes; 2) identify and characterize distinct drug use and IPV trajectories from adolescence through young adulthood; 3) determine whether sexual relationship power and family social bonds during distinct age-graded stages alter drug use and IPV trajectories and health outcomes; and 4) characterize qualitatively the culture and community context and their influence on drug use and IPV trajectories over the life course. This research will have an important positive impact by identifying women who are at the highest risk for developing harmful drug and IPV trajectories as they transition into young adulthood. In doing this, we will lay the foundation for identifying critical points of behavioral intervention during key age-graded periods as well as culturally and contextually appropriate values and strategies that will reduce health disparities among similar high-risk female populations that have gone underrepresented in existing research.