Teen Mothers’ Prenatal Cannabis Use and Co-Use with Tobacco

这是一份针对NOT-OD-22-03：特别关注通知的行政补充提案 （NOSI）：关于未得到充分研究、代表性不足和报告不足的妇女健康的研究（U3） 人口。结构性种族主义和歧视（SRD）与不良妊娠结局有关 拉丁裔女孩和妇女，特别是那些谁确定为英语学习者（ELL;也称为 有限的英语熟练或非英语发言）和移民。SRD为以下方面带来了复合挑战 ELL拉丁裔移民怀孕女孩和来自新兴或“新增长”拉丁裔社区的妇女， 增长迅速，可能缺乏成熟拉丁裔社区提供的结构和社会支持。 SRD可能影响青少年和年轻成人（AYA）怀孕ELL Latine的孕产妇和儿童健康 移民通过与物质使用，亲密伴侣暴力（IPV）和抑郁症的互动，所有这些都是 在这个群体中很普遍。在拟议的研究中，我们将追求YoungMoms项目的目标 （R 01046401）一项在AYA孕妇和孕妇中使用大麻和烟草的混合方法纵向研究 匹兹堡的产后病人我们将充分利用与Casa San José社区领袖的合作关系， 以及“健康帕拉尼奥斯”计划，以招募怀孕和产后的拉丁裔AYA ELL移民， 将SRD、IPV和抑郁症置于这个服务不足的社区的背景下，并调整YoungMoms协议。 YoungMoms项目目前通过日常歧视来衡量与种族主义有关的歧视 措施，以及物质使用，抑郁症状和IPV。然而，ELL拉丁人，谁是 在研究中代表不足，目前被排除在YoungMoms项目之外，因为学习材料 仅提供英文版本。他们也可能有一些不被水流捕捉到的经历 YoungMoms措施。我们寻求额外拨款，以达到两个目的：（1）与 产后ELL移民拉丁年龄14-24，以更好地了解SRD如何与物质使用交叉， IPV和抑郁症;（2）使用通过社区参与进行项目适应的方法 过程和以人为本的设计，以翻译，试点测试，并完善协议和措施， YoungMoms研究，使他们在语言和文化上肯定怀孕的ELL移民拉丁语AYA 在匹兹堡。这个社区合作的研究项目将集中这些人口的声音， 定性访谈和创新的社区协作会议活动。本提案的结果 将通知扩大招募的年轻妈妈的研究，也包括拉丁语ELL的人，推进我们的 了解SRD如何影响怀孕的ELL拉丁AYA，并建立工具和方法，以进一步 研究，以促进健康和繁荣的拉丁人从新兴社区。

This is a proposal for an administrative supplement in response to NOT-OD-22-03: Notice of Special Interest (NOSI): Research on the Health of Women of Understudied, Underrepresented and Underreported (U3) Populations. Structural racism and discrimination (SRD) has been linked to adverse pregnancy outcomes among Latine girls and women, especially those who identify as English language learners (ELL; also called limited English proficient or non-English speaking) and immigrants. SRD create compounding challenges for ELL Latine immigrant pregnant girls and women from emerging or “new growth” Latine communities that have seen rapid growth and may lack the structural and social supports available in established Latine communities. SRD may impact maternal and child health among adolescent and young adult (AYA) pregnant ELL Latine immigrants by interacting with substance use, intimate partner violence (IPV), and depression, all of which are prevalent in this group. In the proposed study, we will be pursuing the aims of the YoungMoms project (R01046401) a mixed-methods longitudinal study of cannabis and tobacco use in AYA pregnant and postpartum people in Pittsburgh. We will leverage our partnerships with community leaders at Casa San José and the Salud Para Niños program to recruit pregnant and postpartum ELL immigrant Latine AYA to contextualize SRD, IPV and depression in this underserved community and to adapt the YoungMoms protocol. The YoungMoms project currently measures discrimination related to racism with the Everyday Discrimination measure, as well as substance use, depressive symptoms and IPV. However, ELL Latine people, who are under-represented in research, are currently excluded from the YoungMoms project because study materials are only available in English. They also may have experiences that are not captured by the current YoungMoms measures. We seek supplemental funding to achieve two aims: (1) conduct interviews with postpartum ELL immigrant Latine ages 14-24 to better understand how SRD intersects with substance use, IPV, and depression; and (2) use the Method for Program Adaptation through Community Engagement process and human centered design to translate, pilot test, and refine the protocols and measures for the YoungMoms study so that they are linguistically and culturally affirming for pregnant ELL immigrant Latine AYA in Pittsburgh. This community-partnered research project will center the voices of this population with the use of qualitative interviews and innovative community collaborative meeting activities. Results from this proposal will inform expansion of recruitment for the YoungMoms study to also include Latine ELL people, advance our understanding of how SRD impacts pregnant ELL Latine AYA, and establish tools and methods for further research to promote the health and thriving of Latine people from emerging communities.