Unintended Pregnancy Among Young Latinos in Rural Areas

拉丁裔女性意外怀孕的风险更大。该计划的目标是 拟议的研究旨在通过以下方式提高对拉丁裔农村居民意外怀孕的了解 检查避孕用具的使用、性危险行为和艾滋病毒/性传播感染预防的决定因素 农村环境中的年轻成年拉美裔人。在这项拨款申请中，我们要求提供四年的支持，以 进行两项研究。在研究1中，我们将总共进行8-12次关键线人访谈和48-60次- 对拉丁裔妇女和男子进行深度访谈，以及3-6次关键线人访谈和6-8次焦点访谈 有医疗保健提供者的团体。研究1的具体目的是：a)探索年轻的拉丁裔 做好男女预防意外怀孕的工作；b)确定个人特点、方法 特征、合作伙伴和关系因素，以及促进或阻碍 获得和使用避孕药具；c)探讨最有可能影响一致性的因素 使用有效的避孕药具；d)探讨拉丁裔青年男女如何保护自己 防止艾滋病毒和性传播感染；e)查明促进或阻碍艾滋病毒/性传播感染的获取和使用的因素 预防方法；以及f)说明性别角色、男性参与和权力的影响 性行为和决策上的差异。研究2将建立在形成性研究和 将包括对年轻的(18-25岁)拉丁裔(250名男性，250名)进行面对面的结构化采访 女性)。研究2的具体目标是：a)确定哪些因素--包括个人 特征、方法特征、关系/合作伙伴因素和背景因素-是最重要的 与获得和使用避孕药具密切相关；b)确定哪些因素最重要 与持续使用有效避孕药具密切相关；以及c)确定哪些因素 与性风险和保护性行为密切相关。这些发现将具有重要的意义 对发展公共卫生方案和干预措施的影响，最终将导致 通过改善避孕措施的使用，减少拉美年轻人的意外怀孕，减少 承担性风险，改善生殖健康服务的提供。

Latino women are disproportionately at risk for unintended pregnancies. The objective of the proposed research is to increase understanding of unintended pregnancy among rural Latinos by examining determinants of contraceptive use,sexual risk behavior and HIV/STI prevention among young adult Latinos in rural settings. In this grant application, we request support for 4 years to conduct two studies. In Study 1, we will conduct a total of 8-12 key informant interviews and 48-60 in- depth interviews with Latino women and men, as well as 3-6 key informant interviews and 6-8 focus groups with health care providers. The specific aims of Study 1 are to a) explore what young Latino women and men do to prevent unintended pregnancy; b) identify the personal characteristics, method characteristics, partner and relationship factors, and contextual factors that facilitate or impede the acquisition and use of contraceptives; c) explore the factors that are most likely to influence consistent use of effective contraceptives; d) explore what young Latino women and men do to protect themselves from HIV and STIs; e) identify factors that facilitate or impede the acquisition and use of HIV/STI prevention methods; and f) characterize the influence of gender roles, male involvement, and power differentials in sexual behavior and decision-making. Study 2 will build on the formative research and will include in-person, structured interviews with young (aged 18-25 years) Latinos (250 men, 250 women). The specific aims of Study 2 are to a) determine which factors - including personal characteristics, method characteristics, relationship/partner factors, and contextual factors - are most strongly associated with acquisition and use of contraceptives; b) determine which factors are most strongly associated with consistent use of effective contraceptives; and c) determine which factors are most strongly associated with sexual risk and protective behavior. Findings will have important implications for the development of public health programs and interventions that will ultimately lead to the reduction of unintended pregnancy among young Latinos by improving contraceptive use, reducing sexual risk taking, and improving the delivery of reproductive health services.