Perceptions of Community-level Violence & Unintended Pregnancy among Urban Women

描述（由申请人提供）：城市妇女对社区暴力和意外怀孕的看法意外怀孕（UP）是指在受孕时发生的不合时宜或不想要的怀孕，是与不一致使用避孕措施相关的各种风险因素的结果。北方邦的高发率发生在未婚妇女、少数民族或城市妇女、受教育程度有限的妇女、生活贫困的妇女、处于生育年龄最年轻的妇女以及经历过人际暴力的妇女中。该项目将审查人际暴力的作用和对社区一级暴力对年轻城市妇女意外怀孕风险的看法。这项建议将涉及在天普大学附属计划生育诊所寻求治疗的年轻、城市、未怀孕、性活跃的妇女中完成300个面对面的基线和9个月的随访问卷，以：1)评估

DESCRIPTION (provided by applicant): Perceptions of Community-level Violence and Unintended Pregnancy among Urban Women An unintended pregnancy (UP) is a pregnancy that is either mistimed or unwanted at the time of conception and is the result of various risk factors associated with inconsistent contraceptive use. High rates of UP occur among unmarried women, minority or urban women, women with limited education, women living in poverty, women at the youngest spectrum of their reproductive years, and women who have experienced interpersonal violence. This project will examine the role of interpersonal violence and perception of community-level violence on the risk of unintended pregnancy among young, urban women. This proposal will involve the completion of 300 in-person baseline and 9-month follow- up questionnaires among young, urban, non-pregnant, sexually active women seeking care at Temple University-affiliated family planning clinics to: 1) assess the independent role of perceptions of community violence and experiences of interpersonal violence on the risk of UP, and 2) identify the moderating effect of resiliency promotive factors and depressive symptoms on this relationship. These findings may dramatically expand the understanding of the individual characteristics which are involved with why some young, urban women do and other young, urban women do not practice safe sexual behaviors to prevent UP. The data generated from the proposed study will allow an accurate assessment of the direct role of community-level violence on UP, and a quantification of the importance of moderating resiliency factors on the relationship between community violence, interpersonal violence and risk of UP among young, urban women. These findings will vastly expand the research in the area of UP by allowing a complex examination of the role of individual and community violence on the risk of unintended pregnancy among a population-based group of non-pregnant, sexually active urban women. These results will inform interventions to address the culturally and structurally specific factor that may play a role in the risk of unintended pregnancy in an urban setting. We anticipate the translation of this research into action particularly given the proposals focus on identifying modifiable, moderating factors that affect UP risk among young, low-income, urban women.