Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in Kenya

摘要 撒哈拉以南非洲地区的怀孕少女承受着大量未得到满足的 健康需求，包括由于快速变化而无法获得心理健康服务 气候和环境因素。这项拟议的补充研究题为“测绘 气候变化与心理健康关系的影响和制定缓解战略 在肯尼亚弱势青少年群体的背景下，”将利用 正在进行的INSPIRE-K43研究，以调查气候变化的影响和相关的 环境风险或应激源对青少年心理健康及其后代早期 发展拟议的研究将在四个初级保健卫生 在两个地理上不同的地区建立设施： Kaloleni、Kilifi县（农村地区）以及Kariobangi和Kangemi的非正规住区 内罗毕县（市区）。随机抽取200名怀孕的青少年和年轻人， 符合招募标准的母亲（即，13-24岁，来自这些初级保健 诊所将招聘。一套涵盖城市气候变化指标的评估， 暴露于环境压力源（包括不良事件），青少年母亲的心理 健康，病史，生活质量，及其后代的发育，出生史和 人体测量，将评估目标1。我们还将开展四个利益相关者 研讨会和焦点小组讨论（FGD）（n=40; 6-10名参与者），将分享 科学知识，提高认识，讨论研究方法和结果， 探讨目标2的减灾和备灾战略。多元线性和Logistic 回归将用于分析定量数据，而专题网络分析将用于 用于分析定性数据。这笔赠款将有助于制定一个更明确的 在肯尼亚，心理健康的社会和环境决定因素。

Abstract Pregnant adolescents in Sub-Saharan-African (SSA) are burdened by significant unmet health needs including lack of access to mental health services due to rapidly changing climate and environmental factors. This proposed supplemental study titled “Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in Kenya” will be leveraged on the ongoing INSPIRE- K43 study to investigate the influence of climate change and related environmental risks or stressors on adolescents’ mental health and their offspring’s early development. The proposed study will be conducted in four primary care health facilities in two geographically distinct regions: Vishakani and Mwanamwinga sites in Kaloleni, Kilifi County (rural area) and Kariobangi and Kangemi informal settlements in Nairobi County (urban area). A random representative 200 pregnant adolescents and young mothers who meet the recruitment criteria (i.e., ages 13-24 years, from these primary care clinics will be recruited. A set of assessments covering urban climate change indicators, exposure to environmental stressors (including adverse events), adolescent mothers’ mental health, medical history quality of life, and their offspring’s development, birth history and anthropometric, will be assessed for Aim 1. We will also carry out four stakeholder workshops and focus group discussion (FGDs) (n=40; 6-10 participants) that will share scientific knowledge, promote awareness, discuss research methods and results, and explore mitigation and preparedness strategies for Aim 2. Multivariate linear and logistic regression will be used to analyze quantitative data while thematic network analysis will be used to analyze qualitative data. This grant would contribute to developing a clearer intervention that speaks to social and environmental determinants of mental health in Kenya.