Unintended Pregnancy Among Young Latinos in Rural Areas

拉丁裔妇女意外怀孕的风险不成比例。的目的 拟议的研究是通过以下方式增加对农村拉丁美洲人意外怀孕的了解： 研究避孕药具使用、性风险行为和艾滋病毒/性传播感染预防的决定因素， 年轻的拉丁美洲人在农村地区。在这份资助申请中，我们请求支持4年， 进行两项研究。在研究1中，我们将进行总共8-12次关键线人访谈和48-60次- 对拉丁美洲妇女和男子的深入访谈，以及3-6个关键线人访谈和6-8个重点访谈， 与卫生保健提供者的团体。研究1的具体目标是a）探索年轻的拉丁美洲人 女性和男性做预防意外怀孕; 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 获取和使用避孕药具; c）探索最有可能影响持续性的因素 使用有效的避孕药具; d）探索年轻的拉丁美洲妇女和男子如何保护自己 （e）确定促进或阻碍艾滋病毒/性传播感染的获得和使用的因素 预防方法;以及f）描述性别角色、男性参与和权力的影响 性行为和决策的差异。研究2将建立在形成性研究的基础上， 将包括与年轻（18-25岁）拉丁美洲人（250名男性，250名 妇女）。研究2的具体目标是：a）确定哪些因素-包括个人因素 特征、方法特征、关系/合作伙伴因素和背景因素-是最重要的 与避孕药具的获得和使用密切相关; 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; c）确定哪些因素 与性风险和保护行为密切相关。调查结果将具有重要意义 对公共卫生计划和干预措施的发展的影响，最终将导致 通过提高避孕药具的使用率，减少拉丁美洲年轻人的意外怀孕， 性风险承担和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.