University of Utah Adolescent Family Study, 1980-1985

Investigators: Arthur B. Elster

Records of clinic-intake interviews conducted in the University of Utah's Teen Mother and Child Program over the period 1980-1985 provided data for the study. Respondents were mostly middle-class Caucasian adolescent mothers and their partners living in Utah. Data include reactions to the pregnancy, changes in relationships due to the pregnancy, mother and father's history of drinking smoking and substance use, history of physical and sexual maltreatment, educational status, employment status, religion, sources of emotional support, contraceptive use and anxieties involving parenthood. The TMCP clinic serves a primarily white urban population in Salt Lake City, Utah, and is operated by the Department of Pediatrics, Adolescent Medicine, University of Utah Medical School. A multidisciplinary team of nurse midwife, social worker, nutritionist, financial counselor, outreach counselor, nurse educator, and pediatricians provides a variety of medical, nutritional, and psychosocial services to clients at the hospital site. The file may be merged with DAAPPP Data Set C1 (variable MEXC3001 in Data Set C2 matches variable MEXC1610 in Data Set C1) and/or DAAPPP Data Set C2 (variable MEXC3001 in Data Set C3 matches varible MEXC2001 in Data Set C2).

University of Utah Adolescent Pregnancy Evaluation and Outcome Study, 1983-1984

Investigators: Arthur B. Elster

The program being evaluated is the Teen Mother and Child Program (TMCP) of the University of Utah, an outpatient hospital-based multidisciplinary health and education program which also contains a client home-visit component for pregnant and parenting teens. (The care program is called TMCP; the evaluation of that program is called APEOS.) The study (APEOS) began in 1981 and AFL funding began in October 1982. TMCP is being compared with traditional, more fragmented services provided to a convenience sample of teens in the community through enrollment in the Women, Infants, and Children (WIC) program. The 260 cases in the data file consist of 125 from the TMCP program and 135 from the WIC program, all of whom received services during an 18-month period between January 1983 and July 1984. The evaluation consists of (1) demographic, prenatal and pregnancy information; (2) a 4-week follow-up; (3) a 6-month follow-up; (4) a set of 9-month Bayley scores; (5) a 12-month follow-up; (6) an 18-month follow-up; (7) a 26-month follow-up; and (8) a set of 26-month Bayley scores. Data include maternal educational and occupational information, maternal child development, parenting knowledge and behavior, maternal and infant health, maternal psychosocial status, infant mental and motor development, infant language development, and infant health status. The evaluation is designed to test the hypothesis that a comprehensive and coordinated teen pregnancy program which includes medical, nutritional and psychosocial services at a single site can improve obstetrical and perinatal outcomes, improve mother and infant health development, improve maternal vocational educational outcomes and reduce the rate of rapid repeat pregnancies. The last variable in the present data set is MEXC1610, ``ID Number for DAAPPP Data Sets C2 and C3,'' and can be used to link data from the same cases in the other two data sets.

University of Utah Teen Mother and Child Program Background Data, 1981-1986

Investigators: Arthur B. Elster

The study was conducted by the University of Utah School of Medicine. Respondents were all teen mothers who had at least one delivery at a Teen Mother and Child Program (TMCP) clinic during 1981-1986. The data set includes demographic and socioeconomic information on the mother and father, as well as prenatpael, rinatal, and postnatal health data on mother and child. The TMCP clinic serves a primarily white urban population in Salt Lake City, Utah, and is operated by the Department of Pediatrics, Adolescent Medicine, University of Utah Medical School. A multidisciplinary team of nurse midwife, social worker, nutritionist, financial counselor, outreach counselor, nurse educator, and pediatricians provides a variety of medical, nutritional, and psychosocial services to clients at the hospital site. One unique feature of TMCP is a volunteer advocacy program which provides health and parenting education in a home setting. The professional team makes a clinical assessment of which teens would benefit from the intensive home-based program. Usually, the most socially high-risk parents, those most at risk for abusing their children, are selected. The volunteers for this program are recruited, trained, and supervised by the outreach counselor. During the home visits, young mothers are taught the skills that will enable them to become better parents. Individualized goals are developed for each teen mother. The file may be merged with DAAPPP Data Set C1 (variable MEXC2043 in Data Set C2 matches variable MEXC1610 in Data Set C1) and/or DAAPPP Data Set C3 (variable MEXC2001 in Data Set C2 matches varible MEXC3001 in Data Set C3).

Urban Mens Health Survey (UMHS), 1997-98

Investigators: Center for AIDS Prevention Studies (CAPS); University of California, San Francisco

The Urban Men's Health Study (UMHS) is a telephone interview of a probability sample of men who have sex with men (MSMs) living in four cities – San Francisco, New York, Los Angeles, and Chicago. An MSM was defined as any male who reported same sex contact since age 14 or who self-identified as gay or bisexual. The dataset contains 855 variables and 2881 cases. Data were collected between November 1996 and February 1998 on the respondent's sexual behaviors in the preceding 12 months, information on up to four (4) male or female partners, sexual development, anti-gay victimization, sexual coercion, access to medical care, sexual problems, depression, alcohol and drug use, STD assessment, HIV antibody test, attitudes about being HIV positive, and well-being. A total of 2,881 interviews were obtained between November 1996 and February 1998. Data were collected on the respondent's sexual behaviors in the preceding 12 months, information on up to four (4) male or female partners, sexual development, anti-gay victimization, sexual coercion, access to medical care, sexual problems, depression, alcohol and drug use, STD assessment, HIV antibody test, attitudes about being HIV positive, and well-being. Interviews were conducted in English and Spanish (n=17) at a time of the respondents' choosing and lasted an average of 75 minutes. Only male interviewers were employed for the MSM screening and questionnaire portions of the interview.

Use and Expenditure on Complementary Medicine in England: A Population Based Survey, 1998

Investigators: Kate Thomas, Jon Nicholl, Patricia Coleman, & Christian Stacey

Use and Expenditure on Complementary Medicine in England was a population-based, cross-sectional, mail survey of adults in England. The survey was conducted in 1998 by researchers at the Medical Centre Research Unit, School of Health and Related Research, University of Sheffield. The survey was conducted to generate reliable population-based estimates of use of practitioner-provided complementary therapies in England in 1998. A previously piloted mail questionnaire was sent to sample members. The survey collected information on lifetime use and use in the past 12 months of specific types of complementary therapies and over-the-counter remedies. Information was also collected on the most recent visit to a complementary therapy provider, including reason for visit, expenditures, insurance, and location of treatment.

Ventura County Survey of Unmarried Pregnant Women Aged 13-20, 1972-74

Investigators: Jerome Evans, Winston Chow, and Marvin Eisen

During the period of the study (1972-74), the Public Health Clinic in Ventura County, California served as the primary intake point for nearly all women who received abortions in the county. In addition, large numbers of pregnant women who did not have abortions came to the clinic for prenatal care and counseling. A standard schedule of questions was administered to a sample of unmarried pregnant women between the ages of 13 and 20. These questions focused on contraceptive knowledge, attitudes, and usage; attitudes regarding abortion; and perceived opinions and attitudes of significant others. Additional data included information on work and leisure activities, sexual and reproductive knowledge, and attitudes toward sexuality. The data thus facilitate the stud of changes in attitudes and knowledge following pregnancy and contact with the clinic, as well as analysis of factors leading to various decisions regarding the outcomes of the pregnancies.

Ventura County Survey of Unmarried Pregnant Women Aged 13-20: Six-Month Follow-up, 1972-74

Investigators: Jerome Evans, Winston Chow, and Marvin Eisen

The study focuses first on unwed teenagers with unintended pregnancies; second, it measures decision satisfaction after the actual abortion or delivery. This data set extends an earlier investigation (DAAPPP Data Set No. 31) to the period six months after abortion or delivery, and provides reported decision satisfaction of Mexican-American and white teenagers. It also provides data on current financial support, school enrollment, employment history, contraceptive attitudes and usage, and relationship with the man responsible for the pregnancy.

Voluntary Counseling and Testing for Female Sex Workers (VCT Program)

Investigators: Xiaoming Li, PhD, Bo Wang, PhD, Xiaoyi Fang, PhD, Ran Zhao, MD, Bonita Stanton,MD, Yan Hong, MA, Baiqing Dong, MD, Wei Liu, MD, Yuejiao Zhou, MD, Shaoling Liang, MD, & Hongmei Yang, PhD

The VCT Program aims to increase STI/HIV testing, awareness of infection, STI/HIV knowledge, and consistent use of condoms among female sex workers in China in order to ultimately reduce rates of STI infections. The VCT Program demonstrated increases in knowledge of STI/HIV knowledge and consistent condom use, and decreases in STI incidence. The VCT Program is composed of a pre-test counseling session, STI/HIV testing, and a post-test counseling session. During the first 25-minute VCT counseling session, the counselor works with the participant to: complete a risk assessment; identify challenges related to risk reduction; create a risk reduction plan; and practice condom use skills. After the first counseling session, the participant completes STI/HIV testing. During the 20-minute post-test counseling session, the counselor shares test results and reviews treatment options and risk reduction plans. The VCT Program was originally implemented in a suburban area of Nanning in southern China with female sex workers recruited from entertainment establishments. This program's voluntary counseling and testing content and approach may be useful in increasing testing and safer sex behaviors in many different types of communities and populations. Click here to view more detailed information on this program.

WILLOW: HIV Transmission Reduction Among Women Living with HIV

Investigators: Wingood, GM, DiClemente, RJ, MikHail, I, Lang, DL, Hubbard McCree, D, Davies, SL, Hardin, JW, Hook, EW & Saag, M

Traditional methods of preventing the transmission of STIs and HIV/AIDS focus on decreasing risk behaviors while increasing condom usage among individuals who are HIV negative. Included in those methods are individual counseling and group interventions. Few risk reduction interventions are developed specifically for women who have tested positive for HIV, despite data that indicate that a growing number of women acquired their infections through heterosexual contact. WILLOW was designed as a group intervention for African American women. The intervention incorporates elements of sexual risk reduction and social networking to reduce STI/HIV sexual transmission and to enhance psychosocial mediators and structural factors associated with preventive behaviors over a one-year period. The evaluation of WILLOW was a randomized controlled study including 366 women who were assigned to either the intervention (n=190) or comparison (n=176) conditions. Criteria for eligibility included: HIV+ serostatus; aged 18-50; and sexually active during the past six months. Following a baseline assessment, women were randomly assigned to one of two conditions. Follow-up assessments were conducted at six and twelve months post intervention. Over the 12-month follow-up period, women in the intervention group, as compared to their comparison group counterparts, reported fewer incidents of unprotected vaginal intercourse (1.8 vs. 2.5; P=0.022); were less likely to report never using condoms (OR=0.27; P=0.008); had a lower rate of bacterial infections (OR=0.19, P=0.006); reported greater HIV knowledge and condom use self-efficacy, more network members, fewer beliefs that condoms interfere with sex, and fewer partner-related barriers to condom use; and demonstrated greater skill in using condoms. Click here to view more detailed information on this program.

Washington State Study of Victimization and Other Risk Factors for Child Maltreatment among School Age Parents, 1989-1992

Investigators: Debra Boyer

This three-year, Washington statewide field study of pregnant and parenting teenagers, conducted between 1989 and 1992, assessed the role of sexual victimization in adolescent sexual behavior, pregnancy, and subsequent parenting. The purpose of the study was to examine the prevalence, etiology and prevention of child maltreatment by adolescent parents. The guiding hypothesis focused research on physical and sexual victimization as antecedent factors in both adolescent pregnancy and child maltreatment among adolescent parents. The central questions of this investigation were: (1) What is the relationship between early sexual victimization and child abuse to adolescent pregnancy and (2) what is the relationship between early sexual victimization and child abuse to maltreatment of the children of adolescent parents. Data were collected in three phases, at approximately one year intervals. The phases included: (1) baseline surveys conducted in 1989, (2) follow-up surveys conducted approximately one year later, and (3) a review of Child Protective Services case record reviews. In addition, focus group interviews were conducted throughout the research period. DAAPPP Data Set N3 includes data from the baseline and the follow-up surveys. It includes 916 variables and 540 cases.