Use of reproductive health care among asian immigrant women
Active Project Grant Awarded Last action
- Award ID
- R01HD109194
- Recipient
-
University Of California, LOS Angeles UEI RN64EPNH8JC6 Part of State Of California Controllers Office
- Awarding agency
-
National Institute of Child Health and Human Development
National Institutes of Health, Department of Health and Human Services
- Obligated
- $4,292,132
Award facts
- Assistance listing
- 93.865 Child Health and Human Development Extramural Research
- Completion date 85% complete
- Place of performance
- Los Angeles, CA 90095, USA
Award details come from USAspending.gov.
Description
- Abstract
- There are over 20 million asians in the US, 60% of whom are immigrants. By 2055, this demographic is expected to surpass hispanics to become the largest immigrant group in the country. This includes 1.5 million undocumented asians, who experience greater barriers to access than their documented peers. Despite these trends, national health statistics often lump asians into an "other" category or exclude them entirely. For asian immigrant women, who report greater odds of unintended pregnancies and are less likely to use sexual and reproductive health (SRH) care compared to their US-born counterparts, detailed SRH data accounting for their diversity of social, economic, and political experiences is critical to addressing SRH inequities in their growing community. Moreover, past studies treat immigration status as a binary (documented/undocumented) and static variable; however, there is increasing recognition that there is a hierarchy of statuses and that status can change across the life of an immigrant. Building on the PI's past work with asian immigrants, the goal of this study is to provide critical SRH data among the most diverse sample of asian immigrant women to date. We propose to establish the first multi-city, sequential mixed-methods study of the SRH of asian women across multiple ethnicities and immigration statuses, including naturalized citizens, lawful permanent residents, temporary workers and students, daca recipients, and undocumented immigrants. Guided by the social ecological model and life course perspective, this study will assess multilevel factors that mediate and moderate associations between immigration status and SRH care use. We first conduct 48 qualitative life history interviews to examine how sociopolitical experiences of immigration statuses act as barriers to SRH care use over time (aim 1). Next, using a novel starfish sampling method used to recruit hidden populations, we will recruit 2,000 asian immigrant women aged 18-49 years, including an oversampling of the four largest undocumented asian ethnicities (indian, chinese, filipinos, and koreans) in cities with the highest numbers of asian immigrants (LOS angeles, new york city, houston, and atlanta). Using quantitative survey data, we will 1) examine how immigration status is associated with use of recent SRH services; 2) explore histories of immigration statuses and assess cumulative risks on SRH care use during sensitive periods (e.g. childhood, adolescence, adulthood) (aim 2); 3) and examine mediators and moderators (aim 3). In order to improve the quality, relevance, and accessibility of our research, we will partner with the national asian pacific american women's forum (napawf), the first national asian reproductive justice organization, and its chapters located in each of our cities of interest. In addition, we will closely engage the knowledge, expertise, and sensitivities of local community-based organizations throughout california, new york, texas, and georgia. Our short-term goal is to identify and inform multi-level SRH outreach and intervention efforts, which will help US achieve our long-term goal to improve the SRH equity of immigrants, families, and communities.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $576,050 | |
| Amendment | $594,112 | |
| Amendment | $602,470 | |
| Amendment | $619,144 | |
| Amendment | $619,144 | |
| Amendment | $640,606 | |
| Original award | $640,606 |
Subawards
| Subrecipient | Amount | Awarded |
|---|---|---|
| Community Resource Corporation | $65,120 | |
| Boat People Sos-Houston, Inc. | $55,110 | |
| New York Asian Womens Center Inc. | $53,350 | |
| Rutgers, The State University | $122,520 |
Quick answers
Who received award R01HD109194?
R01HD109194 was awarded to University Of California, LOS Angeles by National Institute of Child Health and Human Development (National Institutes of Health) on September 15, 2022.
How much is award R01HD109194 worth?
$4,292,132 has been obligated on R01HD109194.
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