# Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino Youth

> **NIH NIH K23** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2020 · $171,968

## Abstract

Project Summary/Abstract
 This is an application for a K23 award for Marissa Raymond-Flesch, MD, MPH, whose research
focuses on the reproductive health and health disparities of Latino adolescents. She has completed three
primary data collection projects utilizing community-engaged qualitative methods and has been contributing to
the Salinas Teen Health Study, on which this application builds, for the past two years. Her research training
includes a masters of public health and fellowships in Adolescent Medicine and Health Policy. Through the
activities proposed in this application Dr. Raymond-Flesch will build skills in cross-sectional and longitudinal
quantitative data analysis. She will benefit from UCSF's nationally recognized Division of Adolescent and
Young Adult Medicine and Institute for Health Policy Studies as well as the university's course work in
biostatistics and research methodology. In addition, UCSF will continue to support her productive collaboration
with the Salinas Teen Health Study team at RTI. Across these intuitions Dr. Raymond-Flesch has established
an experienced mentoring team with expertise in epidemiology, mixed methods research, and adolescent
reproductive and mental health. By the completion of this award she will be well positioned to launch a career
as an independent investigator, including applying for an R01 award.
 Informed by the social ecological model, this proposal builds on the Salinas Teen Health Study (R01-
HD075787), a prospective cohort study of 600 Latino adolescents over two years as they transition from early
to middle adolescence in a Californian agricultural community. Latino youth experience a variety of health
disparities, including higher rates of depression and adverse reproductive health outcomes (unintended
pregnancy and sexually transmitted infections). Current evidence links depression with negative sexual and
reproductive health outcomes in adults, but there is a paucity of research on these associations in Latino
adolescents. Additionally, data on how immigrant generation affects these outcomes for Latino adolescents are
limited. Dr. Raymond-Flesch's specific aims include a quantitative analysis of the associations between
depressive symptoms and sexual and reproductive health outcomes at baseline across first, second, and third
generation Latino early adolescents (Aim 1); longitudinal analysis of two years of quantitative data to determine
the effect of depressive symptoms during early adolescence on subsequent sexual and reproductive health
(Aim 2); qualitative analysis of youth interviews to describe how emotional wellbeing influences sexual and
reproductive health (Aim 3); and qualitative interviews with mothers to characterize early environmental and
structural factors affecting emotional wellbeing, psychosocial development, and sexual and reproductive health
for Latino youth (Aim 4). The roles of immigrant generation and protective family influences will be examined
across all aims...

## Key facts

- **NIH application ID:** 10002282
- **Project number:** 5K23HD093839-03
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Marissa Raymond-Flesch
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $171,968
- **Award type:** 5
- **Project period:** 2018-08-01 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10002282

## Citation

> US National Institutes of Health, RePORTER application 10002282, Emotional Wellbeing and Reproductive Health in a Prospective Study of Multiple Generations of Immigrant Latino Youth (5K23HD093839-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/10002282. Licensed CC0.

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