A family intervention to reduce sexual risk behavior, substance use, and delinquency among newly homeless youth.

A family intervention to reduce sexual risk behavior, substance use, and delinquency among newly homeless youth.
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DOI:
10.1016/j.jadohealth.2011.08.009
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发表时间:
2012-04
影响因子:
7.6
通讯作者:
Duan, Naihua
Duan, Naihua
中科院分区:
医学2区
文献类型:
--
作者:
Milburn, Norweeta G.;Iribarren, Francisco Javier;Rice, Eric;Lightfoot, Marguerita;Solorio, Rosa;Rotheram-Borus, Mary Jane;Desmond, Katherine;Lee, Alex;Alexander, Kwame;Maresca, Katherine;Eastmen, Karen;Arnold, Elizabeth Mayfield;Duan, Naihua

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我们评估了短期家庭干预在减少无家可归青年的性风险行为、吸毒和犯罪行为方面的有效性。一项随机对照试验,纳入151个家庭,其中有一名12至17岁的无家可归青少年。从2006年3月至2009年6月,从南加州的不同地点招募青少年,并在招募(基线)、3、6和12个月后进行评估。家庭被随机分配到一个干预条件,每周五次家庭干预会议或控制条件(标准护理)。主要结果指标反映了过去90天内自我报告的性行为、物质使用和犯罪行为。性风险(例如,平均伴侣数)(p <0.001)、饮酒(p = 0.003)、使用烈性毒品(p <0.001)和违法行为(p = 0.001)在12个月的干预条件下比对照条件下显著减少。然而,与对照条件相比,干预条件下的避孕药使用显著增加(p <0.001)。一项使无家可归青年的家庭重新参与的干预措施在12个月内减少风险方面有很大的好处。
We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among homeless youth. A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Adolescents were recruited from diverse sites in southern California from March 2006 through June 2009 and assessed at recruitment (baseline), 3, 6, and 12 months later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition (standard care). Main outcome measures reflect self-reported sexual, substance use and delinquent behaviors over the last 90 days. Sexual risk (e.g., mean number of partners) (p < .001), alcohol use (p = .003), hard drug use (p < .001), and delinquent behaviors (p = .001) decreased significantly more over 12 months in the intervention condition compared to the control condition. Marijuana use, however, significantly increased in the intervention condition compared to the control condition (p < .001). An intervention to re-engage families of homeless youth has significant benefits in reducing risk over 12 months.
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发表时间: 1989-04-01
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