HIV TESTING AMONG ADOLESCENTS WITH SUBSTANCE ABUSE

对药物滥用青少年进行艾滋病毒检测

• 批准号: 2718354
• 负责人: DAVID L PUGATCH
• 金额: $ 14.02万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-08-15 至 2003-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2718354
• 关键词: AIDS /HIV test; adolescence (12-20); clinical research; health behavior; health care service utilization; human subject; substance abuse related disorder

DESCRIPTION: (Applicant's Abstract) HIV infection remains a threat to the health of adolescents with substance abuse in the United States. Recent advances in HIV therapeutics make the early identification of HIV infected adolescents through HIV testing a high priority for public health. Unfortunately, HIV testing faces numerous challenges among adolescents with substance abuse. This mentored clinical scientist development award will prepare David Pugatch, M.D. to design and implement studies with the ultimate goal of increasing HIV testing behaviors in this high risk adolescent population. The award will also prepare Dr. Pugatch for academic leadership in the field of adolescent HIV infection, with a special emphasis on the behavioral issues facing adolescents with substance abuse. Dr. Pugatch is a board-certified pediatrician in his first year on the full-time faculty as the medical director of the adolescent HIV/AIDS program at the Brown University School of Medicine. Dr. Pugatch's special interest in adolescents with substance abuse, as well as his clinical contact with this population, places him in a unique position to complete important studies to elucidate the barriers and facilitating determinants of HIV testing among substance abusing adolescents. Under the direction of on site mentors, Dr. Larry K. Brown and Dr. Timothy P. Flanigan, Dr. Pugatch will undertake advanced training in the behavioral science of health belief models, clinical trial design as it relates to behavioral interventions, community health approaches to HIV prevention, and statistical training adequate to provide the knowledge to carry out these proposed studies. The research project proposed by Dr. Pugatch will examine the barriers and facilitating determinants of HIV testing in adolescents with substance abuse, ages 15 through 25 years. The project will recruit adolescents from inpatient and outpatient substance abuse treatment programs, and from an agency serving homeless/runaway youth. Specifically, the project will: 1) study the applicability of the transtheoretical model of change to HIV testing behaviors in adolescents with substance abuse; 2) develop a behavioral intervention based upon these findings to increase HIV testing behaviors among this population. The results of this research may have broad implications for increasing HIV testing behaviors among adolescents with substance abuse as well as other groups of adolescents at high risk for HIV infection.

描述：（申请人摘要） 艾滋病毒感染仍然是对青少年健康的威胁， 虐待在美国。 艾滋病治疗的最新进展使 通过艾滋病病毒检测及早发现受艾滋病病毒感染的青少年， 公共卫生优先。 不幸的是，艾滋病毒检测面临着许多 药物滥用青少年面临的挑战。 这指导了临床 科学家发展奖将准备大卫Pugatch，医学博士。设计和 开展研究，最终目标是增加艾滋病毒检测行为 在这个高风险的青少年群体中。 该奖项还将准备博士。 Pugatch在青少年艾滋病毒感染领域的学术领导地位， 特别强调青少年面临的行为问题， 滥用药物 Pugatch博士是一名委员会认证的儿科医生， 一年的全职教师作为医疗主任的青少年 布朗大学医学院的艾滋病毒/艾滋病项目。 Pugatch医生 对滥用药物的青少年特别感兴趣， 与这一人群的临床接触，使他处于一个独特的位置， 完成重要的研究，以阐明障碍和促进 药物滥用青少年中艾滋病毒检测的决定因素。 下 现场指导员Larry K.布朗博士和蒂莫西P。 弗拉尼根，普加奇博士将接受高级训练， 健康信念模型的科学，临床试验设计，因为它涉及到 行为干预，预防艾滋病毒的社区卫生方法，以及 统计培训足以提供知识，以执行这些 建议的研究。 Pugatch博士提出的研究项目将检查障碍， 促进物质青少年艾滋病毒检测的决定因素 15到25岁的青少年 该项目将招募青少年从 住院和门诊药物滥用治疗计划，并从一个 为无家可归/离家出走的年轻人服务的机构。 具体而言，该项目将：1） 研究跨理论变化模型对艾滋病毒的适用性 测试青少年滥用药物的行为; 2）制定一个 基于这些发现的行为干预， 这一人群中的行为。 这项研究的结果可能 增加青少年艾滋病毒检测行为的广泛影响 药物滥用以及其他青少年群体的高风险， 艾滋病毒感染。