CORRELATES OF AIDS RISK AND DRUG USE IN DETAINED YOUTH

家族性功能障碍的特殊模式的关联性 与艾滋病毒感染有关的依恋--通过吸毒和性行为带来的风险 将根据两年内收集的数据对活动进行审查 从大约1000名青年被弗吉尼亚大学评选出来 中心系统。告诉我们这一点的基本理论假设 研究表明，吸毒和不安全性行为是艾滋病毒的危险行为 与特定风格或模式的功能失调的家庭有关 附着物和粘合特性。我们还感兴趣的还有 青春期冒险行为的另外两种形式调查 --自杀念头和行为，以及攻击性行为--使 美国将构建依恋和行为特征的模型 与吸毒和不安全性行为的艾滋病毒危险行为有关。 研究数据将包括标准化和验证的问卷，以 对青少年的依恋和亲密特征进行测评 家庭；已被确认为 与冒险有关；以及四种冒险行为：毒品 使用、不安全的性行为、自杀念头/行为和攻击性 行为。这项研究还将评估青少年对和 对艾滋病毒感染风险和感染后果的态度。 分层随机抽样160名青年将从完整的 研究样本以检验六个特定的关联主效应假说 (1)因吸毒和/或性行为而感染艾滋病毒的风险； (2)特别是家庭依恋特征；(3)其他 一般的心理社会和行为特征。样品将会 根据三个变量进行分层：吸毒、不安全的性行为和 性。这种分层将产生四个风险组，包括25个男性和1个 每组5名女性。多元分析技术将用于 推导出一个结构化的数学模型，预测四个国家的成员 定义的组，并测试依恋变量 其他变量与吸毒和性行为的关系 敢于冒险。年龄和种族对观察到的关系的影响 也将受到控制，使用多元技术。的效用 模型将通过判别函数分析进行确认 根据导出的模型对未参与的受试者进行分类 将随机样本归入风险类别。 作为这项研究的结果，参与治疗的人和 被监禁青少年的康复应该有更多的信息 论不同类型冒险行为同时发生的概率 行为以及与之相关的依恋和结合特征 有了这些行为。此信息有助于确定特定的 一级、二级和三级预防的优先事项和战略 在这些设置中。此外，通过模拟心理社会和 区分不同冒险模式的家庭因素 行为，这项研究有助于理解心力衰竭的病因 这些问题并以更实质性的方式界定积极成果 而不是简单的行为矫正和症状减轻。

The association of particular patterns of dysfunctional familial attachments with HIV-infection-risk through drug use and sexual activities will be examined based on data gathered over a two year period from approximately 1 000 youths adjudicated to the Virginia Learning Centers system. The underlying theoretical hypothesis informing this study is that the HIV-risk behaviors of drug use and unsafe sex are associated with particular styles or patterns of dysfunctional familial attachments and bonding characteristics. We are also interested in investigating the two other forms of risk-taking behaviors in adolescence -- suicidal ideation and behaviors, and aggressive behaviors -- to enable us to construct a model of attachment and behavioral characteristics associated with the HIV-risk behaviors of drug use and unsafe sex acts. Study data will include standardized and validated questionnaires to assess attachment and bonding characteristics of the youths with their families; psychosocial characteristics that have been identified as relevant to risk-taking; and four types of risk-taking behaviors: drug use, unsafe sexual activities, suicidal ideation/behaviors and aggressive behaviors. The study will also assess the adolescents' knowledge of and attitudes about risk of HIV-infection and the consequences of infection. A stratified random sample of 1 60 youths will be drawn from the complete study sample to test six specific main effect hypotheses of association of (1) risk of HIV infection due to drug use and/or sexual activities, and (2) familial attachment characteristics, in particular; and (3) other psychosocial and behavioral characteristics in general. The sample will be stratified by three variables: drug use, unsafe sexual activities and sex. This stratification will yield four risk groups with 25 males and 1 5 females in each group. Multivariate analytic techniques will be used to derive a structured mathematical model predicting membership in the four defined groups, and testing the extent to which the attachment variables mediate the relationship of other variables with drug use and sexual risk-taking. The effect of age and race on the observed relationships will also be controlled, using multivariate techniques. The utility of the model will be confirmed by using a discriminant functions analysis based on the derived model to classify those subjects who were not part of the random sample into the risk categories. As a result of this study, those involved with the treatment and rehabilitation of incarcerated adolescents should have more information on the probability of co-occurrence of the various types of risktaking behaviors and on the attachment and bonding characteristics associated with these behaviors. This information can help determine specific priorities and strategies for primary, secondary and tertiary prevention in these settings. In addition, by modeling the psychosocial and familial factors distinguishing various patterns of risk-taking behaviors, this study can contribute to understanding the etiology of these problems and defining positive outcomes in more substantive ways than simple behavioral modification and symptom reduction.