Risky Families Embedded in Risky Environments

描述(由申请人提供)：本申请申请为期五年 为我们继续努力了解持续存在的因素提供资金 艾滋病毒感染的高流行率、艾滋病毒危险行为和艾滋病的高发 波多黎各吸毒者中的艾滋病。总体研究目标是开发和开发 评估父母吸毒和抑郁影响的测试模型， 青少年药物使用和精神病理学，以及艾滋病毒危险行为， 以及文化、家庭/家庭外和个人的中介效应 从早期开始定义运动的过渡和转折点的因素 一直到青春期后期。吸毒(n=375)和非吸毒的父母(n=375) 他们的一个后代(n=750)，13至15岁，居住在贫困地区 社区构成了研究参与者的群体。此应用程序 提出一种嵌套人种志的前瞻性研究设计。数据将是 通过多种评估策略收集：面试方案和结构化 使用西班牙语版诊断性访谈的精神病学访谈 儿童时间表2.1版(光盘2.1)，以评估药物使用/滥用， 基线和2、3年级青少年的抑郁和品行障碍 和4.药物滥用和抑郁量表的西班牙语版本 综合国际诊断访谈(CIDI)将评估药物滥用 和父母在基线和第二年和第三年的抑郁。这些诊断 数据以及对父母和青少年的年度访谈将涵盖 与参与者的生活事件相关的关键和广泛的主题 过渡；如学校和工作经历、吸毒和酗酒/滥用、 犯罪行为、应对机制(例如，社会支持、自尊和 掌握)，以及抑郁症状学。这些数据和信息 通过我们的民族志团队进行的深入访谈收集到的 将提供评估青春期过渡的具体信息， 特别是药物使用/滥用和艾滋病毒危险行为及其适应 当他们从青春期早期进入青春期后期时，他们会扮演什么样的角色。

DESCRIPTION (provided by applicant): This application requests five years of funding to continue our efforts to understand the factors that are sustaining the high prevalence of HIV infection, HIV risk behaviors and high incidence of AIDS among Puerto Rican drug users. The overall study goal is to develop and test models that assess the effects of parental drug use and depression, adolescent substance use and psychopathology, as well as HIV risk behaviors, and the mediating effects of cultural, familial/ extra-familial and personal factors on transitions and turning points that define the movement from early to late adolescence. Drug using (n=375) and non-drug using parents (n=375) and one of their offspring (n=750), 13 to 15 years of age, residing in poor neighborhoods comprise the group of study participants. This application proposes a prospective study design with a nested ethnography. Data will be collected by multiple assessment strategies: interview protocols and structured psychiatric interviews using the Spanish version of the Diagnostic Interview Schedule for Children Version 2.1 (DISC 2.1) to assess substance use/ abuse, depression and conduct disorders among adolescents at baseline and in year 2, 3 and 4. The Spanish version of the substance abuse and depression scales of the Composite International Diagnostic Interview (CIDI) will assess substance abuse and depression among parents at baseline and in year 2 and 3. These diagnostic data, along with annual interviews of parents and adolescents will cover a critical and wide range of topics related to participants' life events and transitions; such as school and work experience, drug and alcohol use/ abuse, criminal behavior, coping mechanisms (e.g., social support, self-esteem and mastery), and depressive symptomatology. These data and the information collected through the in-depth interviews conducted by our ethnographic team will provide specific information with which to assess adolescent transitions, especially substance use/ abuse and HIV risk behaviors and adaptation to their expected roles as they move from early to late adolescence.