Partner-Specific HIV Risk Reduction for Drug Using Incarcerated Adolescents

针对吸毒被监禁青少年的特定合作伙伴的艾滋病毒风险降低

• 批准号: 7547465
• 负责人: CYNTHIA ROSENGARD
• 金额: $ 0.81万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-25 至 2010-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7547465
• 关键词: AIDS/HIV problem; Acquaintances; Adolescent; Alcohol abuse; Alcohol or Other Drugs use; Attitude; Behavior; Behavior Therapy; Behavioral; Clinical Trials; Cognitive Therapy; Collaborations; Communication; Communities; Condition; Criminal Justice; Decision Making; Dependence; Discipline; Drug Use Disorder; Drug abuse; Drug usage; Effectiveness of Interventions; Family; Feedback; Friendships; Future; HIV; Health; Imprisonment; Individual; Injection of therapeutic agent; Intervention; Intervention Studies; Knowledge; Learning; Life Style; Mediating; Modeling; Motivation; National Institute of Drug Abuse; Numbers; Object Attachment; Outcome; Participant; Perception; Pharmaceutical Preparations; Phase; Population; Pregnancy; Prevention; Randomized; Randomized Controlled Clinical Trials; Rate; Recommendation; Recruitment Activity; Relative (related person); Reporting; Research; Research Personnel; Residential Facilities; Risk; Risk Behaviors; Risk Reduction; Self Efficacy; Sex Behavior; Sexual Partners; Sexually Transmitted Diseases; Specific qualifier value; Staging; Substance Use Disorder; Substance abuse problem; System; Teenagers; Testing; Treatment Efficacy; base; condoms; expectation; experience; high risk sexual behavior; lifestyle intervention; peer; programs; psychoeducation; safer sex; sex; size; skills; social; therapy development; transmission process; trial comparing; young adult

Incarcerated adolescents represent a group at high risk for health consequences associated with risky sexual behaviors. They report greater participation in a number of sexual risk behaviors (including sexual risk in conjunction with drug use), higher rates of sexually transmitted diseases (STDs) and pregnancy than their non-detained adolescent peers. Adolescents, including incarcerated teens, report sexual behavior both with partners with whom there is a relationship (main partners) and partners with whom there may be a friendship or only an acquaintance (non-main partners). Condom use is more common with non-main than main sex partners and substance use in conjunction with sexual risk also appears to vary by partner type. The long-term objective of this research program is to reduce HIV risk behavior among adolescents involved in the criminal justice system who abuse non-injection drugs by developing and establishing the efficacy of an intervention that includes a specific focus on partner-specific decision-making and behavior through presenting relevant information, enhancement of prevention motivation, opportunities to learn and -practice safer sex behavioral skills, and sexual decision-making in conjunction with substance use. Furthermore, we seek to advance knowledge of the mechanisms of action by which interventions reduce HIV risk behavior. In the present application, we propose to develop and pilot test a partner-specific HIV risk reduction intervention for incarcerated adolescents who report substance abuse. In the first phase of the study we will pilot the intervention with 20 incarcerated adolescents and elicit their feedback regarding their experiences and perceptions of the intervention. Following refinement of the intervention, we will conduct a small randomized trial (n=60) to examine the efficacy of the intervention relative to a healthy lifestyles psychoeducation intervention (HLS). We expect that, relative to CBT-SA), participants randomized to the intervention condition will have lower levels of sex-related HIV risk behavior and of substance use in conjunction with sexual risk. We will also examine the potential mechanisms by which the intervention produces a reduction in health risk behaviors. If found to be efficacious, this intervention will help to reduce the acquisition of HIV among substance using incarcerated adolescents.

被监禁的青少年代表着与风险相关的健康后果的高风险群体 性行为。他们报告说，他们更多地参与了一些性危险行为(包括性 与吸毒有关的风险)、更高的性传播疾病(STDS)和怀孕率 他们未被拘留的青少年同龄人。青少年，包括被监禁的青少年，报告有性行为 与与其有关系的合作伙伴(主要合作伙伴)和可能与其有 友谊或仅仅是熟人(非主要伙伴)。避孕套的使用在非主要人群中更为普遍 主要的性伴侣和与性风险相关的物质使用似乎也因伴侣类型而异。 这项研究计划的长期目标是减少青少年感染艾滋病毒的危险行为 在刑事司法系统中，滥用非注射毒品的人通过开发和建立 干预包括通过以下方式特别关注合作伙伴特定的决策和行为 提供相关信息，加强预防动机，提供学习和实践的机会 更安全的性行为技能，以及结合物质使用的性决策。此外，我们 寻求增进对干预措施减少艾滋病毒危险行为的行动机制的了解。 在目前的应用中，我们建议开发和试点测试针对合作伙伴的艾滋病毒风险降低 对报告滥用药物的被监禁青少年进行干预。在研究的第一阶段，我们将 对20名被监禁的青少年进行干预试点，并征求他们对自己经历的反馈 以及对干预的看法。在细化干预措施后，我们将进行一次小规模的 随机试验(n=60)，以检查与健康生活方式相关的干预效果 心理教育干预(HLS)。 我们预计，相对于CBT-SA)，随机进入干预条件的参与者将有更低的 与性有关的艾滋病毒危险行为和与性风险相关的物质使用水平。我们还将 检查干预产生健康危险行为减少的潜在机制。 如果被发现是有效的，这种干预将有助于减少在使用药物的人群中感染艾滋病毒 被监禁的青少年。