Partners for Strong, Healthy Families (PSHF)

描述（由申请人提供）：拉丁美洲人是性传播疾病和使用药物的高风险人群。与白人相比，拉丁裔青年感染衣原体的可能性是白人的2.8倍，感染淋病的可能性是白人的2.2倍，感染梅毒的可能性是白人的2.1倍（美国疾病控制与预防中心，2010年），感染HPV的可能性也更高。拉丁裔八年级和十年级学生也比白人或黑人学生更有可能报告过去一年或过去一个月使用大麻，可卡因，快克和致幻剂（Johnston， O'Malley, Bachman, & Schulenberg, 2010）。迄今为止，缩小这种差距的努力还不够。但很少有研究通过让拉丁裔家庭、青年和社区在干预发展的各个方面共同参与来解决伴随或独立发生的多重风险。南加州大学（USC）和Bienestar Health Services （BHS）之间的这项基于社区的参与性研究（CBPR）旨在纠正这种不平等，包括弱势拉丁裔青年（16-21岁）、家庭和社区，以确定当地的需求，选择、实施和测试洛杉矶的试点干预措施。我们寻求授权拉丁裔家庭、青年和社区看门人发现基于文化的干预措施，以最佳方式解决导致拉丁裔青年严重不平等的复杂多重风险过程。我们的目标是：1)建立一个由社区咨询委员会（社区看门人、父母、青年、拉丁裔组织）领导的联盟——“稳固健康家庭伙伴”（PSHF），以参与儿童与家庭关系；使用定性和定量方法收集898名参与者的数据（需求评估（n=400），选定社区的环境扫描，8个焦点小组（n=96），关键线人访谈（n=20），通过6个小组会议（n=120）建立小组模型（GMB）），以确定社区的优先事项和偏好；试点测试由此产生的针对文化和语言的干预措施（n=130 pr和110 post test），这将提供详细的策略，以提高保护因素，降低从事早期性行为和药物使用的风险，加强拉丁裔家庭；评估PSHF伙伴关系和CAB对CBPR原则的遵守情况（n=22）。一个经验丰富的CBPR团队致力于参与拉丁裔家庭，青年和社区，从概念到传播，发现新的有效治疗和预防策略，以解决这些复杂的多重风险行为并减少差异。相关性（见说明）：在青少年健康方面，性风险和药物使用是家庭与子女一起解决的最困难的问题。这项CBPR研究与发现基于社区的文化量身定制的干预措施直接相关，这些干预措施揭示了参与家庭、青年和社区的最佳方式；导致了治疗和预防多因素风险行为（性和毒品）的新的有效战略的出现，并使拉丁美洲人能够建立自己的文化途径，以减少这些复杂的不平等。

DESCRIPTION (provided by applicant): Latinos are a population at high risk for sexually transmitted diseases and use of substances. Latino youth are 2.8 times more likely to contract chlamydia, 2.2 times more likely to contract gonorrhea, 2.1 times more likely to contract syphilis (CDC, 2010) and have a higher rate of HPV infection, when compared to Whites. Latino 8th and 10th graders are also more likely than their White or Black peers to report lifetime past-year or past-month use of marijuana, cocaine, crack, and hallucinogens (Johnston, O'Malley, Bachman, & Schulenberg, 2010). To date, efforts have been insufficient to reduce this disparity. But few studies have addressed multiple risks occurring concomitantly or independently by engaging Latino families, youth and the community together in all aspects of intervention development. This community-based participatory research (CBPR) between the University of Southern California (USC) and Bienestar Health Services (BHS) aims to correct this inequity by including vulnerable Latino youth (16-21 years of age), families and the community to identity local needs, select, implement and test a pilot intervention in Los Angeles. We seek to empower Latino families, youth, and community gate keepers in the discovery of culturally grounded intervention/s that optimally address complex-multiple risk processes resulting in serious inequities among Latino youth. Our aims are: 1) to establish a coalition -Partners for Strong Healthy Families (PSHF)- led by a Community Advisory Board (CAB) (community gatekeepers, parents, youths, Latino organizations) to engage in CBPR; collect data among 898 participants using qualitative and quantitative methods (needs assessment (n=400), an environmental scan in the selected community, 8 focus groups (n=96), key informant interviews (n=20), group model-building (GMB) via 6 small group meetings (n=120)) to identify community priorities and preferences; pilot test the resulting culturally tailored- language specific intervention (n=130 pr and 110 post test) that will provide detailed strategies to boost protective factors and reduce ris for engaging in early sex and substance use, strengthening Latino families; and evaluate the PSHF partnership and CAB on adherence to CBPR principles (n=22). An experienced CBPR team is committed to engaging Latino families, youth and community from conceptualization through dissemination in the discovery of new effective treatments and prevention strategies to address these complex multiple risk behaviors and reduce disparities. RELEVANCE (See instructions): In adolescent health, sexual risk and substance use are among the most difficult problems for families to address with their children. This CBPR study is directly relevant to discovering community based-culturally tailored intervention/s that reveal optimal ways to engage families, youth and communities; leads to the emergence of new effective strategies for treatment and prevention against multifactorial risk behaviors (sex & drugs and empowers Latinos to set their own cultural pathways to reduce these complex inequities.