Implementation and Evaluation of a Multi-Level Positive Youth Development Interv

拟议的乔治华盛顿大学公共卫生和卫生服务学院（GWU SPHHS）P-20探索中心的总体研究目的是建立在我们与拉丁美洲移民社区合作伙伴现有的合作，以解决药物滥用和并发健康问题，包括家庭/伴侣暴力，性风险和青少年暴力的复杂因素。特别是拉丁裔移民社区经历了这些并发症的不成比例的比率-一些研究显示，拉丁裔中学生和青年报告任何种族/族裔群体的最高药物使用率，以及药物滥用和其他风险的并发症。促成因素植根于华盛顿都会区众多移民群体中独特的复杂社会决定因素，部分源于内战的历史遗留问题和该地区大多数中美洲拉丁裔人口经历的艰难移民，导致长期的问题。长期边缘化以及随之而来的社会风险生态。此外，这一组差异状况的存在对人口解决肥胖症/糖尿病等其他差异的能力产生了影响（因为，例如，在上述状况普遍存在的社区中，从事体育活动更加困难）。

The overall research purpose of the proposed George Washington University School of Public Health and HeaKh Services (GWU SPHHS) P-20 Exploratory Center is to build on our existing collaboration with Latino immigrant community partners to address a complex of contributing factors for substance abuse and cooccurring health issues, including family/partner violence, sexual risk, and youth violence. The Latino immigrant community in particular has experienced disproportionate rates of these co-occurring conditions -with some studies showing Latino middle school students and youth reporting the highest substance use rates of any racial/ethnic group, and a co-occurrence of substance abuse and other risk. Contributing factors are rooted in a complex of social determinants unique among the numerous immigrant groups in the DC metro area, stemming in part from the historical legacy of civil war and difficult migration experienced by the majority Central American Latino population in this area, resulting in long-term marginalization and the concomitant creation of a social ecology of risk. Moreover, the presence of this cluster of disparity conditions has impacts on the ability of the population to address other disparities such as obesity/diabetes (because, for example, engaging in physical activity is more difficult in communities when the above conditions are prevalent).