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健康服务学院(GWU SPHHS)P-20探索中心的总体研究目的是建立在我们与拉美裔移民社区合作伙伴现有合作的基础上，以解决导致药物滥用和共存的健康问题的复杂因素，包括家庭/伴侣暴力、性风险和青少年暴力。尤其是拉美裔移民社区经历了这些共同发生的情况的比例不成比例--一些研究表明，拉美裔中学生和青年报告的药物使用率是所有种族/族裔群体中最高的，药物滥用和其他风险也是共同发生的。促成因素根植于哥伦比亚特区大都市区众多移民群体所特有的复杂的社会决定因素，部分原因是该地区占多数的中美洲拉美裔人口经历了内战和艰难移徙的历史遗留问题，导致长期边缘化和随之而来的风险社会生态的形成。此外，这种不平等状况的存在对人口解决肥胖/糖尿病等其他不平等现象的能力产生了影响(例如，因为在上述状况普遍存在的情况下，在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).