Longitudinal Study of Trauma, HIV Risk, and Criminal Justice Involvement

描述（申请人提供）：这项新的R 01研究提案利用了一系列严格和创新的统计技术来分析来自国家青少年健康纵向研究的数据。（添加健康），一个多波前瞻性和全国代表性的研究超过20,000名受试者从童年到成年，以解决跨越心理健康，成瘾，传染病，和刑事司法领域。童年时期的身体、性和/或情感创伤可能导致精神病理学、艾滋病毒相关药物和性风险以及刑事司法介入。研究已经确定了儿童创伤和精神病理学结果，艾滋病毒风险行为和刑事司法系统参与之间的关联。然而，这些变量在生命过程中的复杂相互作用并没有得到很好的界定。此外，还研究了在面临危机时促进复原力的因素， 创伤有限。虽然社会支持缓冲压力的生活事件的影响，有有限的理解，在何种程度上经历过创伤的儿童可能会受到保护，从不利的心理和身体健康的结果，在成年后，如果他们得到父母的支持，学校，和/或导师在他们的青春期和年轻的成年。我们建议测量儿童时期的身体，性和情感创伤与导致精神病理学，HIV风险行为以及逮捕和监禁水平升高的假设因果途径相关的程度。我们还试图测试社会支持的变化在多大程度上防止创伤对艾滋病毒风险行为和刑事司法结果的有害影响。拟议的分析旨在为开发新的创伤知情干预措施提供经验基础，这些干预措施将解决推动艾滋病毒和刑事司法参与的精神病理学，物质使用和性风险行为。

DESCRIPTION (provided by applicant): This new R01 study proposal utilizes a rigorous and innovative series of statistical techniques to analyze data from The National Longitudinal Study of Adolescent Health (Add Heath), a multi-wave prospective and nationally-representative study of more than 20,000 subjects followed from childhood to adulthood, to address critical gaps cutting across the mental health, addiction, infectious disease, and criminal justice fields. Physical, sexual, and/or emotional trauma in childhood may cause psychopathology, HIV-related drug and sex risk, and criminal justice involvement. Research has identified associations between childhood trauma and psychopathology outcomes, HIV risk behaviors, and criminal justice system involvement. However, the complex interplay among these variables over the life course is not well defined. In addition, research on factors that promote resiliency in the face of trauma is limited. Though social support buffers the effects of stressful life events, there is limited understanding of the degree to which children who have experienced trauma may be protected from adverse mental and physical health outcomes in adulthood if they receive support from parents, schools, and/or mentors during their adolescence and young adulthood. We propose to measure the degree to which physical, sexual, and emotional traumas during childhood are associated with hypothesized causal pathways leading to elevated levels of psychopathology, HIV risk behavior, and arrest and incarceration. We also seek to test the degree to which variations in social support protect against the deleterious effects of trauma on HIV risk behavior and criminal justice outcomes. The proposed analyses are designed to provide an empirical basis for development of novel trauma-informed interventions that will address the psychopathology, substance use, and sexual risk behaviors that drive both HIV and criminal justice involvement.