Drug Use and HIV/STI Risk Trajectories in Court-Involved, Non-Incarcerated Youth

法庭参与的非监禁青少年的吸毒和艾滋病毒/性传播感染风险轨迹

• 批准号: 8688211
• 负责人: MARINA TOLOU-SHAMS
• 金额: $ 68.44万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8688211
• 关键词: Adolescent; Age; Alcohol or Other Drugs use; Attenuated; Attitude; Biological; Caregivers; Cohort Studies; Commit; Communities; Conflict (Psychology); Cross-Sectional Studies; Data; Development; Disadvantaged; Drug usage; Epidemiology; Exhibits; Family; Feedback; Female; Gender; Growth; HIV; HIV risk; Imprisonment; Incidence; Individual; Intake; Intervention; Knowledge; Learning; Legal; Life; Measures; Mediating; Mediator of activation protein; Methodology; Modeling; Monitor; Motivation; Neighborhoods; Outcome; Pattern; Persons; Phase; Pilot Projects; Population; Population Intervention; Prevention program; Public Health; Recruitment Activity; Reporting; Research; Rhode Island; Risk; Risk Behaviors; Risk Factors; Sampling; Secure; Sex Behavior; Sexually Transmitted Diseases; Specimen; Staging; Surveys; Survival Analysis; Symptoms; System; Techniques; Testing; Time; Violence; Youth; aged; cohort; computerized; court; design; follow-up; high risk; improved; innovation; juvenile delinquent; male; novel; parallel processing; peer; population based; primary outcome; prospective; public health relevance; recidivism; screening; treatment program

DESCRIPTION: Cross-sectional studies have identified that court-involved, non-incarcerated (CINI) juveniles exhibit similar substance use and HIV/STI risk behavior rates as those detained or incarcerated. Yet, among first-time offending, CINI juveniles, there is a gap in our knowledge about who might develop drug use problems, engage in HIV/STI risk behaviors, have psychiatric difficulties and/or recidivate and what risk and protective factors may be related to their outcomes. The objective of the proposed research is therefore to investigate 24 month trajectories of drug use, HIV/STI risk behavior, psychiatric symptoms, and recidivism from the point of first juvenile court contact among a cohort of 400 first-time offending, CINI juvenile offenders. Specifically, we seek to characterize the two-year developmental course and co-occurrence of drug use, HIV/STI risk, psychiatric symptoms and recidivism in this population and to identify the individual, family and extrafamilial- level risk and protective factors associaed with these outcomes. First-time offending juveniles, ages 13-17, and a caregiver (N= 40 dyads for Phase I pilot study; N=400 for Phase II survey study) will be recruited from the Rhode Island Family Court, Juvenile Intake Department to participate in computerized survey assessments. In Phase I (first eight months of Year 1), 40 juveniles and a caregiver will be randomly sampled to complete the computerized survey measure once (at baseline, i.e., time of first contact with the juvenile court) to allow for pilot testing of sampling methodology and to provide quantitative and qualitative feedback related to survey development, administration and implementation. In Phase II (last quarter of Year 1 through Year 4), 400 juvenile/caregiver dyads (N=800 total) will be recruited (using a systematic disproportionate stratified sampling approach) at baseline and then re-assessed at 4, 8, 12, 16, 20 and 24 months subsequent to the juvenile's first court contact. Biological specimens for juvenile drug use and sexually transmitted infections (STIs) will also be collected at each assessment. Baseline and follow-up data will be used to construct individual and latent class growth analyses to characterize longitudinal trajectories of CINI juvenile's drug use, HIV/STI risk behaviors, psychiatric symptoms, and recidivism.

描述：横断面研究发现，法庭参与的非监禁 (CINI) 青少年与被拘留或监禁的青少年表现出相似的物质使用和艾滋病毒/性传播感染风险行为率。然而，在初犯 CINI 青少年中，我们对谁可能出现吸毒问题、从事艾滋病毒/性传播感染危险行为、有精神困难和/或累犯以及哪些风险和保护因素可能与其结果相关的了解存在差距。因此，拟议研究的目的是调查 400 名初犯 CINI 青少年罪犯从第一次少年法庭接触开始的 24 个月吸毒轨迹、HIV/STI 危险行为、精神症状和累犯情况。具体来说，我们试图描述该人群的两年发展过程和吸毒、艾滋病毒/性传播感染风险、精神症状和累犯的共存情况，并确定与这些结果相关的个人、家庭和家庭外层面的风险和保护因素。将从罗德岛州家庭法院青少年接收部招募 13 至 17 岁的初犯青少年和一名看护人（第一阶段试点研究 N = 40 人；第二阶段调查研究 N = 400 人）参与计算机化调查评估。在第一阶段（第一年的前八个月），将随机抽样 40 名青少年和一名看护者，完成一次计算机化调查措施（在基线，即第一次与少年法庭接触的时间），以便对抽样方法进行试点测试，并提供与调查开发、管理和实施相关的定量和定性反馈。在第二阶段（第一年最后一个季度到第四年），将在基线招募 400 名青少年/看护者组合（总共 800 人）（使用系统性不成比例分层抽样方法），然后在青少年第一次出庭后的 4、8、12、16、20 和 24 个月进行重新评估。每次评估时还将收集青少年吸毒和性传播感染（STI）的生物样本。基线和后续数据将用于构建个体和潜在类别增长分析，以描述 CINI 青少年吸毒、艾滋病毒/性传播感染风险行为、精神症状和累犯的纵向轨迹。