Partners for Strong, Healthy Families (PSHF)

坚强、健康家庭的合作伙伴 (PSHF)

• 批准号: 8717718
• 负责人: LOURDES A. BAEZCONDE-GARBANATI
• 金额: $ 35.98万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-08 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8717718
• 关键词: 21 year old; AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Adherence; Adolescent; Adult; Age; Alcohol or Other Drugs use; Behavior; Behavioral; Bisexual; California; Centers for Disease Control and Prevention (U.S.); Child; Chlamydia; Collaborations; Collection; Commit; Communication; Communities; Community Services; Complex; Contracts; County; Crack Cocaine; Data; Development; Ethnic group; Evaluation; Evidence based practice; Family; Family Relationship; Feedback; Focus Groups; Gatekeeping; Gays; Goals; Gonorrhea; Group Meetings; Hallucinogens; Health; Health Services; Health education; Heart; Human; Human papilloma virus infection; Individual; Institution; Instruction; Intervention; Interview; Language; Latino; Lead; Lesbian; Letters; Los Angeles; Marijuana Smoking; Measures; Methods; Modeling; Monitor; Needs Assessment; Neighborhoods; Parents; Participant; Pathway interactions; Pharmaceutical Preparations; Pilot Projects; Population; Prevention; Prevention approach; Prevention strategy; Principal Investigator; Process; Recruitment Activity; Religion and Spirituality; Reporting; Research; Review Literature; Risk; Risk Behaviors; Risk Factors; Scanning; Services; Sexual Health; Sexual abuse; Sexually Transmitted Diseases; Social Welfare; Stress; Substance abuse problem; Surveys; Syphilis; Test Result; Testing; Time; Universities; Work; Youth; aged; base; burden of illness; community based participatory research; cultural values; design; disorder prevention; effective therapy; empowered; experience; health disparity; high risk; informant; interest; multidisciplinary; peer; preference; prevent; prevention service; racial and ethnic; randomized trial; research study; sex; sex risk; therapy development; transgender; treatment strategy

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.

描述(申请人提供)：拉美裔美国人是性传播疾病和药物使用的高危人群。与白人相比，拉美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(CDC，2010年)，HPV感染率也更高。拉丁裔8年级和10年级学生也比他们的白人或黑人同龄人更有可能报告在过去一年或过去一个月中终生使用大麻、可卡因、可卡因和迷幻剂(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美裔家庭、青年和社区共同参与干预发展的各个方面来解决同时或独立发生的多种风险。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，方法是将脆弱的拉丁裔青年(16-21岁)、家庭和社区纳入其中，以确定当地需求，选择、实施和测试洛杉矶的试点干预措施。我们寻求赋予拉丁裔家庭、青年和社区看门人权力，以发现有文化基础的干预/S，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)建立一个联盟-由社区咨询委员会(CAB)(社区看门人、家长、青年、拉丁裔组织)领导的试点测试由此产生的文化定制语言特定干预措施(n=130 pr和110后测试)，将提供详细的战略，以增加保护因素和减少参与早期性行为和药物使用的RI，加强拉丁裔家庭；评估PSHF伙伴关系和CAB对遵守CBPR原则的情况(n=22)。经验丰富的CBPR团队致力于让拉美裔家庭、青年和社区从概念化到传播，发现新的有效治疗和预防战略，以应对这些复杂的多重危险行为，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共同解决的最困难的问题之一。这项CBPR研究直接关系到发现以社区为基础的文化干预/S，揭示了让家庭、青年和社区参与的最佳方式；导致出现了治疗和预防多因素危险行为(性和毒品)的新的有效战略，并使拉美裔人能够建立自己的文化道路，以减少这些复杂的不平等。