Johns Hopkins Center for Adolescent Health

描述(由申请者提供)：约翰霍普金斯大学彭博公共卫生学院与约翰霍普金斯大学(JHU)、巴尔的摩市和州立机构、服务提供商和包括青少年在内的其他利益攸关方合作建立了约翰霍普金斯青少年健康中心(CAH)，希望青少年能够：应对逆境，避免问题行为，形成和维持健康的人际关系。我们的具体目标是：(1)与社区合作伙伴和利益攸关方合作，继续将CAH发展为一个多学科研究中心，与社区支持者合作，进行高质量的应用预防研究；(2)通过该应用研究，改善影响巴尔的摩青少年的公共卫生实践；(3)应用和增加JHU和合作伙伴的知识和专业知识，以解决巴尔的摩青少年的实际公共健康问题；(4)设计、实施、评估和传播促进青少年健康的具有成本效益的方法和战略；(5)缩短新的和经过验证的有效预防战略的制定和广泛应用之间的时间差距；以及(6)让巴尔的摩市卫生局、城市学校和合作伙伴参与我们的应用研究项目的开发、实施、评估和传播，以减少学生参与包括药物使用、暴力和性风险在内的多种健康危险行为，并提高学业成绩。这些目标将通过中心核心以及社区咨询、青年咨询和学术咨询委员会以及三个全市青少年健康利益相关者网络的支持来实现：1)青年倡导和领导，2)服务提供者，3)政策制定者和资助者。我们还建议通过召开实质性的“点对点”会议，促进联邦、州和地方政策制定者和利益攸关方学习和分享有效的战略。通过以学校为基础的随机试验和全市范围的监测，我们专注于公共卫生实践的应用研究项目将在6-8年级扩大以证据为基础的计划，生活技能培训(LST)；2)整合现有的性危险行为预防模块，以补充7年级和8年级的LST；3)整合城市学校对学校气候、健康和健康风险行为的监测；4)评估LST和LST对青少年健康和学业结果的影响；以及5)确定影响干预结果的学校和社区因素。CAH处理了疾控中心的优先事项，包括青少年怀孕和烟草以及相关的2020年健康人目标(FP-8和FP-9；TU 2.2)。CAH涉及国家预防战略中的四个优先事项：防止药物滥用和过度酗酒、无伤害和暴力生活、生殖和性健康以及精神和情感健康。CAH还涉及NCCDPHP流行病学和监测领域。

DESCRIPTION (provided by applicant): The Johns Hopkins Center for Adolescent Health (CAH), a collaboration of the Johns Hopkins Bloomberg School of Public Health, divisions of Johns Hopkins University (JHU), Baltimore City and State agencies, service providers, and other stakeholders - including youth, envisions adolescents with skills to: cope with adversity, avoid problem behaviors and form and sustain healthy relationships. Our specific aims are to: (1) work with community partners and stakeholders to continue the development of CAH as a multi- disciplinary research center conducting high-quality applied prevention research in partnership with community constituencies; (2) improve public health practice affecting adolescents in Baltimore, through that applied research; (3) apply and increase the knowledge and expertise of JHU and partners to address practical adolescent public health problems in Baltimore; (4) design, implement, evaluate, and disseminate cost-effective methods and strategies for promoting adolescent health; (5) shorten the time lag between the development of new and proven effective prevention strategies and their widespread application; and (6) involve the Baltimore City Health Department, City Schools, and partners in the development, implementation, evaluation, and dissemination of our Applied Research Project to reduce the involvement of students in multiple health risk behaviors including substance use, violence and sexual risk-taking; and to improve academic outcomes. These aims will be accomplished through Center Cores and the support of the Community Advisory, Youth Advisory and Academic Advisory Boards and three Citywide Adolescent Health Stakeholder Networks: 1) Youth Advocacy and Leadership, 2) Service Providers, and 3) Policy Makers and Funders. We also propose to facilitate the learning and sharing of effective strategies among federal, state, and local policy makers and stakeholders by convening substantive "Connecting the Dots" meetings. Through a school- based randomized trial and Citywide monitoring our Applied Research Project focusing on Public Health Practices will expand an evidence-based program, LifeSkills Training (LST), in grades 6-8; 2) Integrate existing sexual risk behaviors prevention modules to supplement grade 7 and 8 LST; 3) Integrate school climate, health, and health risks behavior monitoring by City Schools; 4) Evaluate the impact of LST and LST+ on adolescent health and school outcomes; and 5) Identify school and community factors that moderate the intervention outcomes. CAH addresses the priorities of CDC including the winnable battles of teen pregnancy and tobacco and related Healthy People 2020 objectives (FP-8 and FP-9; TU 2.2). CAH addresses four priorities in the National Prevention Strategy Preventing Drug Abuse and Excessive Alcohol Use, Injury and Violence-free Living, Reproductive and Sexual Health, and Mental and Emotional Well Being, CAH also addresses the NCCDPHP domains of epidemiology and surveillance.