CHOICES-TEEN: Efficacy of a Bundled Risk Reduction Intervention for Juvenile Justice Females

项目摘要摘要 参与少年司法系统的拉丁裔青少年经历更多 与没有参与的拉丁裔青春期女性相比，性健康方面的差距。 令人担忧的性健康风险包括意外怀孕、较少使用避孕套 使用和更高的艾滋病毒/性传播感染风险，以及这些风险与药物使用的相互作用。 鉴于美国拉丁裔青少年在全国范围内的快速增长，解决这些问题 健康差距是至关重要的。目前，缺乏对性别问题敏感的、文化上的 针对拉丁裔青少年危险性行为的知情干预 在青少年司法系统中的比例过高。更好地理解 物质使用、性危险行为和人际暴力的交集 人口对未来的预防研究至关重要。这项拟议的补充资料是 选择的自然延伸-青少年家长助学金(R01 DA050670)，因为它探索 主要研究结果变量(物质暴露妊娠)的交集 风险、怀孕风险和艾滋病毒/性传播感染风险)和目前的人际约会暴力数据 被家长资助收集，并建议与研究进行定性访谈 受试者在研究结束后9个月。从这项建议中得出的结论 研究将有助于为拉丁裔提供未来适应文化的预防干预措施 通过阐明女性对人际约会暴力的更好理解 年轻的青春期妇女，以及这种暴力行为可能与 物质使用、性健康危险行为、变化过程和其他TTM 变量，以及这些关系可能如何因种族/民族而不同。

Project Summary Abstract Latina adolescents involved in the juvenile justice system experience heightened sexual health disparities compared with non-involved Latina adolescent females. Sexual health risks of concern include unplanned pregnancy, less frequent condom use and higher HIV/STI risk, and the interaction of these risks with substance use. Given the rapid national growth of Latinx adolescents in the U.S., addressing these health disparities is critical. Currently, there is a dearth of gender sensitive, culturally informed interventions targeting risky sexual behavior among Latina adolescents who are overrepresented in the juvenile justice system. Better understanding of the intersection of substance use, sexual risk behaviors, and interpersonal violence for this population is critical to inform future prevention research. This proposed supplement is a natural extension of the CHOICES-Teen parent grant (R01 DA050670), as it explores the intersection of primary study outcome variables (substance-exposed pregnancy risk, pregnancy risk, and HIV/STI risk) and interpersonal dating violence data currently being collected by the parent grant and proposes qualitative interviews with study participants after completion of the study at 9 months. Findings from this proposed research will help inform future culturally adapted prevention interventions for Latina women by elucidating a better understanding of interpersonal dating violence in younger adolescent women, as well as the ways such violence may be related to substance use, sexual health risk behavior, the processes of change and other TTM variables, and how these relationships may differ by race/ethnicity.