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Youth Alcohol Use and Risky Sexual Behavior in Bangkok

曼谷青少年饮酒和危险性行为

基本信息

批准号：
7494609
负责人：
Pamela Kay Cupp
金额：
$ 59.44万
依托单位：
PACIFIC INSTITUTE FOR RES AND EVALUATION
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-30 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7494609
关键词：
14 year old AIDS/HIV problem Address Adolescent Alcohol consumption Alcohols Area Asia Attitude Behavior Behavioral Belief Characteristics Collaborations Communities Control Groups Data Data Collection Depth Development Drug usage Evaluation Family Feasibility Studies Focus Groups Future Geographic Locations Goals Government HIV HIV Infections Health Educators Home environment India Individual International Intervention Interview Language Manuals Mediator of activation protein Modification NIH Program Announcements Nature Outcome Outcome Measure Parents Phase Preparation Prevalence Prevention intervention Prevention program Process Program Acceptability Program Appropriateness Provider Purpose Randomized Randomized Controlled Clinical Trials Rate Relative (related person)Reporting Research Research Personnel Research Project Grants Risk Risk Factors Risk-Taking Sampling Sex Behavior Southeastern Asia Structure Substance abuse problem Surveys Target Populations Teenagers Testing Thailand Theoretical model Training Work Youth alcohol and other drug base cost design family influence follow-up high risk sexual behavior multidisciplinary programs response sex transmission process trend underage drinking universal prevention

项目摘要

Evidence strongly suggests that Thai adolescents are significantly at risk for HIV/STDs (Crispin, 2004), and that associations between alcohol use and risky sexual behaviors exist (Thato et al.,2003; Allen etal., 2003). There are few behavioral-driven interventions, especially family-based interventions, targeting both alcohol use and risky sexual behaviors among young Thais (Allen et al.,2003; Thato et al.,2003). Accordingly, the goal of this proposed international collaborative research project is to conduct a four year feasibility study for adaptation of Family Matters (P.M.-U.S.), a universal prevention program for substance abuse that involves parents and adolescents, to the Thai culture. This adapted program will be called the Thai Family Matters (TFM) program. Using a family-based approach in Thailand is appropriate for several reasons. The family is a very supportive unit in Thailand. The family unit is the primary provider of fundamental training for deferential behaviors and culturally acceptable norms that are relevant to sexual behavior and alcohol/drug use (Spielman, 1994). There are three specific aims: (1) to assess the relative importance of a U.S.-derived risk and protective factor theoretical model to the Thai culture; (2) to adapt the FM program to Thai families with youth 12to 14years old, creating the TFM; and (3) to pilot test the TFM using a randomized control group design with a six-month follow-up assessment. Both process and outcome evaluations will be conducted to determine the feasibility of program implementation, the cultural appropriateness of program adaptations, program acceptability by the target population, and its influence on risk and protective factors associated with alcohol use and risky sexual behaviors. The study also will examine the short-term effects on alcohol use and risky sexual behaviors. Thai investigators will collaborate in all phases of this proposed study, including program adaptation, dissemination of study findings, and the preparation of a future application to assess the efficacy of TFM.

有强有力的证据表明，泰国青少年感染艾滋病毒/性病的风险很高（Crispin，2004 年），并且饮酒与危险性行为之间存在关联（Thato 等人，2003 年；Allen 等人， 2003）。很少有行为驱动的干预措施，特别是基于家庭的干预措施泰国年轻人的饮酒和危险性行为（Allen 等人，2003 年；Thato 等人，2003 年）。因此，这个拟议的国际合作研究项目的目标是进行为期四年的研究家庭事务（P.M.-U.S.）改编的可行性研究，这是一项针对物质的普遍预防计划涉及父母和青少年的虐待行为，涉及泰国文化。这个改编的计划将被称为泰国家庭事务 (TFM) 计划。在泰国采用以家庭为基础的方法适合一些人原因。在泰国，家庭是一个非常支持的单位。家庭单位是主要的提供者与性相关的尊重行为和文化上可接受的规范的基本培训行为和酒精/药物使用（Spielman，1994）。具体目标有3个：（1）评估相对源自美国的风险和保护因素理论模型对泰国文化的重要性； (2) 适应面向泰国 12 至 14 岁青少年家庭的 FM 计划，创建 TFM； (3) 对 TFM 进行试点测试使用随机对照组设计和六个月的随访评估。既是过程又是结果将进行评估以确定计划实施的可行性、文化方案调整的适当性、目标人群对方案的可接受性及其对与饮酒和危险性行为相关的风险和保护因素。该研究还将检查对饮酒和危险性行为的短期影响。泰国调查人员将合作在这项拟议研究的所有阶段，包括方案调整、研究结果的传播以及准备未来的应用程序来评估 TFM 的功效。