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Preventing HIV/STI Risk Behavior in Girls with Delinquency, Drug Abuse & Trauma

预防青少年犯罪和吸毒的艾滋病毒/性传播感染危险行为

基本信息

批准号：
9063045
负责人：
DANA K SMITH
金额：
$ 64.13万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-01 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9063045
关键词：
AIDS prevention AIDS/HIV problem Accountability Accounting Address Adolescent Adolescent and Young Adult Age Alcohol or Other Drugs use Behavior Biological Case Management Centers for Disease Control and Prevention (U.S.)Child Rearing Communication Communities Contracts Control Groups County Drug abuse Drug usage Evidence based intervention Family Female Adolescents Gender Group Therapy HIV HIV Infections HIV risk Health Imprisonment Infection Institute of Medicine (U.S.)Intervention Justice Knowledge Life Mediating Mediator of activation protein Mental Health Modeling Oregon Outcome Outcome Measure Parents Participant Patients Pharmaceutical Preparations Policy Maker Population Positive Reinforcements Prevention program Preventive Intervention Problem Solving Protocols documentation Public Health Randomized Research Research Personnel Risk Risk Behaviors Risk Factors Risk-Taking Running Safety Sampling Sexually Transmitted Diseases Supervision Testing Training Support Trauma United States Youth base boys clinical practice drug abuse prevention effective intervention effective therapy experience foster care girls high risk high risk behavior high risk sexual behavior intervention program juvenile delinquent juvenile justice system meetings physical conditioning prevent probation programs skills social therapy development treatment program

项目摘要

DESCRIPTION (provided by applicant): Girls in the juvenile justice system have been found to have high rates of co-occurring delinquency, drug abuse, and trauma. Girls with this triple-threat risk constellation are at high risk for engaging in risky sexual behavior and for contractin sexually transmitted infections (STIs), including HIV. Because HIV is associated with serious health-related problems, identifying interventions that effectively prevent and treat HIV risk behaviors has been at the forefront of recent research and clinical practice. Although effective interventions exist for the treatment of HIV risk behaviors in boys in the juvenile justice system, to our knowledge, no effective programs have been identified for girls with the triple-threat constellation of behaviors in the juvenile justice system. The proposed study aims to fill this gap by adapting and testing an intervention to reduce HIV/STI risk behavior among girls with the triple-threat risk constellation. The proposed study is a resubmission of a competing continuation (renewal) of the ProTeens study, which focuses on testing a family-centered intervention for treating HIV risk, drug use, and delinquency in boys ("Preventing Drug Abuse and HIV/AIDS in Delinquent Youths: An Integrated Intervention"; R01DA025857); adaptations will be made to address the treatment needs of delinquent girls. The girls and their parent(s) will be randomly assigned to either a family- centered triple-threat intervention condition (INT; n = 100) or to an active comparison condition (n = 100) consisting of group therapy and case management (GCM). The INT condition will consist of individually administered HIV preventive intervention for adolescent girls involved in the juvenile justice system that integrally addresses delinquency, drug abuse, and trauma exposure, along with group-based training and support for parents. The girl and parent components will run concurrently for three months. The GCM condition will consist of group therapy and case management for girls provided as usual by the juvenile justice department. Given the well-documented detrimental social, health, and mental health outcomes associated with HIV/STI risk behaviors, and the lack of effective gender-based preventive interventions for girls in the juvenile justice system, the proposed intervention protocol has the potential of a high public health impact yielding positive implications for patients, clinicians, researchers, and policy makers.

描述（由申请人提供）：青少年司法系统中的女孩被发现同时发生犯罪、吸毒和创伤的比例很高。具有这三重威胁风险星座的女孩从事危险性行为和感染包括艾滋病毒在内的性传播感染的风险很高。由于艾滋病毒与严重的健康相关问题有关，确定有效预防和治疗艾滋病毒风险行为的干预措施一直是最近研究和临床实践的前沿。虽然在少年司法系统中存在有效的干预措施来治疗男孩的艾滋病毒风险行为，