Longitudinal Study of Trauma, HIV Risk, and Criminal Justice Involvement

创伤、艾滋病毒风险和刑事司法参与的纵向研究

• 批准号: 8732163
• 负责人: Maria Rabia Khan
• 金额: $ 5.36万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-03-15 至 2014-09-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8732163
• 关键词: Address; Adolescence; Adolescent; Adult; Alcohol or Other Drugs use; Antisocial Personality Disorder; Anxiety; Behavior; Buffers; Child; Child Sexual Abuse; Childhood; Communicable Diseases; Complex; Contracts; Crime; Criminal Justice; Data; Data Analyses; Development; Disease; Epidemic; Event; Face; Family; Functional disorder; Gender; General Population; HIV; HIV risk; Health; Home environment; Household; Imprisonment; Individual; Intervention; Jail; Justice; Lead; Life; Life Cycle Stages; Link; Longitudinal Studies; Marijuana Smoking; Measurement; Measures; Mediating; Mental Depression; Mental Health; Mental disorders; Mentors; Outcome; Parents; Pathway interactions; Pharmaceutical Preparations; Population; Prisons; Psychopathology; Race; Research; Risk; Risk Behaviors; Role; Schools; Series; Sexual abuse; Sexually Transmitted Diseases; Social support; Socioeconomic Status; Source; Subgroup; Symptoms; System; Techniques; Testing; Time; Trauma; United States; Unsafe Sex; Variant; Violence; abuse neglect; addiction; adverse outcome; anti social; base; binge drinking; cocaine use; cohort; design; emotional experience; emotional trauma; experience; health disparity; injection drug use; innovation; novel; offender; pediatric trauma; physical conditioning; programs; prospective; public health priorities; public health relevance; response; sex; sex risk; therapy design; young adult

DESCRIPTION (provided by applicant): This revised R01 study proposal utilizes a rigorous and innovative series of statistical techniques to analyze data from The National Longitudinal Study of Adolescent Health (Add Heath), a multi-wave prospective and nationally-representative study of more than 20,000 subjects followed from childhood to adulthood, to address critical gaps cutting across the mental health, addiction, infectious disease, and criminal justice fields. Physical, sexual, and/or emotional trauma in childhood may cause psychopathology, HIV-related drug and sex risk, and criminal justice involvement. Research has identified associations between childhood trauma and psychopathology outcomes, HIV risk behaviors, and criminal justice system involvement. However, the complex interplay among these variables over the life course is not well defined. In addition, research on factors that promote resiliency in the face of trauma is limited. Though social support buffers the effects of stressful life events, there is limited understanding of the degree to which children who have experienced trauma may be protected from adverse mental and physical health outcomes in adulthood if they receive support from parents, schools, and/or mentors during their adolescence and young adulthood. We propose to measure the degree to which physical, sexual, and emotional traumas during childhood are associated with hypothesized causal pathways leading to elevated levels of psychopathology, HIV risk behavior, and arrest and incarceration. We also seek to test the degree to which variations in social support protect against the deleterious effects of trauma on HIV risk behavior and criminal justice outcomes. The proposed analyses are designed to provide an empirical basis for development of novel trauma-informed interventions that will address the psychopathology, substance use, and sexual risk behaviors that drive both HIV and criminal justice involvement.

描述（由申请人提供）：修订后的 R01 研究提案利用一系列严格和创新的统计技术来分析国家青少年健康纵向研究 (Add Heath) 的数据，这是一项对 20,000 多名受试者从童年到成年进行跟踪的多波前瞻性和全国代表性研究，以解决心理健康、成瘾、传染病和刑事司法领域的关键差距。童年时期的身体、性和/或情感创伤可能会导致精神病理学、艾滋病毒相关药物和性风险以及刑事司法卷入。研究已经确定了童年创伤与精神病理学结果、艾滋病毒危险行为和刑事司法系统参与之间的关联。然而，生命历程中这些变量之间复杂的相互作用尚未得到很好的定义。此外，还研究了在面临困难时促进弹性的因素。 创伤是有限的。尽管社会支持可以缓冲生活压力事件的影响，但对于经历过创伤的儿童如果在青春期和成年初期得到父母、学校和/或导师的支持，在成年后可以在多大程度上免受不良心理和身体健康后果的了解还很有限。我们建议衡量童年时期的身体、性和情感创伤与导致精神病理学、艾滋病毒危险行为、逮捕和监禁水平升高的假设因果路径的相关程度。我们还试图测试社会支持的变化在多大程度上可以防止创伤对艾滋病毒危险行为和刑事司法结果的有害影响。拟议的分析旨在为开发新型创伤知情干预措施提供经验基础，这些干预措施将解决推动艾滋病毒和刑事司法参与的精神病理学、药物使用和性危险行为。