CORRELATES OF AIDS RISK AND DRUG USE IN DETAINED YOUTH

功能失调性家族性心脏病的特殊类型与 有艾滋病毒感染风险的依恋-通过吸毒和性行为 将根据两年期间收集的数据对活动进行审查 从大约1000名被判进入弗吉尼亚州学习的年轻人中， 中心系统。 这背后的理论假设 研究表明，吸毒和不安全的性行为是艾滋病毒的危险行为， 与特定类型或模式的功能失调的家庭 附件和粘合特性。 我们也有兴趣 调查青春期其他两种冒险行为 - 自杀意念和行为，以及攻击性行为- 我们构建了一个依恋和行为特征的模型 与吸毒和不安全性行为等艾滋病风险行为有关。 研究数据将包括标准化和经验证的问卷， 评估青少年的依恋和依恋特征， 家庭;已被确定为 与冒险有关;和四种类型的冒险行为：药物 使用，不安全的性活动，自杀意念/行为和攻击性 行为。这项研究还将评估青少年对 对艾滋病毒感染风险和感染后果的态度。 调查将从全港160名青少年中分层随机抽样， 研究样本以检验六个具体的关联主效应假设 （1）由于吸毒和/或性活动而感染艾滋病毒的风险， （2）家庭依恋特征，特别是;（3）其他 心理和行为特征。 样品将 按三个变量分层：吸毒、不安全的性活动和 性 该分层将产生四个风险组，其中25名男性和1名女性。 每组5只雌性。多元分析技术将用于 推导出一个结构化的数学模型，预测四个成员中的成员资格， 定义的组，并测试附件变量 调解其他变量与吸毒和性行为的关系 冒险 年龄和种族对观察到的关系的影响 也将使用多变量技术进行控制。 的效用 该模型将通过使用判别函数分析来确认 基于衍生的模型来分类那些不属于 随机样本的风险分类。 作为这项研究的结果，那些参与治疗的人， 被监禁的青少年的康复应该有更多的信息， 各种类型的冒险行为同时发生的概率 行为以及相关的依恋和结合特征 这些行为。 这些信息可以帮助确定具体的 一级、二级和三级预防的优先事项和战略 在这种情况下。 此外，通过模拟心理社会和 区分各种冒险模式的家庭因素 行为，这项研究可以有助于了解病因， 以更实质性的方式界定积极成果 而不是简单的行为矫正和症状减轻

The association of particular patterns of dysfunctional familial attachments with HIV-infection-risk through drug use and sexual activities will be examined based on data gathered over a two year period from approximately 1 000 youths adjudicated to the Virginia Learning Centers system. The underlying theoretical hypothesis informing this study is that the HIV-risk behaviors of drug use and unsafe sex are associated with particular styles or patterns of dysfunctional familial attachments and bonding characteristics. We are also interested in investigating the two other forms of risk-taking behaviors in adolescence -- suicidal ideation and behaviors, and aggressive behaviors -- to enable us to construct a model of attachment and behavioral characteristics associated with the HIV-risk behaviors of drug use and unsafe sex acts. Study data will include standardized and validated questionnaires to assess attachment and bonding characteristics of the youths with their families; psychosocial characteristics that have been identified as relevant to risk-taking; and four types of risk-taking behaviors: drug use, unsafe sexual activities, suicidal ideation/behaviors and aggressive behaviors. The study will also assess the adolescents' knowledge of and attitudes about risk of HIV-infection and the consequences of infection. A stratified random sample of 1 60 youths will be drawn from the complete study sample to test six specific main effect hypotheses of association of (1) risk of HIV infection due to drug use and/or sexual activities, and (2) familial attachment characteristics, in particular; and (3) other psychosocial and behavioral characteristics in general. The sample will be stratified by three variables: drug use, unsafe sexual activities and sex. This stratification will yield four risk groups with 25 males and 1 5 females in each group. Multivariate analytic techniques will be used to derive a structured mathematical model predicting membership in the four defined groups, and testing the extent to which the attachment variables mediate the relationship of other variables with drug use and sexual risk-taking. The effect of age and race on the observed relationships will also be controlled, using multivariate techniques. The utility of the model will be confirmed by using a discriminant functions analysis based on the derived model to classify those subjects who were not part of the random sample into the risk categories. As a result of this study, those involved with the treatment and rehabilitation of incarcerated adolescents should have more information on the probability of co-occurrence of the various types of risktaking behaviors and on the attachment and bonding characteristics associated with these behaviors. This information can help determine specific priorities and strategies for primary, secondary and tertiary prevention in these settings. In addition, by modeling the psychosocial and familial factors distinguishing various patterns of risk-taking behaviors, this study can contribute to understanding the etiology of these problems and defining positive outcomes in more substantive ways than simple behavioral modification and symptom reduction.