RISK REDUCTION IN HIV+/HIV-ALCOHOL ABUSING YOUTH

描述（改编自摘要）：在这项拟议的5年研究中， 研究人员将比较增强的认知行为 （E-CB）对标准护理信息（SC-INFO）条件的干预 降低艾滋病毒传播的风险（例如，受保护的比例 性行为，性伴侣数量，酒精或其他药物的使用[ADD] 接近性活动）之间的文化多样性，内城，ADD- 440名艾滋病毒阴性青少年罪犯和50名艾滋病毒阴性青少年罪犯的虐待人口， 积极的青少年罪犯其具体目标是评估：（1）如果 E-CB比SC-INFO更大程度地减少艾滋病毒风险行为;（2）如果 E-CB比SC-INFO更大程度地减少了AOD的使用;（3）如果AOD被滥用， 可能介导我们的干预措施和艾滋病毒风险之间的关系 行为结果，（4）如果关键变量调解之间的关系 这些干预措施和艾滋病毒风险行为和滥用AOD的干预措施， HIV危险行为和滥用AOD的结果。探索的目的是 评估HIV血清状态对结果变量的影响。这项研究是 重要的是，它解决了迫切需要制定有效的 在不断增长的人口中采取干预措施， 青少年罪犯法院下令进入治疗。这些需求 传统的AOD滥用并没有充分解决犯罪者的问题， 治疗方案，如极高的复发率所示， 不安全性行为和酗酒/吸毒。该项目的具体特点， 提高它产生决定性和创新性成果的可能性， 信息包括：（a）使用标准化的社会心理电子商务 专门针对目标的干预措施 （B）采用随机实验设计， 将分配到E-CB组的受试者与分配到标准治疗组的受试者进行比较 （c）在该事件发生之前进行干预的时间 从住院病人到门诊病人的紧张过渡;以及（d） 将艾滋病毒阳性青年纳入研究和验证一项 干预，试图减少危险的性行为和使用AOD的行为， 混合血清状态组。

DESCRIPTION (adapted from the Abstract): In this proposed 5-year study the researchers will compare the effects of an Enhanced Cognitive-Behavioral (E-CB) Intervention to a Standard Care Information (SC-INFO) Condition in reducing the risk of HIV transmission (e.g., proportion of protected sexual acts, number of sex partners, use of alcohol or other drugs [ADD] proximal to sex activity) among a culturally diverse, inner city, ADD- abusing population of 440 HIV-negative adolescent offenders and 50 HIV- positive adolescent offenders. Their specific aims are to evaluate: (1) if E-CB reduces HIV risk behaviors to a greater extent than SC-INFO; (2) if E-CB reduces AOD use to a greater extent than SC-INFO; (3) if AOD abuse may mediate the relationship between our interventions and HIV risk behaviors outcomes, (4) if key variables mediate the relationships between these interventions and HIV risk behaviors and AOD-abuse interventions and the HIV-risk behavior and AOD-abuse outcome. The exploratory aim is to evaluate effects of HIV serostatus on outcome variables. The study is significant because it addresses the urgent need to develop an effective intervention to reduce HIV risk and AOD use in a growing population of adolescent offenders court ordered into treatment. The needs of these offenders have not been addressed adequately by traditional AOD-abuse treatment programs as indicated by an extremely high rate of relapse to unsafe sex and alcohol/drug abuse. Specific features of this project that increase the probability that it will produce definitive and innovative information include: (a) the use of a standardized, psychosocial E-CB intervention which has been specifically tailored for the target population; (b) the employment of a randomized experimental design that compares subjects assigned to E-CB with those assigned to a standard care condition; (c) the timing of the intervention to occur prior to the stressful transition from inpatient to outpatient status; and (d) the inclusion of HIV-positive youths in the study and validation of an intervention that attempts to reduce risky sex and AOD-using behaviors in mixed serostatus groups.