Prevalence of HIV/STDs among Incarcerated Juveniles

描述：(申请人提供) 此应用程序请求为探索性/发展性(R21)研究提供资金 两种常见的性传播疾病、衣原体和淋病的流行情况，以及 新入狱的青少年男性和女性，并收集自我报告 被拘留未成年人对其吸毒、性危险行为、 避孕套态度以及其他社会和心理因素 对艾滋病毒和其他性传播疾病的易感性，用于检测特定性别 服刑人员使用安全套或性行为危险行为的解释模式 青少年。大约1500名青少年(被拘留者的人数)将被 在一年内筛查性传播疾病和吸毒，其中至少1000名青少年 将被招募参加这项研究。将招募足够的女性，以便 按性别进行数据分析。检测的阳性率(阳性检测的比例) 性传播疾病和药物使用情况将按种族和性别报告。多变量Logistic 回归将被用来确定STD状态的预测因素。结构性 带潜变量的方程建模(SEM)将被用来开发一个 被监禁少年犯使用避孕套的解释模式。这个 这项研究的最终目标是为发展和 针对男性和女性需求量身定做的艾滋病毒风险降低干预措施测试 女性少年犯，适用于青少年拘留场所。这 申请亦会为少年犯提供有益的健康服务。 目前对他们不可用。奖助金将用于提供性病 对青少年进行筛查、性病治疗转介以及艾滋病毒检测和咨询 被拘留了。

DESCRIPTION: (provided by applicant) This application requests funding for an exploratory/developmental (R21) study of the prevalence of 2 common STDs, chlamydia and gonorrhea, and drug use among newly incarcerated adolescent males and females and to collect self-report measures from detained juveniles on their substance use, sexual risk behaviors, condom attitudes, and other social and psychological factors that influence vulnerability to HIV and other STDs for the purpose of testing gender-specific explanatory models of condom use or sexual risk behavior among incarcerated adolescents. Approximately 1500 juveniles (the population of detainees) will be screened for STDs and drug use in one year and at least 1000 of those juveniles will be recruited for the study. Sufficient females will be recruited to allow data analysis by gender. The positivity rate (proportion of positive tests) for STDs and drug use will be reported by race and gender. Multivariate logistic regression will be used to identify predictors of STD status. Structural equation modeling (SEM) with latent variables will be used to develop an explanatory model of condom use for incarcerated juvenile offenders. The ultimate goal of this study is to lay the foundation for development and testing of an HIV risk reduction intervention tailored to the needs of male and female juvenile offenders and applicable for youth detention settings. This application will also provide beneficial health services to juvenile offenders not currently available to them. Grant funds will be used to provide STD screening, STD treatment referral, and HIV testing and counseling to juveniles in detention.