Drug Use, Disorder & HIV/AIDS Risk in Juvenile Justice Youth:A Longitudinal Study

描述（由申请人提供）：我们建议扩展西北青少年项目，以研究青少年从青春期到初成年期和青年期的药物使用和障碍的发展模式以及艾滋病毒/艾滋病和其他性传播感染（sti）的风险。这项研究回应了NIDA在少数族裔人群中艾滋病毒/艾滋病健康差异方面的新举措，特别是药物滥用、刑事司法介入和非洲裔美国人中艾滋病毒/艾滋病的关系。非洲裔美国人占美国人口的12%，但占被监禁人口的40%，占新发艾滋病病例的50%。到2004年底，有近10万青少年和近210万成年人被监禁。我们将继续研究一个种族/民族多样化的样本（n=758； 330名女性，428名男性；412名非洲裔美国人，137名非西班牙裔白人，207名西班牙裔美国人，2名其他种族/民族），这些人在招募时年龄在10-18岁，在伊利诺伊州库克县（芝加哥）被逮捕和拘留（1997-1998）。自招募以来，收集了有关药物使用和疾病发展、风险和保护因素以及艾滋病毒/艾滋病风险行为的数据。无论参与者是否被（重新）监禁或回到社区，他们都会重新接受采访。我们建议在基线后10年、11年、12年和13年进行年度访谈，收集记录，并检测艾滋病毒感染和选定的性传播感染。关注种族/民族差异，性别和年龄差异以及监禁的影响，我们将：(1)描述药物使用和障碍的模式-开始，持续，停止和复发-作为少年司法青少年从青春期到成年初显期和青年期；(2)描述同一时期的艾滋病毒/艾滋病风险行为模式；(3)描述艾滋病毒感染和其他性传播感染的流行情况和发病率；(4)研究药物使用和药物障碍与HIV/AIDS危险行为的关系。扩大西北青少年项目使我们能够利用已经收集的数据来检查健康差异以及不成比例的少数群体监禁在药物使用和失调以及艾滋病毒/艾滋病风险发展中的作用；识别具有潜在延展性的风险和保护因素；确定关键发育时期的干预点；并将理论模型——在一般人群中发展起来的青少年——扩展到矫正人群。

DESCRIPTION (provided by applicant): We propose to extend the Northwestern Juvenile Project to examine the developmental patterns of drug use and disorder and risk for HIV/AIDS and other sexually transmitted infections (STIs) as juvenile justice youth age from adolescence to emerging adulthood and young adulthood. This study responds to NIDA's new initiatives in health disparities in HIV/AIDS in minority populations, specifically the nexus of drug abuse, criminal justice involvement, and HIV/AIDS among African Americans. African Americans comprise 12% of the US population but 40% of incarcerated populations and 50% of new cases of HIV/AIDS. At year-end 2004, nearly 100,000 juveniles and nearly 2.1 million adults were incarcerated. We will continue to study a racially/ethnically diverse sample (n=758; 330 females, 428 males; 412 African Americans, 137 non-Hispanic whites, 207 Hispanics, 2 other race/ethnicity) of persons who were arrested and detained in Cook County (Chicago) Illinois, aged 10-18 years at recruitment (1997-1998). Since recruitment, data have been collected on the development of substance use and disorders, risk and protective factors, and HIV/AIDS risk behaviors. Participants are re-interviewed whether they are (re)incarcerated or back in the community. We propose to conduct annual interviews 10, 11, 12, and 13 years post-baseline, collect records, and test for HIV infection and selected STIs. Focusing on racial/ethnic disparities, gender and age differences, and effects of incarceration, we will: (1) describe patterns of drug use and disorder - onset, persistence, desistence, and recurrence -- as juvenile justice youth age from adolescence to emerging adulthood and young adulthood; (2) describe patterns of HIV/AIDS risk behaviors during this same period; (3) describe the prevalence and incidence of HIV infection and other STIs; and (4) examine the relationship between drug use and disorder and HIV/AIDS risk behaviors. Extending the Northwestern Juvenile Project allows us to leverage the data already collected to examine health disparities and the role of disproportionate minority confinement in the development of drug use and disorder and HIV/AIDS risk; to identify risk and protective factors that are potentially malleable; to identify points of intervention at key developmental periods; and to extend theoretical models - developed in general population adolescents - to correctional populations.