Youth Alcohol Use and Risky Sexual Behavior in Bangkok

有证据有力地表明，泰国青少年感染艾滋病毒/性传播疾病的风险很大(Crispin，2004)，以及 酒精使用和危险性行为之间存在关联(Thato等人，2003；Allen Etal.， 2003年)。很少有行为驱动的干预措施，特别是基于家庭的干预措施，针对两者 泰国年轻人中的酒精使用和危险的性行为(Allen等人，2003年；Thato等人，2003年)。 因此，这项拟议的国际合作研究项目的目标是进行为期四年的 家庭事务适应可行性研究(下午-美国)，一项针对物质的普遍预防计划 涉及父母和青少年的虐待行为，对泰国文化来说。这个改编的节目将被称为 泰国家庭问题(TFM)计划。在泰国使用以家庭为基础的方法对几个人来说是合适的 理由。在泰国，这个家庭是一个非常支持的单位。家庭单位是家庭的主要提供者 对与性有关的恭敬行为和文化上可接受的规范进行基本培训 行为和酗酒/吸毒(Spielman，1994)。具体目标有三个：(1)评估亲属 美国衍生的风险和保护因素理论模型对泰国文化的重要性；(2)调整 面向泰国12至14岁青年家庭的FM方案，创建了TFM；以及(3)试行TFM 采用随机化对照组设计，并进行6个月的随访评估。过程和结果都是如此 将进行评估，以确定方案实施的可行性，文化 节目改编的适当性、目标人群的节目可接受性及其对 与饮酒和危险性行为相关的风险和保护因素。这项研究还将 研究酒精使用和危险性行为的短期影响。泰国调查人员将合作 在这项拟议研究的所有阶段，包括方案调整、研究结果的传播和 准备未来评估TFM疗效的应用程序。

Evidence strongly suggests that Thai adolescents are significantly at risk for HIV/STDs (Crispin, 2004), and that associations between alcohol use and risky sexual behaviors exist (Thato et al.,2003; Allen etal., 2003). There are few behavioral-driven interventions, especially family-based interventions, targeting both alcohol use and risky sexual behaviors among young Thais (Allen et al.,2003; Thato et al.,2003). Accordingly, the goal of this proposed international collaborative research project is to conduct a four year feasibility study for adaptation of Family Matters (P.M.-U.S.), a universal prevention program for substance abuse that involves parents and adolescents, to the Thai culture. This adapted program will be called the Thai Family Matters (TFM) program. Using a family-based approach in Thailand is appropriate for several reasons. The family is a very supportive unit in Thailand. The family unit is the primary provider of fundamental training for deferential behaviors and culturally acceptable norms that are relevant to sexual behavior and alcohol/drug use (Spielman, 1994). There are three specific aims: (1) to assess the relative importance of a U.S.-derived risk and protective factor theoretical model to the Thai culture; (2) to adapt the FM program to Thai families with youth 12to 14years old, creating the TFM; and (3) to pilot test the TFM using a randomized control group design with a six-month follow-up assessment. Both process and outcome evaluations will be conducted to determine the feasibility of program implementation, the cultural appropriateness of program adaptations, program acceptability by the target population, and its influence on risk and protective factors associated with alcohol use and risky sexual behaviors. The study also will examine the short-term effects on alcohol use and risky sexual behaviors. Thai investigators will collaborate in all phases of this proposed study, including program adaptation, dissemination of study findings, and the preparation of a future application to assess the efficacy of TFM.