Salud y el Exito: Addressing Proven Factors in HIV Prevention for Latino Youth

描述(由申请人提供)：Padres Unidos Por la Salud y eléxito de Nuestros Hijos旨在支持拉丁裔家长和学校努力促进儿童的健康选择，目的是减少导致城市拉丁裔社区艾滋病毒/艾滋病水平上升的行为。这项研究旨在推动在青春期前和青春期早期就开始预防艾滋病毒的努力，在年轻人建立危及他们健康和成功的行为模式之前。Salud y？xito以坚实的理论和实证研究为基础，强调支持父母在青年健康发展中发挥主要作用的重要性。这项研究将测试多年父母调解干预的双语版本，主要对象是说西班牙语和英语的拉丁裔父母和年轻人。这一干预措施包括通过成套音频CD提供家长教育，以促进积极的育儿做法，包括监测、规则制定、沟通和支持。此外，这种家长调解的方法的增强版本--Salud yéxito M S--将接受测试。这一增强的干预措施将音频-CD家长教育与以学校为基础的家长参与计划--拉丁美洲家庭外展手掌工具--结合在一起。这些工具有助于创造有利的环境，鼓励父母参与青少年的学业成就和未来的教育规划。这一点至关重要，因为拉丁裔经历了最高水平的辍学和学业失败，这都是与艾滋病毒/艾滋病相关的危险行为的后果和风险因素。这两个干预部分都有一个共同的目的：促进积极的育儿做法，以促进复原力和保护青年免受风险。具体目标是：(1)招收60所服务于高比例拉丁裔家庭的城市学校，并将其随机分配到三种条件之一：(A)Salud y？xito多年期家长教育；(B)Salud y？xito M S家长教育辅以手掌；或(C)对照条件(健康教育印刷材料)；(2)招收1,600名拉丁裔家庭参加研究，并在基线水平上进行电话家长调查和青年课堂调查；(3)在分配有干预条件的学校实施Salud y？xito干预部分；(4)在3个月和15个月的后续行动中进行青年调查，以测试干预措施是否有效地减少危险行为和意图，促进学校依恋和亲社会活动；(5)在3个月和15个月的后续行动中进行家长调查，以测试干预措施是否促进和维持积极的育儿做法；(6)研究育儿做法和青少年结果如何因个人和家庭特征，包括性别和文化适应而变化；以及(7)研究育儿做法是否可以通过育儿做法来解释，并确定哪些育儿做法在实验条件与青少年结果之间的关系中起中介作用。 与公共卫生相关：Salud y eléxito旨在支持拉丁裔家长和学校努力促进儿童的学业成功和健康选择，目的是减少导致城市拉丁裔社区艾滋病毒/艾滋病水平上升的行为。这一创新的家长中介预防计划针对的是为大量拉丁裔家庭提供服务的城市学校，在这些学校，很大比例的年轻人在15岁之前开始性行为，使他们面临艾滋病毒/艾滋病和其他负面健康、教育、经济和社会后果的风险，包括青少年怀孕、青少年出生和辍学。

DESCRIPTION (provided by applicant): Padres Unidos por la Salud y el ¿xito de Nuestros Hijos aims to support Latino parents and schools in their efforts to promote the healthy choices of children, with the goal of reducing behaviors that lead to elevated levels of HIV/AIDS in urban Latino communities. The study is designed to advance efforts to begin HIV prevention early, during the preteen and young adolescent years, before youth establish patterns of behavior that jeopardize their health and success, or "Salud y ¿xito." Salud y ¿xito draws on a solid foundation of theoretical and empirical research that underscores the importance of supporting the primary role that parents play in healthy youth development. The study will test a bilingual version of a multi-year parent-mediated intervention, Salud y ¿xito, with primary Spanish- as well as English-speaking Latino parents and youth. This intervention consists of parent education delivered through sets of audio-CDs to promote positive parenting practices, including monitoring, rule setting, communication, and support. In addition, Salud y ¿xito M s, an enhanced version of this parent-mediated approach, will be tested. This enhanced intervention integrates audio-CD parent education with a school-based parent involvement program, PALMS Tools for Latino Family Outreach. These tools facilitate the creation of welcoming environments that encourage parental involvement in their preteens' and young adolescents' academic success and future education planning. This is critical because Latinos experience the highest levels of school dropout and school failure, which are both consequences and risk factors for risky behaviors related to HIV/AIDS. Both intervention components have a common purpose: Promoting positive parenting practices known to foster resiliency and protect youth from risk. The specific aims are to: (1) Enroll and randomly assign 60 urban schools serving high proportions of Latino families to one of three conditions: (a) Salud y ¿xito multi-year parent education; (b) Salud y ¿xito M s parent education supplemented with PALMS; or a (c) comparison condition (health education print materials); (2) Enroll 1600 Latino families with youth from 6th grade classes in the study and conduct telephone parent surveys and youth classroom surveys at baseline; (3)Implement Salud y ¿xito intervention components at schools assigned to the intervention conditions; (4) Conduct youth surveys at 3- and 15-month follow-ups to test whether the interventions are effective in reducing risk behaviors and intentions and promoting school attachment and pro-social activities; (5) Conduct parent surveys at 3- and 15-month follow-ups to test whether the interventions promote and sustain positive parenting practices; (6) Examine how parenting practices and youth outcomes vary by individual and family characteristics, including gender as well as acculturation; and (7) Examine whether youth outcomes are explained by parenting practices and identify which parenting practices mediate the relationship between experimental condition and youth outcomes. PUBLIC HEALTH RELEVANCE: Salud y el ¿xito aims to support Latino parents and schools in their efforts to promote the academic success and healthy choices of children, with the goal of reducing behaviors that lead to elevated levels of HIV/AIDS in urban Latino communities. This innovative parent-mediated prevention program targets urban schools serving large numbers of Latino families, where high proportions of youth are sexually initiated before the age of 15, placing them at risk of HIV/AIDS and other negative health, educational, economic and social outcomes, including teen pregnancies, teen births, and school dropout.