Drug Use and HIV/STI Risk Trajectories in Court-Involved, Non-Incarcerated Youth

描述：横断面研究已经确定，法庭参与，非监禁（CINI）青少年表现出类似的物质使用和艾滋病毒/性传播感染风险行为率与那些被拘留或监禁。然而，在初次犯罪的青少年中，我们对哪些人可能会出现吸毒问题、从事艾滋病毒/性传播感染风险行为、有精神问题和/或再犯，以及哪些风险和保护因素可能与他们的结果相关，还存在着认识上的差距。因此，拟议研究的目的是调查24个月的轨迹吸毒，艾滋病毒/性传播感染风险行为，精神症状和再犯从第一次接触少年法庭的400名初犯，CINI少年犯队列。具体来说，我们试图描述这一人群中两年的发展过程和吸毒、艾滋病毒/性传播感染风险、精神症状和再犯的共同发生，并确定与这些结果相关的个人、家庭和家庭外水平的风险和保护因素。将从罗德岛家庭法院青少年收容部招募13-17岁的初犯青少年和一名看护人（N= 40对，第一阶段试点研究；N=400，第二阶段调查研究）参加计算机化调查评估。在第一阶段（第一年的头八个月），将随机抽取40名青少年和一名照顾者，让他们一次（在基线，即第一次与少年法庭接触的时间）完成电脑调查措施，以便对抽样方法进行试点测试，并就调查的发展、管理和实施提供定量和定性的反馈。在第二阶段（一年级到四年级的最后一个季度），将在基线招募400名青少年/看护人（N=800）（使用系统的不比例分层抽样方法），然后在青少年第一次法庭接触后的4、8、12、16、20和24个月重新评估。在每次评估时，还将收集青少年吸毒和性传播感染的生物标本。基线和随访数据将用于构建个体和潜在类别增长分析，以表征CINI青少年吸毒、艾滋病毒/性传播感染风险行为、精神症状和再犯的纵向轨迹。

DESCRIPTION: Cross-sectional studies have identified that court-involved, non-incarcerated (CINI) juveniles exhibit similar substance use and HIV/STI risk behavior rates as those detained or incarcerated. Yet, among first-time offending, CINI juveniles, there is a gap in our knowledge about who might develop drug use problems, engage in HIV/STI risk behaviors, have psychiatric difficulties and/or recidivate and what risk and protective factors may be related to their outcomes. The objective of the proposed research is therefore to investigate 24 month trajectories of drug use, HIV/STI risk behavior, psychiatric symptoms, and recidivism from the point of first juvenile court contact among a cohort of 400 first-time offending, CINI juvenile offenders. Specifically, we seek to characterize the two-year developmental course and co-occurrence of drug use, HIV/STI risk, psychiatric symptoms and recidivism in this population and to identify the individual, family and extrafamilial- level risk and protective factors associaed with these outcomes. First-time offending juveniles, ages 13-17, and a caregiver (N= 40 dyads for Phase I pilot study; N=400 for Phase II survey study) will be recruited from the Rhode Island Family Court, Juvenile Intake Department to participate in computerized survey assessments. In Phase I (first eight months of Year 1), 40 juveniles and a caregiver will be randomly sampled to complete the computerized survey measure once (at baseline, i.e., time of first contact with the juvenile court) to allow for pilot testing of sampling methodology and to provide quantitative and qualitative feedback related to survey development, administration and implementation. In Phase II (last quarter of Year 1 through Year 4), 400 juvenile/caregiver dyads (N=800 total) will be recruited (using a systematic disproportionate stratified sampling approach) at baseline and then re-assessed at 4, 8, 12, 16, 20 and 24 months subsequent to the juvenile's first court contact. Biological specimens for juvenile drug use and sexually transmitted infections (STIs) will also be collected at each assessment. Baseline and follow-up data will be used to construct individual and latent class growth analyses to characterize longitudinal trajectories of CINI juvenile's drug use, HIV/STI risk behaviors, psychiatric symptoms, and recidivism.