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

产品说明：横截面研究已经确定，法院参与，非监禁（CINI）青少年表现出类似的物质使用和艾滋病毒/性传播感染的风险行为率为那些被拘留或监禁。然而，在首次犯罪的CINI青少年中，我们对谁可能出现吸毒问题、从事艾滋病毒/性传播感染风险行为、有精神问题和/或累犯以及哪些风险和保护因素可能与其结果有关的知识存在差距。因此，拟议的研究的目的是调查24个月的轨迹药物使用，艾滋病毒/性传播感染的风险行为，精神症状，和累犯的第一次少年法庭接触之间的一个队列的400个首次犯罪，CINI少年犯。具体而言，我们试图描述这一人群中药物使用、HIV/STI风险、精神症状和累犯的两年发展过程和共同发生，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。将从罗得岛家庭法院少年收容部招募13-17岁的首次犯罪少年和一名照顾者（I期试点研究N= 40对; II期调查研究N=400对），参加计算机化调查评估。在第一阶段（第一年的前八个月），将随机抽取40名青少年和一名照顾者完成一次计算机化调查测量（基线，即，第一次与少年法庭接触的时间），以便对抽样方法进行试点测试，并提供与调查的制定、管理和实施有关的定量和定性反馈。在第II阶段（第1年至第4年的最后一个季度），将在基线时招募400名青少年/看护者（共N=800）（使用系统性不成比例分层抽样方法），然后在青少年首次出庭后4、8、12、16、20和24个月进行重新评估。每次评估时还将采集青少年吸毒和性传播感染（STI）的生物标本。基线和随访数据将被用来构建个人和潜在类的增长分析，以表征纵向轨迹的CINI青少年的药物使用，艾滋病毒/性传播感染的风险行为，精神症状，和累犯。

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.