Reducing Alcohol, Tobacco, and Drug Use Among Latino Immigrant Youth: A Preliminary Test of the ¡Unidos Se Puede! Program

减少拉丁美洲移民青年中的酒精，烟草和药物使用： 团结起来！程序 摘要 青少年酒精，烟草和其他药物（ATOD）使用是一个主要的公共卫生问题，拉丁美洲人的比例 中学生高于其他民族。青少年使用ATOD的一个公认的前兆 是社会心理压力在拉丁裔移民青年中，与移民有关的压力与ATOD有关 使用，抑郁症状和反社会行为，即使在考虑了社会经济指标之后， status.虽然已经开发了几个程序来解决拉丁美洲ATOD的使用，他们依赖于双语 具有硕士学位或更高学位的专业人员来执行该计划。拉丁裔家庭越来越多地 他们自己在新的定居点地区，缺乏双语ATOD顾问， 预防或治疗。这表明，如果不使用新颖有效的ATOD， 针对拉丁美洲青少年的干预措施。Unidos是一个积极的青年发展计划， 与拉丁裔父母和他们的青少年儿童，以延迟或减少ATOD使用，增加父母 参与子女的学业和青年的学业成绩。因为Unidos可以通过 以社区为基础的“促进者”，而不是硕士水平的临床医生，它解决了执行， 与现有ATOD预防计划相关的可扩展性和可持续性问题。初始评价 Unidos对加强拉丁美洲青少年成功能力的影响是积极的，但其对 减少ATOD的使用尚未得到评估。拟议项目审查工发组织的初步功效 减少新定居点拉丁裔青年使用ATOD。本有效性试验的目标是 通过实现两个具体目标来实现：（1）评估干预延迟启动的潜力 或减少第一代至第二代移民的拉丁裔青年使用ATOD;以及（2）评估 干预措施加强已知的保护因素，防止吸毒者使用ATOD的能力-特别是 儿童个人代理和亲子，同伴和学校的关系。为了实现这些目标，我们建议 一项注意力安慰剂随机对照试验在这次试验中，我们将招募一批年轻人和他们的父母 （N=120对）从随机抽样的拉丁美洲七年级学生在塔尔萨公立学校。那些会见 入选/排除标准和同意参与将在随机分配前提供基线数据 分配给治疗或对照条件（每组n=60对）。参与者将被跟踪32 基线后3个月，在此期间，我们将每年在每个月结束时收集心理社会指标。 三个学年（第七，第八和第九年级）。将检验的两个主要假设是：（1）青年人在 与对照组的青年相比，Unidos项目将延迟ATOD的使用;（2） 与对照组的年轻人相比，Unidos计划将减少ATOD的使用。

Reducing Alcohol, Tobacco, and Drug Use Among Latino Immigrant Youth: A Preliminary Test of the ¡Unidos Se Puede! Program ABSTRACT Adolescent alcohol, tobacco, and other drug (ATOD) use is a major public health concern, with rates for Latino middle school youth higher than other ethnic groups. One well-established precursor of adolescent ATOD use is psychosocial stress. Among Latino immigrant youth, stress related to migration is associated with ATOD use, depressive symptoms, and anti-social behavior, even after accounting for indicators of socio-economic status. Although several programs have been developed to address Latino ATOD use, they rely on bilingual professionals with a master's degree or higher to field the program. Latino families are increasingly locating themselves in new settlement areas that lack bilingual ATOD counselors equipped to provide appropriate prevention or treatment. This suggests that health disparities will widen without novel and effective ATOD use interventions targeting young Latino adolescents. Unidos is a positive youth development program that works with Latino parents and their adolescent children to delay or reduce ATOD use by increasing parental involvement in their child's schooling and youth academic achievement. Because Unidos can be delivered by community-based "promotoras" rather than masters level clinicians, it addresses the implementation, scalability and sustainability problems associated with existing ATOD prevention programs. Initial evaluations of Unidos' impact on strengthening Latino adolescents' ability to succeed are positive, but its impact on reducing ATOD use has not been evaluated. The proposed project examines the preliminary efficacy of Unidos to decrease ATOD use among Latino youth in new settlement areas. The goals of this efficacy trial will be achieved by accomplishing two specific aims: (1) Evaluate the potential of the intervention to delay the initiation into or reduce ATOD use among Latino youth who are 1st to 2nd generation immigrants; and (2) Evaluate the intervention’s ability to strengthen known protective factors against ATOD use among adolescents–specifically child personal agency and parent-child, peer, and school relationships. To accomplish these aims, we propose an attention placebo randomized control trial. For this trial, we will recruit a sample of youth and their parents (N=120 dyads) from a random sample of Latino 7th graders in Tulsa Public Schools. Those meeting the inclusion/exclusion criteria and agreeing to participate will provide baseline data before being randomly assigned to either the treatment or control condition (n=60 dyads each). Participants will be followed for 32 months post-baseline, during which time we will collect psychosocial measures annually near the end of each of three school years (7th, 8th, and 9th grades). The two primary hypotheses that will be tested are: (1) Youth in the Unidos program will delay initiation of ATOD use compared to youth in a control group; and (2) Youth in the Unidos program will have less ATOD use compared to youth in a control group.