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

Salud y el Exito：解决拉丁裔青年艾滋病毒预防中已证实的因素

• 批准号: 7749802
• 负责人: LYDIA N O'DONNELL
• 金额: $ 64.16万
• 依托单位: EDUCATION DEVELOPMENT CENTER, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7749802
• 关键词: AIDS prevention; AIDS/HIV problem; Acculturation; Address; Adolescent; Adopted; Age; Alcohol or Other Drugs use; Behavior; California; Child; Communication; Communities; Complex; Country; Development; Economics; Education; Educational Intervention; Effectiveness of Interventions; Empirical Research; English Language; Enrollment; Environment; Evaluation; Evaluation Studies; Failure; Family; Family Characteristics; Focus Groups; Fostering; Foundations; Funding; Future; Gender; Goals; Health; Health education; Immigrant; Individual; Intervention; Latino; Lead; Life; Living Wills; Mediating; Monitor; National Institute of Child Health and Human Development; New York; Outcome; Parenting Education; Parenting behavior; Parents; Pattern; Play; Poverty; Pregnancy in Adolescence; Prevention; Prevention program; Printing; Randomized; Randomized Controlled Trials; Risk; Risk Behaviors; Risk Factors; Risk-Taking; Sampling; Schools; Sex Education; Sexuality; Solid; Student Dropouts; Students; Surveys; Teenagers; Telephone; Testing; Time; Training; Translating; United States National Institutes of Health; Work; Youth; base; design; early childbearing; early sex initiation; education planning; effective intervention; experience; health disparity; high school; innovation; middle school; novel; outreach; parental involvement; parental role; preadolescence; prevent; programs; public health relevance; reproductive; role model; sex; sexually active; social; success; teacher; teen birth; tool; user-friendly

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.

描述（由申请人提供）：Padres Unidos por la Salud y el ¿ xito 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，以减少导致城市拉丁裔社区艾滋病毒/艾滋病水平升高的行为。在青少年形成危害健康和成功的行为模式（即“Salud y ¿xito”）之前，尽早开始预防艾滋病毒。 Xito 借鉴了坚实的理论和实证研究基础，强调了支持父母在青少年健康发展中发挥主要作用的重要性。该研究将测试为期多年的父母介导的干预措施“Salud y ¿”的双语版本。 Xito 与讲西班牙语和英语的拉丁裔家长和青少年一起开展这项干预措施，包括通过音频 CD 进行家长教育，以促进积极的育儿实践，包括监督、规则制定、沟通和支持。祝你健康 ¿ Xito M s 是这种以家长为媒介的方法的增强版本，将进行测试。这种增强的干预措施将音频 CD 家长教育与基于学校的家长参与计划“拉丁裔家庭外展 PALMS 工具”相结合。这些工具有助于创建欢迎氛围。鼓励父母参与青少年学业成功和未来教育规划的环境至关重要，因为拉丁美洲人的辍学率和学业失败率最高，这既是与艾滋病毒/艾滋病相关的危险行为的后果也是风险因素。艾滋病干预。各组成部分有一个共同的目的：促进积极的育儿实践，以培养适应力并保护青少年免受风险。具体目标是：(1) 将服务于高比例拉丁裔家庭的 60 所城市学校招收并随机分配到以下三种情况之一：(a)。 ) 祝你好运 ¿ (b) Salud y ¿xito 多年家长教育； xito M 的家长教育辅以 PALMS；或 (c) 比较条件（健康教育印刷材料）； (2) 在研究中招募 1600 个有六年级青少年的拉丁裔家庭，并进行基线电话家长调查和青少年课堂调查； (3) 实施健康 ¿在符合干预条件的学校进行 xito 干预； (4) 在 3 个月和 15 个月的后续行动中进行青少年调查，以测试干预措施是否有效减少危险行为和意图以及促进学校依恋和亲社会活动； (5) 在 3 个月和 15 个月的随访中进行家长调查，以测试干预措施是否促进和维持积极的养育做法； (6) 检查养育做法和青少年结果如何因个人和家庭特征（包括性别和特征）而变化；文化适应；以及（7）检查青少年的结果是否可以通过养育方式来解释，并确定哪些养育方式调节实验条件和青少年结果之间的关系。 公共卫生相关性：Salud y el ¿ Xito 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，以减少导致城市拉丁裔社区艾滋病毒/艾滋病水平升高的行为。这一创新的家长介导的预防计划的目标是。为大量拉丁裔家庭提供服务的城市学校，其中很大比例的青少年在 15 岁之前开始性行为，使他们面临感染艾滋病毒/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、青少年生育、和辍学。