Partners for Strong, Healthy Families (PSHF)

坚强、健康家庭的合作伙伴 (PSHF)

基本信息

批准号：
8499684
负责人：
LOURDES A. BAEZCONDE-GARBANATI
金额：
$ 36.77万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-08 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8499684
关键词：
21 year old AIDS prevention Acquired Immunodeficiency Syndrome Address Adherence Adolescent Adult Age Alcohol or Other Drugs use Behavior Behavioral Bisexual California Centers for Disease Control and Prevention (U.S.)Child Chlamydia Collaborations Collection Commit Communication Communities Community Services Complex Contracts County Crack Cocaine Data Development Ethnic group Evaluation Evidence based practice Family Family Relationship Feedback Focus Groups Gatekeeping Gays Goals Gonorrhea Group Meetings Hallucinogens Health Health Services Health education Heart Human Human Papillomavirus Individual Infection Institution Instruction Intervention Interview Language Latino Lead Lesbian Letters Los Angeles Marijuana Smoking Measures Methods Modeling Monitor Needs Assessment Neighborhoods Parents Participant Pathway interactions Pharmaceutical Preparations Pilot Projects Population Prevention Prevention approach Prevention strategy Principal Investigator Process Recruitment Activity Religion and Spirituality Reporting Research Review Literature Risk Risk Behaviors Risk Factors Scanning Services Sexual Health Sexual abuse Sexually Transmitted Diseases Social Welfare Stress Substance abuse problem Surveys Syphilis Test Result Testing Time Universities Work Youth aged base burden of illness community based participatory research cultural values design disorder prevention effective therapy empowered experience health disparity high risk informant interest multidisciplinary peer preference prevent prevention service racial and ethnic randomized trial research study sex sex risk therapy development transgender treatment strategy

项目摘要

DESCRIPTION (provided by applicant): Latinos are a population at high risk for sexually transmitted diseases and use of substances. Latino youth are 2.8 times more likely to contract chlamydia, 2.2 times more likely to contract gonorrhea, 2.1 times more likely to contract syphilis (CDC, 2010) and have a higher rate of HPV infection, when compared to Whites. Latino 8th and 10th graders are also more likely than their White or Black peers to report lifetime past-year or past-month use of marijuana, cocaine, crack, and hallucinogens (Johnston, O'Malley, Bachman, & Schulenberg, 2010). To date, efforts have been insufficient to reduce this disparity. But few studies have addressed multiple risks occurring concomitantly or independently by engaging Latino families, youth and the community together in all aspects of intervention development. This community-based participatory research (CBPR) between the University of Southern California (USC) and Bienestar Health Services (BHS) aims to correct this inequity by including vulnerable Latino youth (16-21 years of age), families and the community to identity local needs, select, implement and test a pilot intervention in Los Angeles. We seek to empower Latino families, youth, and community gate keepers in the discovery of culturally grounded intervention/s that optimally address complex-multiple risk processes resulting in serious inequities among Latino youth. Our aims are: 1) to establish a coalition -Partners for Strong Healthy Families (PSHF)- led by a Community Advisory Board (CAB) (community gatekeepers, parents, youths, Latino organizations) to engage in CBPR; collect data among 898 participants using qualitative and quantitative methods (needs assessment (n=400), an environmental scan in the selected community, 8 focus groups (n=96), key informant interviews (n=20), group model-building (GMB) via 6 small group meetings (n=120)) to identify community priorities and preferences; pilot test the resulting culturally tailored- language specific intervention (n=130 pr and 110 post test) that will provide detailed strategies to boost protective factors and reduce ris for engaging in early sex and substance use, strengthening Latino families; and evaluate the PSHF partnership and CAB on adherence to CBPR principles (n=22). An experienced CBPR team is committed to engaging Latino families, youth and community from conceptualization through dissemination in the discovery of new effective treatments and prevention strategies to address these complex multiple risk behaviors and reduce disparities. RELEVANCE (See instructions): In adolescent health, sexual risk and substance use are among the most difficult problems for families to address with their children. This CBPR study is directly relevant to discovering community based-culturally tailored intervention/s that reveal optimal ways to engage families, youth and communities; leads to the emergence of new effective strategies for treatment and prevention against multifactorial risk behaviors (sex & drugs and empowers Latinos to set their own cultural pathways to reduce these complex inequities.

描述（由申请人提供）：拉丁裔是性传播疾病和吸毒高风险人群。与白人相比，拉丁裔青少年感染衣原体的可能性高出 2.8 倍，感染淋病的可能性高出 2.2 倍，感染梅毒的可能性高出 2.1 倍（CDC，2010），并且 HPV 感染率也更高。拉丁裔八年级和十年级学生也比白人或黑人同龄人更有可能报告过去一年或过去一个月使用过大麻、可卡因、快克和致幻剂（Johnston、O'Malley、Bachman 和 Schulenberg，2010）。迄今为止，为缩小这种差距所做的努力还不够。但很少有研究通过让拉丁裔家庭、青年和社区共同参与干预措施制定的各个方面来解决同时或独立发生的多种风险。南加州大学 (USC) 和 Bienestar Health Services (BHS) 之间的这项基于社区的参与性研究 (CBPR) 旨在通过让弱势拉丁裔青少年（16-21 岁）、家庭和社区参与身份认同来纠正这种不平等现象根据当地需求，在洛杉矶选择、实施和测试试点干预措施。我们寻求赋予拉丁裔家庭、青年和社区看门人权力，以发现基于文化的干预措施，以最佳方式解决导致拉丁裔青年严重不平等的复杂多重风险过程。我们的目标是： 1) 建立一个由社区咨询委员会 (CAB)（社区看门人、家长、青少年、拉丁裔组织）领导的联盟 - 强大健康家庭合作伙伴 (PSHF)，以参与 CBPR；使用定性和定量方法收集 898 名参与者的数据（需求评估（n=400）、选定社区的环境扫描、8 个焦点小组（n=96）、关键知情人访谈（n=20）、小组模型构建（ GMB）通过 6 次小组会议（n=120））确定社区优先事项和偏好；试点测试由此产生的文化定制的特定语言干预措施（n=130 pr 和 110 测试后），该干预措施将提供详细的策略，以增强保护因素并减少参与早期性行为和药物滥用的 RIS，从而加强拉丁裔家庭；评估 PSHF 伙伴关系和 CAB 是否遵守 CBPR 原则 (n=22)。经验丰富的 CBPR 团队致力于让拉丁裔家庭、青少年和社区参与从概念化到传播的整个过程，发现新的有效治疗方法和预防策略，以解决这些复杂的多重风险行为并减少差异。相关性（参见说明）：在青少年健康方面，性风险和药物滥用是家庭与孩子一起解决的最困难的问题之一。这项 CBPR 研究与发现基于社区的文化定制干预措施直接相关，这些干预措施揭示了吸引家庭、青年和社区的最佳方式；导致了治疗和预防多因素风险行为（性和毒品）的新有效策略的出现，并使拉丁美洲人能够制定自己的文化途径，以减少这些复杂的不平等现象。