Substance Use/Abuse & HIV/STI Risk Behaviors in Puerto Rican Youth Growing Up

药物使用/滥用

基本信息

批准号：
9059932
负责人：
Cristiane S. Duarte
金额：
$ 1.26万
依托单位：
NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-04-01 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9059932
关键词：
AIDS/HIV problem Acculturation Address Adolescence Affect Age Alcohol or Other Drugs use Alcohols American Behavior Child Childhood Communities Country Data Data Set Development Developmental Process Dimensions Disadvantaged Drug Prescriptions Drug abuse Drug usage Epidemic Epidemiologic Studies Ethnic group Face Family Gender Goals HIV HIV Infections Health Hispanics Human immunodeficiency virus test Infection Intervention Interview Investigation Knowledge Latino Life Location Longitudinal Studies Measurement Mental disorders Mexican Americans Minority Modeling National Institute of Drug Abuse Needles Nicotine Oppositional Defiant Disorder Parents Participant Peer Review Pilot Projects Population Preparation Prevalence Process Public Health Publications Puerto Rican Puerto Rico Recording of previous events Research Research Personnel Risk Risk Behaviors Role Saliva Sampling Sex Orientation Sexual Partners Sexually Transmitted Diseases Site Social support Source Stress Subgroup Substance Use Disorder Substance abuse problem Surgeon System Testing Time Unsafe Sex Urine Variant Vulnerable Populations Youth antisocial behavior base cohort cost cultural values design early adolescence emerging adult emerging adulthood experience follow-up health disparity high risk informant knowledge base peer population based prevent programs prospective racial and ethnic response sex risk sexual debut unintended pregnancy urban area young adult

项目摘要

DESCRIPTION (provided by applicant): Substance use/abuse (SU/SUD) and other HIV/STI risk behaviors are major public health challenges not equally distributed across racial/ethnic groups. The fastest growing minority population in the US, Latino youth, have elevated rates HIV/STI risk behaviors and SU/SUD, particularly among those abandoning traditional Latino values and shifting towards American values (acculturation). This application, in response to PA-09-236: HIV/AIDS, Drug Use, and Vulnerable Populations in the US (R01), aims to identify factors related to the development of SU/SUD and HIV/STI risk behaviors and infection among Latino youth during a critical transitional developmental period: emerging adulthood. Existing studies have revealed important disparities, however, they are limited in their ability to identify processes relevant for Latino youth, as they have not included sufficient numbers of Latino youth from fairly homogeneous subgroups (e.g. Puerto Ricans, Mexican- Americans, etc.) and lack information about acculturation, a key determinant of risk among Latino youth. We propose to conduct the fourth wave on the Boricua Youth Study (BYS~ R01 MH56401) focused on HIV/STI risk, infection in emerging adulthood (BYS Wave 4, N=1,992, youth ages 16 - 24). The BYS has already generated 3 waves of data (years 2001 to 2004) on children of Puerto Rican background (ages 5 -13 at Wave 1), with study findings described in 19 peer-reviewed publications to date. Besides the comprehensive longitudinal assessment strategy, a unique feature of the BYS is its two-site design, as it included children living in the South Bronx (SBx), NYC and San Juan, Puerto Rico (PR). At BYS Wave 4, we propose to conduct intensive assessment of HIV/STI risk (including testing for HIV and STIs) and enhance the assessment of SU/SUD, in addition to continuing tracking of cultural experiences, and psychiatric disorders and other factors. The proposed study has as its specific aims, to examine: (I) Prevalence of HIV/STI risk behaviors and rates of HIV/STI infection in emerging adulthood and the influence of sexual orientation, teenage unintended pregnancy and early sexual debut. (II) How development of SU/SUD (nicotine, alcohol, illicit/prescription drugs) starting in childhood/earlyadolescence may influence HIV/STI risk in emerging adulthood in the context of a Ecodevelopmental framework. (III) The role of acculturation (cultural practices, identification, values) in relation to SU/SUD and its relationship to HIV/STI risk behaviors/infection. Once Wave 4 is completed, the BYS will represent an unparalleled source of prospective information about onset of SU/SUD and HIV/STI risk behaviors and infection as well as persistence and progression of SU from childhood to emerging adulthood in a homogeneous Latino subgroup examined in two contexts (SBx and PR).This information will fill a gap in knowledge, and the model resulting from our investigation will enable and facilitate the integration of specific factrs of relevance for Latino youth (e.g., acculturation) as part of interventions for this high-risk group.

描述（由申请人提供）：药物使用/滥用（SU/SUD）和其他艾滋病毒/性传播感染风险行为是主要的公共卫生挑战，在不同种族/族裔群体中分布不均。美国增长最快的少数族裔人口，即拉丁裔青年，艾滋病毒/性传播感染风险行为和 SU/SUD 的比例较高，特别是在那些放弃传统拉丁裔价值观并转向美国价值观（文化适应）的人群中。此应用程序响应 PA-09-236：美国的 HIV/AIDS、吸毒和弱势群体 (R01)，旨在确定与 SU/SUD 和 HIV/STI 危险行为以及感染人群的发展相关的因素。拉丁裔青年正处于关键的过渡发展时期：成年初期。现有的研究揭示了重要的差异，但是，它们识别能力有限与拉丁裔青年相关的进程，因为这些进程没有包括来自相当同质亚群体（例如波多黎各人、墨西哥裔美国人等）的足够数量的拉丁裔青年，并且缺乏有关文化适应的信息，而文化适应是拉丁裔青年风险的关键决定因素。我们建议开展第四波 Boricua 青年研究 (BYS~ R01 MH56401)，重点关注 HIV/STI 风险、成年初期的感染（BYS 第 4 波，N=1,992，16 - 24 岁青年）。 BYS 已经生成了 3 波关于波多黎各背景儿童（第一波年龄为 5 -13 岁）的数据（2001 年至 2004 年），迄今为止，研究结果已在 19 份同行评审出版物中进行了描述。除了全面的纵向评估策略外，BYS 的一个独特之处在于它的两个站点设计，因为它包括居住在南布朗克斯 (SBx) 的儿童，纽约市和波多黎各圣胡安（波多黎各）。在 BYS 第 4 波中，我们建议除了继续跟踪文化经历、精神疾病和其他因素外，还建议对 HIV/STI 风险进行深入评估（包括 HIV 和 STI 检测）并加强 SU/SUD 评估。拟议研究的具体目的是检查：（一）成年初期艾滋病毒/性传播感染危险行为的流行率和艾滋病毒/性传播感染率以及性取向、青少年意外怀孕和过早性行为的影响。 (II) 在生态发展框架的背景下，从儿童/青春期早期开始的 SU/SUD（尼古丁、酒精、非法/处方药）的发展如何影响成年初期的 HIV/STI 风险。 (III) 文化适应的作用（文化习俗、认同、值）与 SU/SUD 及其与 HIV/STI 危险行为/感染的关系。一旦第 4 波完成，BYS 将成为关于 SU/SUD 和 HIV/STI 危险行为和感染的发病以及 SU 在同质拉丁裔亚组中从童年到成年初期的持续和进展的前瞻性信息的无与伦比的来源。两种背景（SBx 和 PR）。这些信息将填补知识空白，我们调查得出的模型将能够并促进与拉丁裔青年相关的具体因素（例如文化适应）的整合作为针对这一高风险群体的干预措施的一部分。