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：
8717718
负责人：
LOURDES A. BAEZCONDE-GARBANATI
金额：
$ 35.98万
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/8717718
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 papilloma virus infection Individual 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使用物质的高风险的人群。拉丁裔青年收缩衣原体的可能性高2.8倍，与白人相比，与梅毒感染的可能性高2.2倍，伴有淋巴的可能性高2.2倍，比梅毒感染的可能性高2.1倍（CDC，2010年），HPV感染率更高。拉丁裔八年级和10年级学生也比白人或黑人同龄人更有可能报告大麻，可卡因，裂缝和幻觉剂的终生或过去的月份使用（约翰斯顿，奥马利，巴赫曼，巴赫曼和舒伦伯格，2010年）。迄今为止，努力不足以减少这种差异。但是，很少有研究通过在干预发展的各个方面共同使拉丁裔家庭，青年和社区共同解决多种风险。这项基于社区的参与性研究（CBPR）（CBPR）在南加州大学（USC）和Bienestar Health Services（BHS）之间旨在通过包括脆弱的拉丁裔青年（16-21岁），家庭和社区，以确定，选择，选择，选择，选择，选择，在洛斯安吉利斯进行试点干预，以纠正这种不平等。我们寻求使拉丁裔家庭，青年和社区守门员的能力在发现文化扎根的干预措施中，以最佳地解决复杂的多重风险过程，从而导致拉丁裔青年严重不平等。我们的目标是：1）建立一个由社区顾问委员会（CAB）（社区守门员，父母，青年，拉丁裔组织）领导的强大健康家庭（PSHF）的联盟组成部分；使用定性和定量方法（需求评估（n = 400），选定社区中的环境扫描，8个焦点小组（n = 96），关键信息访谈（n = 20），小组模型建设（GMB）通过6个小组会议（n = 120））在898名参与者之间收集数据，以确定社区优先级和偏好；试点测试由此产生的文化量身定制的特定语言干预措施（n = 130 PR和110次测试后），该干预将提供详细的策略，以增强保护因素并减少参与早期性和物质使用的RIS，从而增强拉丁裔家庭；并评估遵守CBPR原则的PSHF合作伙伴关系和CAB（n = 22）。一支经验丰富的CBPR团队致力于通过传播通过概念化来吸引拉丁裔家庭，青年和社区，从而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降低差异。相关性（请参阅说明）：在青春期健康中，性风险和药物使用是家庭与孩子解决的最困难问题之一。这项CBPR研究与发现基于社区的文化量身定制的干预措施直接相关，该干预揭示了吸引家庭，青年和社区的最佳方法；导致出现针对多因素风险行为的新有效策略（性别和药物和赋予拉丁美洲人的能力），以设定自己的文化途径来减少这些复杂的不平等。