Drug Use and HIV/STI Risk Trajectories in Court-Involved, Non-Incarcerated Youth

法庭参与的非监禁青少年的吸毒和艾滋病毒/性传播感染风险轨迹

• 批准号: 9039574
• 负责人: MARINA TOLOU-SHAMS
• 金额: $ 46.03万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9039574
• 关键词: Adolescent; Age; Alcohol or Other Drugs use; Attenuated; Attitude; Biological; Caregivers; Cohort Studies; Communities; Conflict (Psychology); Cross-Sectional Studies; Data; Development; Developmental Course; Drug usage; Epidemiology; Exhibits; Family; Feedback; Female; Gender; Growth; HIV; HIV risk; Health; Imprisonment; Incidence; Individual; Intake; Intervention; Knowledge; Learning; Legal; Life; Measures; Mediating; Mediator of activation protein; Methodology; Modeling; Monitor; Motivation; Neighborhoods; Outcome; Pattern; Persons; Phase; Pilot Projects; Population; Prevention program; Public Health; Recruitment Activity; Reporting; Research; Rhode Island; Risk; Risk Behaviors; Risk Factors; Sampling; Secure; Sex Behavior; Sexually Transmitted Diseases; Specimen; Staging; Surveys; Survival Analysis; System; Techniques; Testing; Time; Violence; Youth; aged; cohort; computerized; court; design; follow-up; high risk; improved; innovation; juvenile delinquent; male; neighborhood disadvantage; novel; parallel processing; peer; population based; primary outcome; prospective; psychiatric symptom; public health intervention; recidivism; screening; treatment program

DESCRIPTION: Cross-sectional studies have identified that court-involved, non-incarcerated (CINI) juveniles exhibit similar substance use and HIV/STI risk behavior rates as those detained or incarcerated. Yet, among first-time offending, CINI juveniles, there is a gap in our knowledge about who might develop drug use problems, engage in HIV/STI risk behaviors, have psychiatric difficulties and/or recidivate and what risk and protective factors may be related to their outcomes. The objective of the proposed research is therefore to investigate 24 month trajectories of drug use, HIV/STI risk behavior, psychiatric symptoms, and recidivism from the point of first juvenile court contact among a cohort of 400 first-time offending, CINI juvenile offenders. Specifically, we seek to characterize the two-year developmental course and co-occurrence of drug use, HIV/STI risk, psychiatric symptoms and recidivism in this population and to identify the individual, family and extrafamilial- level risk and protective factors associaed with these outcomes. First-time offending juveniles, ages 13-17, and a caregiver (N= 40 dyads for Phase I pilot study; N=400 for Phase II survey study) will be recruited from the Rhode Island Family Court, Juvenile Intake Department to participate in computerized survey assessments. In Phase I (first eight months of Year 1), 40 juveniles and a caregiver will be randomly sampled to complete the computerized survey measure once (at baseline, i.e., time of first contact with the juvenile court) to allow for pilot testing of sampling methodology and to provide quantitative and qualitative feedback related to survey development, administration and implementation. In Phase II (last quarter of Year 1 through Year 4), 400 juvenile/caregiver dyads (N=800 total) will be recruited (using a systematic disproportionate stratified sampling approach) at baseline and then re-assessed at 4, 8, 12, 16, 20 and 24 months subsequent to the juvenile's first court contact. Biological specimens for juvenile drug use and sexually transmitted infections (STIs) will also be collected at each assessment. Baseline and follow-up data will be used to construct individual and latent class growth analyses to characterize longitudinal trajectories of CINI juvenile's drug use, HIV/STI risk behaviors, psychiatric symptoms, and recidivism.

描述：横断面研究已经确定，涉及法院的，未脑的（CINI）少年表现出类似的物质使用和HIV/STI风险行为率，与被拘留或被监禁的人相似。然而，在首次犯罪，cini少年中，我们的知识存在差距，即谁可能出现毒品使用问题，从事艾滋病毒/性传播感染风险行为，遇到精神病和/或累犯，哪些风险和保护因素可能与他们的结果有关。因此，拟议的研究的目的是研究24个月的毒品使用轨迹，HIV/STI风险行为，精神病症状和累犯，从第一次少年法院接触到400名首次犯罪，cinii少年罪犯的首次接触。具体而言，我们试图表征该人群中两年的发育过程和药物使用，艾滋病毒/性传播感染风险，精神病症状和累犯的同时发生，并确定与这些结果相关的个人，家庭和家族级别的风险以及保护因素。首次犯罪的少年（13-17岁）和一名护理人员（n = 40阶段试点研究的二重奏； n = 400阶段的第二阶段调查研究）将从罗德岛家族法院，少年摄入部门招募，以参与计算机化调查评估。在第一阶段（第1年的前八个月）中，将对40名少年和一名护理人员进行随机取样，以完成一次计算机调查措施（在基线时，即与少年法院首次接触的时间），以允许对采样方法进行试验测试，并提供与调查的开发，管理和实施相关的定量和定性反馈。在II阶段（上一季度至4年级）中，将在基线招募400名少年/照顾者二元组（n = 800个）（使用系统的分层分层方法），然后在4、8、12、12、16、20、20、20和24个月后重新评估少年的第一个法院第一次法院接触。在每次评估时，还将收集用于少年药物使用和性传播感染（STI）的生物学标本。基线和随访数据将用于构建个体和潜在的班级增长分析，以表征Cini少年使用药物使用，HIV/STI风险行为，精神病症状和累犯的纵向轨迹。