Preventing Drug Abuse and HIV in Hispanic First Offenders

预防西班牙裔初犯吸毒和感染艾滋病毒

• 批准号: 7894960
• 负责人: GUILLERMO PRADO
• 金额: $ 65.06万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-08-01 至 2012-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7894960
• 关键词: AIDS/HIV problem; Accounting; Adolescent; African American; Age; Alcohol or Other Drugs use; Americas; Amphetamines; Area; Attention; Behavior; Categories; Centers for Disease Control and Prevention (U.S.); Child; Cigarette; Coitus; Communication; Country; County; Criminal Justice; Data; Dependence; Development; Drug abuse; Drug usage; Economics; Ethnic group; Family; Family Study; Goals; HIV; HIV Infections; Hand; Health; Hispanics; Illicit Drugs; Intervention; Justice; Knowledge; Latin America; Linear Models; Mediating; Minority Groups; Modeling; Not Hispanic or Latino; Outcome; Parenting behavior; Parents; Participant; Pharmaceutical Preparations; Population; Prevention; Preventive Intervention; Problem behavior; Process; Public Health; Publishing; Randomized; Randomized Controlled Trials; Relative (related person); Reporting; Risk; Risk-Taking; Sampling; Sex Behavior; System; Testing; Theft; Time; United States; Youth; adolescent drug use; assault; base; early adolescence; effective intervention; health disparity; improved; intervention effect; juvenile delinquent; juvenile justice system; offender; parental involvement; parental monitoring; peer; post intervention; prevent; randomized trial; treatment as usual

Hispanic youth in the juvenile justice system are at increased risk of HIV infection and of using illicit drugs. The proposed study’s overarching goal is to reduce the ethnic disparities in illicit drug use and HIV between Hispanic and non-Hispanic youth in the criminal justice system. The proposed 2-year study will be guided by four aims. AIM 1 is to evaluate the efficacy of Familias Unidas, relative to Treatment as Usual in preventing illicit drug use in a sample of Hispanic youth first offenders; AIM 2 is to evaluate the efficacy of Familias Unidas, relative to Treatment as Usual in preventing unsafe sexual behavior; AIM 3 is to evaluate the efficacy of Familias Unidas, relative to Treatment as Usual in reducing the number of subsequent criminal offenses; and AIM 4 is to assess the extent to which family functioning mediates the effects of the intervention on illicit drug use, unsafe sexual behavior, and subsequent criminal offenses. 240 Hispanic adolescent first offenders (age range 13 to 17) and their parents will be randomized to either Familias Unidas or Treatment as Usual. Youth and parent participants will be assed at baseline, post-intervention (i.e., 6-months post baseline), and 12-months post baseline. The Familias Unidas intervention has been evaluated and found to be efficacious in two randomized trials. In the first study (Pantin et al., 2003), Familias Unidas was shown to be efficacious relative to a no intervention control condition in increasing family functioning and reducing behavior problems. In the second randomized trial (Prado et al., 2007), Familias Unidas was found to be efficacious, relative to two attention control conditions, in reducing illicit drug use and unprotected sexual behavior at last sexual intercourse. In both trials, family functioning was found to mediate the effects of condition on the outcomes. Hierarchical Linear Modeling (HLM) will be used to test: (H1) Familias Unidas will be more efficacious than Treatment as Usual in reducing illicit drug use over time; (H2) Familias Unidas will be more efficacious than Treatment as Usual in reducing unprotected sexual behavior use over time; and (H3) Familias Unidas will be more efficacious than Treatment as Usual in preventing subsequent criminal offenses. Additionally HLM will be used to determine whether (H1a) the effect of Familias Unidas on illicit drug use will be partially mediated by family functioning; (H2a) the effect of Familias Unidas on unprotected sexual behavior will be partially mediated by family functioning and (H3a) the effect of Familias Unidas on subsequent criminal offenses will be partially mediated by family functioning.

少年司法系统中的西班牙裔青少年感染艾滋病毒和使用非法药物的风险增加。 拟议研究的总体目标是减少非法药物使用和艾滋病毒感染者之间的种族差异 刑事司法系统中的西班牙裔和非西班牙裔青少年的研究将遵循四个目标，目标 1 是评估 Familias Unidas 相对于常规治疗在预防非法药物使用方面的功效。西班牙裔青少年初犯；AIM 2 是评估 Familias Unidas 相对于常规治疗在预防不安全性行为方面的功效；AIM 3 是评估 Familias Unidas 的功效； Unidas，相对于减少后续刑事犯罪数量的常规治疗；AIM 4 旨在评估家庭功能在多大程度上调节干预措施对非法药物使用、不安全性行为和后续刑事犯罪的影响240 西班牙裔。青少年初犯（年龄范围 13 至 17 岁）及其父母将被随机分配到 Familias Unidas 或照常治疗组 青少年和家长参与者将在干预后接受基线评估。 （即基线后 6 个月）和基线后 12 个月。 Familias Unidas 干预措施已在两项随机试验中进行了评估并发现其有效。在第一项研究（Pantin 等，2003）中，Familias Unidas 被证明相对于无干预控制条件在增强家庭功能和减少家庭功能方面是有效的。在第二项随机试验中（Prado 等，2007），Familias Unidas 被发现相对于两种注意力控制是有效的。在这两项试验中，发现家庭功能可以调节状况对结果的影响，将使用分层线性模型（HLM）来测试：（H1）家庭功能。 (H2) 随着时间的推移，Familias Unidas 将比常规治疗更有效地减少非法药物使用； (H2) Familias Unidas 将比常规治疗更有效地减少非法药物使用；随着时间的推移，无保护的性行为的使用；以及 (H3) Familias Unidas 在预防随后的刑事犯罪方面将比常规治疗更有效。此外，HLM 将用于确定 (H1a) Familias Unidas 对非法药物使用的影响是否部分有效。由家庭功能介导；(H2a) Familias Unidas 对无保护性行为的影响将部分由家庭功能介导；(H3a)随后的刑事犯罪中的家庭团结将部分通过家庭功能来调解。

项目成果

Family Functioning in Hispanic Parents of Adolescents: Who Benefits Most from a Family-Based HIV and Substance Use Preventive Intervention?

• DOI: 10.1007/s11121-022-01489-8
• 发表时间: 2023-01-10
• 期刊: PREVENTION SCIENCE
• 影响因子: 3.5
• 作者: Rojas，Lourdes M.;Brincks，Ahnalee;Pantin，Hilda
• 通讯作者: Pantin，Hilda

The Role of Attitudes, Family, Peer and School on Alcohol Use, Rule Breaking and Aggressive Behavior in Hispanic Delinquent Adolescents.

态度、家庭、同伴和学校对西班牙裔青少年青少年酗酒、违反规则和攻击性行为的影响。

• DOI: 10.2174/1874922401104010038
• 发表时间: 2011
• 期刊: The open family studies journal
• 作者: Cordova,David;Huang,Shi;Arzon,Margaret;Freitas,Derek;Malcolm,Shandey;Prado,Guillermo
• 通讯作者: Prado,Guillermo

Applying Ecodevelopmental Theory and the Theory of Reasoned Action to Understand HIV Risk Behaviors Among Hispanic Adolescents.

应用生态发展理论和理性行动理论来了解西班牙裔青少年的艾滋病毒危险行为。

• DOI: 10.1891/1540-4153.10.1.42
• 发表时间: 2012
• 期刊: Hispanic health care international : the official journal of the National Association of Hispanic Nurses
• 作者: Ortega,Johis;Huang,Shi;Prado,Guillermo
• 通讯作者: Prado,Guillermo

The efficacy of Familias Unidas on drug and alcohol outcomes for Hispanic delinquent youth: main effects and interaction effects by parental stress and social support.

• DOI: 10.1016/j.drugalcdep.2012.06.011
• 发表时间: 2012-09
• 期刊: DRUG AND ALCOHOL DEPENDENCE
• 影响因子: 4.2
• 作者: Prado, Guillermo;Cordova, David;Huang, Shi;Estrada, Yannine;Rosen, Alexa;Bacio, Guadalupe A.;Jimenez, Giselle Leon;Pantin, Hilda;Brown, C. Hendricks;Velazquez, Maria-Rosa;Villamar, Juan;Freitas, Derek;Tapia, Maria I.;McCollister, Kathryn
• 通讯作者: McCollister, Kathryn