Family-Based HIV and Sexually Transmitted Infection Risk Reduction for Drug-Involved Young Offenders: 42-Month Outcomes

Autor:	Gayle A. Dakof, Cynthia L. Rowe, Craig E. Henderson, Rocio Ungaro, Linda Alberga, Howard A. Liddle
Rok vydání:	2016
Předmět:	Drug Family therapy Male 050103 clinical psychology Infection risk medicine.medical_specialty Social Psychology Adolescent Substance-Related Disorders media_common.quotation_subject Sexual Behavior Human immunodeficiency virus (HIV) Sexually Transmitted Diseases HIV Infections medicine.disease_cause 03 medical and health sciences 0302 clinical medicine Unsafe Sex Intervention (counseling) medicine Humans 0501 psychology and cognitive sciences 030212 general & internal medicine Psychiatry media_common business.industry Incidence (epidemiology) 05 social sciences Criminals Clinical Psychology Treatment Outcome Family Therapy Female Family based business Risk Reduction Behavior Social Sciences (miscellaneous) Follow-Up Studies
Zdroj:	Family process. 55(2)
ISSN:	1545-5300
Popis:	This study tested a family-based human immunodeficiency virus (HIV)/sexually transmitted infection (STI) prevention approach integrated within an empirically supported treatment for drug-involved young offenders, Multidimensional Family Therapy (MDFT). A randomized, controlled, two-site community-based trial was conducted with 154 youth and their parents. Drug-involved adolescents were recruited in detention, randomly assigned to either MDFT or Enhanced Services as Usual (ESAU), and assessed at intake, 3, 6, 9, 18, 24, 36, and 42-month follow-ups. Youth in both conditions received structured HIV/STI prevention in detention and those in MDFT also received family-based HIV/STI prevention as part of ongoing treatment following detention release. Youth in both conditions and sites significantly reduced rates of unprotected sex acts and STI incidence from intake to 9 months. They remained below baseline levels of STI incidence (10%) over the 42-month follow-up period. At Site A, adolescents who were sexually active at intake and received MDFT showed greater reduction in overall frequency of sexual acts and number of unprotected sexual acts than youth in ESAU between intake and 9-month follow-ups. These intervention differences were evident through the 42-month follow-up. Intervention effects were not found for STI incidence or unprotected sex acts at Site B. Intensive group-based and family intervention in detention and following release may reduce sexual risk among substance-involved young offenders, and a family-based approach may enhance effects among those at highest risk. Site differences in intervention effects, study limitations, clinical implications, and future research directions are discussed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::87a74dff494f82e1631d4683f19239c4 https://pubmed.ncbi.nlm.nih.gov/26879671 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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