A Family Intervention to Reduce Sexual Risk Behavior, Substance Use, and Delinquency Among Newly Homeless Youth
Abstract Purpose We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among homeless youth. Methods A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June 2009,...
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Veröffentlicht in: | Journal of adolescent health 2012-04, Vol.50 (4), p.358-364 |
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creator | Milburn, Norweeta G., Ph.D Iribarren, Francisco Javier, M.S.W., Psy.D Rice, Eric, Ph.D Lightfoot, Marguerita, Ph.D Solorio, Rosa, M.D Rotheram-Borus, Mary Jane, Ph.D Desmond, Katherine, M.S Lee, Alex Alexander, Kwame Maresca, Katherine Eastmen, Karen, Ph.D Arnold, Elizabeth Mayfield, Ph.D Duan, Naihua, Ph.D |
description | Abstract Purpose We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among homeless youth. Methods A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June 2009, adolescents were recruited from diverse sites in Southern California and were assessed at recruitment (baseline), and at 3, 6, and 12 months later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition (standard care). Main outcome measures reflect self-reported sexual risk behavior, substance use, and delinquent behaviors over the past 90 days. Results Sexual risk behavior (e.g., mean number of partners; p < .001), alcohol use ( p = .003), hard drug use ( p < .001), and delinquent behaviors ( p = .001) decreased significantly more during 12 months in the intervention condition compared with the control condition. Marijuana use, however, significantly increased in the intervention condition compared with the control condition ( p < .001). Conclusions An intervention to reengage families of homeless youth has significant benefits in reducing risk over 12 months. |
doi_str_mv | 10.1016/j.jadohealth.2011.08.009 |
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Methods A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June 2009, adolescents were recruited from diverse sites in Southern California and were assessed at recruitment (baseline), and at 3, 6, and 12 months later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition (standard care). Main outcome measures reflect self-reported sexual risk behavior, substance use, and delinquent behaviors over the past 90 days. Results Sexual risk behavior (e.g., mean number of partners; p < .001), alcohol use ( p = .003), hard drug use ( p < .001), and delinquent behaviors ( p = .001) decreased significantly more during 12 months in the intervention condition compared with the control condition. Marijuana use, however, significantly increased in the intervention condition compared with the control condition ( p < .001). Conclusions An intervention to reengage families of homeless youth has significant benefits in reducing risk over 12 months.</description><identifier>ISSN: 1054-139X</identifier><identifier>ISSN: 1879-1972</identifier><identifier>EISSN: 1879-1972</identifier><identifier>DOI: 10.1016/j.jadohealth.2011.08.009</identifier><identifier>PMID: 22443839</identifier><identifier>CODEN: JAHCD9</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adolescents ; Alcohol ; Biological and medical sciences ; Child ; clinical trials ; Delinquency ; Delinquents ; Drug Abuse ; Family ; Family Therapy - methods ; Female ; HIV ; Homeless young people ; Homeless Youth - psychology ; Homelessness ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Intervention ; Juvenile Delinquency ; Juvenile Delinquency - prevention & control ; Juvenile Delinquency - psychology ; Male ; Medical sciences ; Pediatrics ; Risk ; Risk reduction ; Risk-Taking ; Safe sexual practices ; sexual behavior ; Substance Abuse ; substance use ; Substance-Related Disorders - prevention & control ; Substance-Related Disorders - psychology ; Unsafe Sex - prevention & control ; Unsafe Sex - psychology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Youth</subject><ispartof>Journal of adolescent health, 2012-04, Vol.50 (4), p.358-364</ispartof><rights>Society for Adolescent Health and Medicine</rights><rights>2012 Society for Adolescent Health and Medicine</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>2011 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c695t-196766a72b96a1ec837932520ffe269d9a98089736c36b9dea05d630f308adcb3</citedby><cites>FETCH-LOGICAL-c695t-196766a72b96a1ec837932520ffe269d9a98089736c36b9dea05d630f308adcb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jadohealth.2011.08.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,31000,33775,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25761705$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22443839$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Milburn, Norweeta G., Ph.D</creatorcontrib><creatorcontrib>Iribarren, Francisco Javier, M.S.W., Psy.D</creatorcontrib><creatorcontrib>Rice, Eric, Ph.D</creatorcontrib><creatorcontrib>Lightfoot, Marguerita, Ph.D</creatorcontrib><creatorcontrib>Solorio, Rosa, M.D</creatorcontrib><creatorcontrib>Rotheram-Borus, Mary Jane, Ph.D</creatorcontrib><creatorcontrib>Desmond, Katherine, M.S</creatorcontrib><creatorcontrib>Lee, Alex</creatorcontrib><creatorcontrib>Alexander, Kwame</creatorcontrib><creatorcontrib>Maresca, Katherine</creatorcontrib><creatorcontrib>Eastmen, Karen, Ph.D</creatorcontrib><creatorcontrib>Arnold, Elizabeth Mayfield, Ph.D</creatorcontrib><creatorcontrib>Duan, Naihua, Ph.D</creatorcontrib><title>A Family Intervention to Reduce Sexual Risk Behavior, Substance Use, and Delinquency Among Newly Homeless Youth</title><title>Journal of adolescent health</title><addtitle>J Adolesc Health</addtitle><description>Abstract Purpose We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among homeless youth. Methods A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June 2009, adolescents were recruited from diverse sites in Southern California and were assessed at recruitment (baseline), and at 3, 6, and 12 months later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition (standard care). Main outcome measures reflect self-reported sexual risk behavior, substance use, and delinquent behaviors over the past 90 days. Results Sexual risk behavior (e.g., mean number of partners; p < .001), alcohol use ( p = .003), hard drug use ( p < .001), and delinquent behaviors ( p = .001) decreased significantly more during 12 months in the intervention condition compared with the control condition. Marijuana use, however, significantly increased in the intervention condition compared with the control condition ( p < .001). Conclusions An intervention to reengage families of homeless youth has significant benefits in reducing risk over 12 months.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Alcohol</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>clinical trials</subject><subject>Delinquency</subject><subject>Delinquents</subject><subject>Drug Abuse</subject><subject>Family</subject><subject>Family Therapy - methods</subject><subject>Female</subject><subject>HIV</subject><subject>Homeless young people</subject><subject>Homeless Youth - psychology</subject><subject>Homelessness</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunodeficiencies</subject><subject>Immunodeficiencies. Immunoglobulinopathies</subject><subject>Immunopathology</subject><subject>Infectious diseases</subject><subject>Intervention</subject><subject>Juvenile Delinquency</subject><subject>Juvenile Delinquency - prevention & control</subject><subject>Juvenile Delinquency - psychology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pediatrics</subject><subject>Risk</subject><subject>Risk reduction</subject><subject>Risk-Taking</subject><subject>Safe sexual practices</subject><subject>sexual behavior</subject><subject>Substance Abuse</subject><subject>substance use</subject><subject>Substance-Related Disorders - prevention & control</subject><subject>Substance-Related Disorders - psychology</subject><subject>Unsafe Sex - prevention & control</subject><subject>Unsafe Sex - psychology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Youth</subject><issn>1054-139X</issn><issn>1879-1972</issn><issn>1879-1972</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><sourceid>7QJ</sourceid><recordid>eNqNk11v0zAUhiMEYqPwF5BvEFys5ThO_HEzqRuMTZpAWpkEV5brnK7uknjYSaH_HkctG3ABvXIkP-e1z8njLCMUJhQof7uarEzll2jqbjnJgdIJyAmAepQdUinUmCqRP07fUBZjytSXg-xZjCtIpZzC0-wgz4uCSaYOMz8lZ6Zx9YZctB2GNbad8y3pPLnCqrdIZvijNzW5cvGWnODSrJ0PR2TWz2Nn2rR_HfGImLYi77B27bceW7sh08a3N-Qjfk-5577BGmMkX33fLZ9nTxamjvhit46y67P3n0_Px5efPlycTi_HlquySw1wwbkR-VxxQ9FKJhTLyxwWC8y5qpRREqQSjFvG56pCA2XFGSwYSFPZORtlx9vcu37eYGVTX8HU-i64xoSN9sbpP3dat9Q3fq0Zo6zgIgW83gUEn7qKnW5ctFjXpkXfR60KqUDkaYqj7M0_SSo45SVTUvwfBQYKCsHYXqjkKZfvgdJi0EYNd5Vb1AYfY8DF_UQoDBzXK_2glh7U0iB1UiuVvvx9oveFv1xKwKsdYKI19SIkP1x84Mo0BwFl4k62HKb_v3YYdLQuaYOVC2g7XXm3z22O_wqxST-Xzr3FDcaV70Ob_NJUx1yDng1PYXgJlALkslDsJw2vBbA</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Milburn, Norweeta G., Ph.D</creator><creator>Iribarren, Francisco Javier, M.S.W., Psy.D</creator><creator>Rice, Eric, Ph.D</creator><creator>Lightfoot, Marguerita, Ph.D</creator><creator>Solorio, Rosa, M.D</creator><creator>Rotheram-Borus, Mary Jane, Ph.D</creator><creator>Desmond, Katherine, M.S</creator><creator>Lee, Alex</creator><creator>Alexander, Kwame</creator><creator>Maresca, Katherine</creator><creator>Eastmen, Karen, Ph.D</creator><creator>Arnold, Elizabeth Mayfield, Ph.D</creator><creator>Duan, Naihua, Ph.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7QJ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120401</creationdate><title>A Family Intervention to Reduce Sexual Risk Behavior, Substance Use, and Delinquency Among Newly Homeless Youth</title><author>Milburn, Norweeta G., Ph.D ; Iribarren, Francisco Javier, M.S.W., Psy.D ; Rice, Eric, Ph.D ; Lightfoot, Marguerita, Ph.D ; Solorio, Rosa, M.D ; Rotheram-Borus, Mary Jane, Ph.D ; Desmond, Katherine, M.S ; Lee, Alex ; Alexander, Kwame ; Maresca, Katherine ; Eastmen, Karen, Ph.D ; Arnold, Elizabeth Mayfield, Ph.D ; Duan, Naihua, Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c695t-196766a72b96a1ec837932520ffe269d9a98089736c36b9dea05d630f308adcb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Alcohol</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>clinical trials</topic><topic>Delinquency</topic><topic>Delinquents</topic><topic>Drug Abuse</topic><topic>Family</topic><topic>Family Therapy - methods</topic><topic>Female</topic><topic>HIV</topic><topic>Homeless young people</topic><topic>Homeless Youth - psychology</topic><topic>Homelessness</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunodeficiencies</topic><topic>Immunodeficiencies. Immunoglobulinopathies</topic><topic>Immunopathology</topic><topic>Infectious diseases</topic><topic>Intervention</topic><topic>Juvenile Delinquency</topic><topic>Juvenile Delinquency - prevention & control</topic><topic>Juvenile Delinquency - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pediatrics</topic><topic>Risk</topic><topic>Risk reduction</topic><topic>Risk-Taking</topic><topic>Safe sexual practices</topic><topic>sexual behavior</topic><topic>Substance Abuse</topic><topic>substance use</topic><topic>Substance-Related Disorders - prevention & control</topic><topic>Substance-Related Disorders - psychology</topic><topic>Unsafe Sex - prevention & control</topic><topic>Unsafe Sex - psychology</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Milburn, Norweeta G., Ph.D</creatorcontrib><creatorcontrib>Iribarren, Francisco Javier, M.S.W., Psy.D</creatorcontrib><creatorcontrib>Rice, Eric, Ph.D</creatorcontrib><creatorcontrib>Lightfoot, Marguerita, Ph.D</creatorcontrib><creatorcontrib>Solorio, Rosa, M.D</creatorcontrib><creatorcontrib>Rotheram-Borus, Mary Jane, Ph.D</creatorcontrib><creatorcontrib>Desmond, Katherine, M.S</creatorcontrib><creatorcontrib>Lee, Alex</creatorcontrib><creatorcontrib>Alexander, Kwame</creatorcontrib><creatorcontrib>Maresca, Katherine</creatorcontrib><creatorcontrib>Eastmen, Karen, Ph.D</creatorcontrib><creatorcontrib>Arnold, Elizabeth Mayfield, Ph.D</creatorcontrib><creatorcontrib>Duan, Naihua, Ph.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of adolescent health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Milburn, Norweeta G., Ph.D</au><au>Iribarren, Francisco Javier, M.S.W., Psy.D</au><au>Rice, Eric, Ph.D</au><au>Lightfoot, Marguerita, Ph.D</au><au>Solorio, Rosa, M.D</au><au>Rotheram-Borus, Mary Jane, Ph.D</au><au>Desmond, Katherine, M.S</au><au>Lee, Alex</au><au>Alexander, Kwame</au><au>Maresca, Katherine</au><au>Eastmen, Karen, Ph.D</au><au>Arnold, Elizabeth Mayfield, Ph.D</au><au>Duan, Naihua, Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Family Intervention to Reduce Sexual Risk Behavior, Substance Use, and Delinquency Among Newly Homeless Youth</atitle><jtitle>Journal of adolescent health</jtitle><addtitle>J Adolesc Health</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>50</volume><issue>4</issue><spage>358</spage><epage>364</epage><pages>358-364</pages><issn>1054-139X</issn><issn>1879-1972</issn><eissn>1879-1972</eissn><coden>JAHCD9</coden><abstract>Abstract Purpose We evaluate the efficacy of a short family intervention in reducing sexual risk behavior, drug use, and delinquent behaviors among homeless youth. Methods A randomized controlled trial of 151 families with a homeless adolescent aged 12 to 17 years. Between March 2006 and June 2009, adolescents were recruited from diverse sites in Southern California and were assessed at recruitment (baseline), and at 3, 6, and 12 months later. Families were randomly assigned to an intervention condition with five weekly home-based intervention sessions or a control condition (standard care). Main outcome measures reflect self-reported sexual risk behavior, substance use, and delinquent behaviors over the past 90 days. Results Sexual risk behavior (e.g., mean number of partners; p < .001), alcohol use ( p = .003), hard drug use ( p < .001), and delinquent behaviors ( p = .001) decreased significantly more during 12 months in the intervention condition compared with the control condition. Marijuana use, however, significantly increased in the intervention condition compared with the control condition ( p < .001). Conclusions An intervention to reengage families of homeless youth has significant benefits in reducing risk over 12 months.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22443839</pmid><doi>10.1016/j.jadohealth.2011.08.009</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adolescents Alcohol Biological and medical sciences Child clinical trials Delinquency Delinquents Drug Abuse Family Family Therapy - methods Female HIV Homeless young people Homeless Youth - psychology Homelessness Human viral diseases Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Infectious diseases Intervention Juvenile Delinquency Juvenile Delinquency - prevention & control Juvenile Delinquency - psychology Male Medical sciences Pediatrics Risk Risk reduction Risk-Taking Safe sexual practices sexual behavior Substance Abuse substance use Substance-Related Disorders - prevention & control Substance-Related Disorders - psychology Unsafe Sex - prevention & control Unsafe Sex - psychology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Youth |
title | A Family Intervention to Reduce Sexual Risk Behavior, Substance Use, and Delinquency Among Newly Homeless Youth |
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