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
Hauptverfasser: 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
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container_end_page 364
container_issue 4
container_start_page 358
container_title Journal of adolescent health
container_volume 50
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 &lt; .001), alcohol use ( p = .003), hard drug use ( p &lt; .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 &lt; .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 &amp; 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 &amp; control ; Substance-Related Disorders - psychology ; Unsafe Sex - prevention &amp; 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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=25761705$$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 &lt; .001), alcohol use ( p = .003), hard drug use ( p &lt; .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 &lt; .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 &amp; 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 &amp; control</subject><subject>Substance-Related Disorders - psychology</subject><subject>Unsafe Sex - prevention &amp; 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 &amp; 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 &amp; control</topic><topic>Substance-Related Disorders - psychology</topic><topic>Unsafe Sex - prevention &amp; 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 &amp; 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 &lt; .001), alcohol use ( p = .003), hard drug use ( p &lt; .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 &lt; .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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