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HIV-Risk Reduction with Juvenile Offenders on Probation

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Abstract

Youth involved in the juvenile justice system are at elevated risk for HIV as a result of high rates of sexual risk taking, substance use, mental health problems and sexually transmitted infections. Yet few HIV prevention programs exist for young offenders. This pilot study examined change in juvenile offenders’ sexual activity, drug/alcohol use, HIV testing and counseling, and theoretical mediators of risk taking following participation in preventing HIV/AIDS among teens (PHAT Life), an HIV-prevention program for teens on probation. Participants (N = 54) were 13–17 year-old arrested males and females remanded to a detention alternative setting. Youth participated in a uniquely tailored HIV prevention intervention and completed a baseline and 3-month follow up assessment of their HIV and substance use knowledge, attitudes, beliefs, and behaviors. At 3-month follow up, teens reported less alcohol use, more positive attitudes toward peers with HIV, greater ability to resist temptation to use substances, and for males, improved HIV prevention self-efficacy and peer norms supporting prevention. Teens were also more likely to seek HIV counseling and males were more likely to get tested for HIV. Effect sizes revealed moderate change in sexual behavior. Findings support PHAT Life as a promising intervention to reduce HIV-risk among youth in juvenile justice.

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Acknowledgments

This research was supported by a grant from the National Institute of Mental Health (R34MH075628). We thank all collaborating institutions in the conduct of this study (Cook County Juvenile Probation’s Detention Alternative Division, Cook County Circuit Court, Cook County Juvenile Justices, and the Cook County Chief Public Defender). We also thank the youth and families for their participation.

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Authors and Affiliations

  1. Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, 1603 West Taylor Street, Chicago, IL, 60612, USA

    Geri R. Donenberg, Erin Emerson & Mary Ellen Mackesy-Amiti

  2. Community Psychology Program, School of Interdisciplinary Arts and Sciences, University of Washington Bothell, Bothell, WA, 98011, USA

    Wadiya Udell

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  1. Geri R. Donenberg
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  2. Erin Emerson
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  3. Mary Ellen Mackesy-Amiti
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  4. Wadiya Udell
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Correspondence to Geri R. Donenberg.

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Donenberg, G.R., Emerson, E., Mackesy-Amiti, M.E. et al. HIV-Risk Reduction with Juvenile Offenders on Probation. J Child Fam Stud 24, 1672–1684 (2015). https://doi.org/10.1007/s10826-014-9970-z

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