Top

Gepubliceerd in:

01-02-2008

The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial

Auteurs: Natasha Slesnick, Min Ju Kang

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2008

Abstract

While many studies provide useful information on the risk behaviors in which homeless youth engage, few prior studies evaluate Human Immunodeficiency Virus (HIV) risk related reduction strategies. In this study, homeless youth (n = 180) were recruited from a drop-in center and randomly assigned to one of two conditions, either an integrated individual cognitive-behavioral treatment and HIV prevention intervention that focused on skills building and education or to treatment as usual. All youth were assessed at entry into the program and at 3 and 6 month follow-up points. Findings showed an interaction between treatment condition, age and time. In the interaction, youth assigned to the integrated treatment reported greater condom usage than youth assigned to treatment as usual, with younger youth assigned to treatment as usual showing no change in condom use. The number of sexual partners reported by youth in both treatment conditions was also reduced over time. However, youth in both conditions continued to engage in other high-risk behaviors. The integrated treatment findings are promising and suggest that interventions which target both HIV risk behavior in addition to other life areas (substance use, mental health and housing) among homeless youth may be necessary in order to significantly impact high-risk behaviors among this unique group.

vorige artikel Anger is associated with subclinical atherosclerosis in low SES but not in higher SES men and women. The Cardiovascular Risk in Young Finns Study

volgende artikel Health behavior and college students: Does Greek affiliation matter?

A typical repeated measure MANOVA (RMANOVA) has only one dependent measure, which is measured multiple times. In the doubly multivariate repeated measure design, two or more dependent variables are measured at two or more points in time (Weinfurt 1995). Thus, the present research design which has nine dependent measures assessed for three times fits for doubly multivariate repeated MANOVA.

Anderson, J. E., Freese, T. E., & Pennbridge, J. N. (1994). Sexual risk behavior and condom use among street youth in Hollywood. Family Planning Perspective, 26, 22–25.CrossRef

Ashworth, C. S., DuRant, R. H., Newman, C., & Gaillard, G. (1992). An evaluation of a school-based AIDS/HIV education program for high school students. Journal of Adolescent Health, 13, 582–588.PubMedCrossRef

Bachman, J. G., Wadsworth, K. N., O’Malley, P. M., Johnston, L. D., & Schulenberg, J. E. (1997). Smoking, drinking, and drug use in young adulthood: The impacts of new freedoms and new responsibilities. Mahwah: Lawrence Erlbaum.

Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II, beck depression inventory: Manual (2nd ed.). Boston: Harcourt Brace.

Booth, R. E., Zhang, Y., & Kwiatkowski, C. F. (1999). The challenge of changing drugs and sex risk behaviors of runaway and homeless adolescents. Child Abuse & Neglect, 23, 1295–1306.CrossRef

Bronfenbrenner, U., & Evans, G. A. (1999). Developmental science in the 21st century: Emerging questions, theoretical models, research designs and empirical findings. Social Development, 9, 115–125.CrossRef

Cauce, A. M., Paradise, M., Ginzler, J. A., Embry, L., Morgan, C. J., Lohr, Y., & Theofelis, J. (2000). The characteristics and mental health of homeless adolescents: Age and gender differences. Journal of Emotional and Behavioral Disorders, 8, 230–239.CrossRef

Clatts, M. C., & Davis, W. R. (1999). A demographic and behavioral profile of homeless youth in New York city: Implications for AIDS outreach and prevention. Medical Anthropology Quarterly, 10, 105–114.

Clements, K., Gleghorn, A., Garcia, D., Katz, M., & Marx, R. (1997). A risk profile of street youth in northern California: Implications for gender-specific human immunodeficiency virus prevention. Journal of Adolescent Health, 20, 343–353.PubMedCrossRef

DiClemente, R. J. (1991). Predictors of HIV-preventive sexual behavior in a high-risk adolescent population: The influence of perceived peer norms and sexual communications on incarcerated adolescents’ consistent use of condoms. Journal of Adolescent Health, 12, 385–390.PubMedCrossRef

Duarte, A. P., & Stam, A. (1995). Discriminant analysis. In L. G. Grimm, & P. R. Yarnold (Eds.), Reading and understanding multivariate statistics (pp. 277–318). Washington, DC: American Psychological Association.

Ennett, S. T., Bailey, S. L., & Federman, E. B. (1999). Social network characteristics associated with risky behaviors among runaway and homeless youth. Journal of Health and Social Behavior, 40, 63–78.PubMedCrossRef

Ensign, J., & Bell, M. (2004). Illness experiences of homeless youth. Qualitative Health Research, 14, 1239–1254.PubMedCrossRef

Exner, T. M., Seal, D. W., & Ehrhardt, A. A. (1997). A review of HIV interventions for at-risk women. AIDS and Behavior, 1, 93–124.CrossRef

Field, A. (2005). Discovering statistics using SPSS (2nd ed., pp. 571–618). Thousand Oaks: Sage Publications.

Gleghorn, A. A., Clements, K. D., Marx, R., Vittinghoff, E., Lee-Chu, P., & Katz, M. (1997). The impact of intensive outreach on HIV prevention activities of homeless, runaway, and street youth in San Francisco: The AIDS evaluation of street outreach project (AESOP). AIDS and Behavior, 1, 261–271.CrossRef

Godley, S. H., Finch, M., Dougan, L., McDonnell, M., McDermeit, M., & Carey, A. (2000). Case management for dually diagnosed individuals involved in the criminal justice system. Journal of Substance Abuse Treatment, 18, 137–148.PubMedCrossRef

Halcon, L. L., & Lifson, A. R. (2004). Prevalence and predictors of sexual risks among homeless youth. Journal of Youth and Adolescence, 33, 71–80.CrossRef

Hawkins, W. E., Latkin, C., & Green, D. L. (2005). Depression therapy with injection drug users: Results of a pilot study. The American Journal of Drug and Alcohol Abuse, 31, 243–251.PubMedCrossRef

Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef

Jessor, R., & Jessor, S. L. (1977). The social-psychological framework. In R. Jessor, & S. L. Jessor (Eds.), Problem behavior and psychosocial development: A longitudinal study of youth (pp. 17–24). New York: Academic Press.

Johnson, T. P., Aschkenasy, J. R., Herbers, M. R., & Gillenwater, S. A. (1996). Self-reported risk factors for AIDS among homeless youth. AIDS Education and Prevention, 8, 308–322.PubMed

Joniak, E. (2005). Exclusionary practices and the delegitimization of client voice: How staff create, sustain, and escalate conflict in a drop-In center for street kids. American Behavioral Scientist, 48, 961–988.CrossRef

Kaliski, E. M., Rubinson, L., Lawrence, L., & Levy, S. R. (1990). AIDS, runaways, and self-efficacy. Family and Community Health, 13, 60–67.

Kann, L., Nelson, G. D., Jones, J. T., & Kolbe, L. J. (1989). Establishing a system of complementary school-based surveys to annually assess HIV-related knowledge, beliefs, and behaviors among adolescents. Journal of School Health, 59, 55–58.PubMedCrossRef

Kelly, J. A., St. Lawrence, J. S., Hood, H. V., & Brasfield, T. L. (1989). Behavioral intervention to reduce AIDS risk activities. Journal of Consulting and Clinical Psychology, 57, 60–67.PubMedCrossRef

Kelly, J. A., St. Lawrence, J. S., Stevenson, L. Y., Hauth, A. C., Kalichman, S. C., Diaz, Y. E., Brasfeld, T. L., Koob, J. J., & Morgan, M. G. (1992). Community AIDS/HIV risk reduction: The effects of endorsements by popular people in 3 cities. American Journal of Public Health, 82, 1483–1489.PubMed

Kline, P. (1999). The handbook of psychological testing (2nd ed.). London: Routledge.

McKay, M. M., Chasse, K. T., Paikoff, R., McKinney, L., Baptiste, D., Coleman, D., Madison, S., & Bell, C. C. (2004). Family-level impact of the CHAMP family program: A community collaborative effort to support urban families and reduce youth HIV risk exposure. Family Process, 43, 79–93.PubMedCrossRef

Meyers, R. J., & Smith, J. E. (1995). Clinical guide to alcohol treatment: The community reinforcement approach. New York: Guilford Press.

Miles, J., & Shevlin, M. (2001). Applying regression and correlation: A guide for students and researchers (pp. 73–75). Thousand Oaks: Sage Publications.

Office of National AIDS Policy. (2000). Office of national AIDS policy. Retrieved December 2005, from http://www.whitehouse.gov/onap/aids.html

Orr, S., Celentano, D., Santelli, J., & Burwell, L. (1994). Depressive symptoms and risk factors for HIV acquisition among black women attending urban health centers in Baltimore. AIDS Education and Prevention, 6, 230–236.PubMed

Paikoff, R. L. (1995). Early heterosexual debut: Situations of sexual possibility during the transition to adolescence. American Journal of Orthopsychiatry, 65, 389–402.PubMedCrossRef

Pendergast, M. L., Urada, D., & Podus, D. (2001). Meta-analysis of HIV risk-reduction interventions within drug abuse treatment programs. Journal of Consulting and Clinical Psychology, 69, 389–405.CrossRef

Pfeiffer, R. W., & Oliver, J. (1997). A Study of HIV seroprevalence in a group of homeless youth in Hollywood, California. Journal of Adolescent Health, 20, 339–342.CrossRef

Robertson, M. J., & Toro, P. A. (1999). Homeless youth: Research, intervention, and policy. In L. B. Fosburg, & D. L. Dennis (Eds.), Practical lessons: The 1998 national symposium on homelessness research. Washington, DC: Department of Housing and Urban Development.

Rotheram-Borus, M. J., Koopman, C., Haignere, C., & Davies, M. (1991). Reducing HIV sexual risk behaviors among runaway adolescents. Journal of the American Medical Association, 266, 1237–1241.PubMedCrossRef

Rotheram-Borus, M. J., Song, J., Gwadz, M., Lee, M., Van Rossem, R., & Koopman, C. (2003). Reductions in HIV risk among runaway youth. Prevention Science, 4, 173–187.PubMedCrossRef

Roy, E., Haley, N., Leclerc, P., Sochanski, B., Boudreau, J., & Boivin, J (2004). Mortality in a cohort of street youth in Montreal. Journal of the American Medical Association, 292, 569–574.PubMedCrossRef

Runaway and Homeless Youth Program (Title 45), 4 C.F.R. pt. 1351 (1999).

Shaffer, D. (1992). The diagnostic interview schedule for children—2.3 Version. New York: Columbia University.

Slesnick, N., Bartle-Haring, S., Glebova, T., Glade, A. (2006). Homeless adolescent parents: HIV risk, family structure and individual problem behaviors. Journal of Adolescent Health, 39, 774–777.PubMedCrossRef

Slesnick, N., & Prestopnik, J. L. (2005). Ecologically based family therapy outcome with substance abusing runaway adolescents. Journal of Adolescence, 28, 277–298.PubMedCrossRef

Slesnick, N., Prestopnik, J. L., Meyers, R. J., & Glassman, M. (2007). Treatment outcome for homeless, street-living youth. Addictive Behaviors, 32, 1237–1251.PubMedCrossRef

St. Lawrence, J. S., Brasfield, T. L., Jefferson, K. W., & Alleyne, E. (1994). Social support as a factor in African–American adolescents’ risk for teen pregnancy, sexually transmitted disease, and HIV infection. Journal of Adolescent Research, 9, 292–310.CrossRef

St. Lawrence, J. S., Jefferson, K. W., Alleyne, E., & Brasfield, T. L. (1995). Comparison of education versus behavioral skills training interventions in lowering sexual HIV-risk behavior of substance-dependent adolescents. Journal of Consulting and Clinical Psychology, 63, 154–157.PubMedCrossRef

Staton, M., Leukefeld, C., Logan, T. K., Zimmerman, R., Lynam, D., Mffich, R., Martin, C., McClanahan, K., & Clayton, R. (1999). Risky sex behavior and substance use among young adults. Health & Social Work, 24, 147–154.

Stein, M. D., Anderson, B. J., Solomon, D. A., Herman, D. S., Ramsey, S. E., Brown, R. A., & Miller, I. W. (2005). Reductions in HIV risk behaviors among depressed drug injectors. The American Journal of Drug and Alcohol Abuse, 31, 417–432.PubMedCrossRef

Unger, J. B., Kipke, M. D., Simon, T. R., Johnson, C. J., Montgomery, S. B., & Iverson, E. (1998). Stress, coping, and social support among homeless youth. Journal of Adolescent Research, 13, 134–157.CrossRef

Van Leeuwen, J. M., Hopfer, C., Hooks, S., White, R., Petersen, J., & Pirkopf, J. (2004). A snapshot of substance abuse among homeless and runaway youth in Denver, Colorado. Journal of Community Health, 29, 217–229.PubMedCrossRef

Wagner, L. S., Carlin, L., Cauce, A. M., & Tenner, A. (2001). A snapshot of homeless youth in Seattle: Their characteristics, behaviors, and beliefs about HIV protective strategies. Journal of Community Health, 26, 219–233.PubMedCrossRef

Weinfurt, K. P. (1995). Multivariate analysis of variance. In L. G. Grimm, & P. R. Yarnold (Eds.), Reading and understanding multivariate statistics (pp. 245–276). Washington, DC: American Psychological Association.

Wingood, G. M., DiClemente, R. J., Harrington, K. F., Lang, D. L., Davies, S. L., Hook, E. W., Oh, K., & Hardin, J. W. (2006). Efficacy of an HIV prevention program among female adolescents experiencing gender-based violence. American Journal of Public Health, 96, 1085–1090.PubMedCrossRef

Woods, E. R., Samples, C. L., Melchiono, M. W., Keenan, P. M., Durrell, J. F., Harris, S. K., & the Boston HAPPENS Program Collaborators (2002). Initiation of services in the Boston HAPPENS program: Human immunodeficiency virus-positive, homeless, and at-risk youth can access services. AIDS Patient Care and STDs, 16, 497–510.PubMedCrossRef

Yoder, K. A., Whitbeck, L. B., & Hoyt, D. R. (2001). Event history analysis of antecedents to running away from home and being on the street. American Behavioral Scientist, 45, 51–65.CrossRef

Titel: The impact of an integrated treatment on HIV risk behavior among homeless youth: a randomized controlled trial
Auteurs: Natasha Slesnick
Min Ju Kang
Publicatiedatum: 01-02-2008
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2008
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-007-9132-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 1/2008

Acknowledgment of reviewers, January 1, 2007–December 31, 2007

The relationship between resting blood pressure and acute pain sensitivity: effects of chronic pain and alpha-2 adrenergic blockade

Health behaviors and endothelial function

Anger is associated with subclinical atherosclerosis in low SES but not in higher SES men and women. The Cardiovascular Risk in Young Finns Study

Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program

Changes in self-efficacy and dietary adherence: the impact on weight loss in the PREFER study