Tolou-Shams Marina, Houck Christopher, Conrad Selby M, Tarantino Nicholas, Stein L A R, Brown Larry K
Bradley Hasbro Children's Research Center, Rhode Island Hospital, and The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.
J Correct Health Care. 2011 Jul;17(3):226-32. doi: 10.1177/1078345811401357. Epub 2011 Apr 7.
Juvenile drug court (JDC) offenders have benefited from evidence-based interventions addressing antisocial behavior, mental health, and substance use; however, interventions addressing HIV risk behavior are lacking. This study presents pilot findings and lessons learned from a group-based HIV prevention intervention delivered to JDC offenders. Participants were randomized to a five-session HIV prevention (n = 29) or health promotion (n = 28) condition and completed measures of sexual risk taking and substance use at baseline and 3 months postintervention. No between-group differences by time emerged on measures of sexual risk taking or other HIV-related behaviors and attitudes. Both groups improved their rates of HIV testing and decreased their substance use during sex over time. Delivering an HIV prevention intervention to drug court offenders is feasible; however, more intensive interventions that incorporate multiple systems and address co-occurring mental health difficulties may be needed to effect sexual behavioral change among these high-risk court-involved youth.
青少年毒品法庭（JDC）的罪犯受益于针对反社会行为、心理健康和药物使用的循证干预措施；然而，针对艾滋病毒风险行为的干预措施却很缺乏。本研究展示了一项针对JDC罪犯实施的基于小组的艾滋病毒预防干预措施的初步结果和经验教训。参与者被随机分为五节艾滋病毒预防课程组（n = 29）或健康促进组（n = 28），并在基线和干预后3个月完成了性风险行为和药物使用的测量。在性风险行为或其他与艾滋病毒相关的行为和态度的测量上，未出现随时间变化的组间差异。随着时间的推移，两组的艾滋病毒检测率均有所提高，性行为期间的药物使用量均有所减少。对毒品法庭罪犯实施艾滋病毒预防干预措施是可行的；然而，可能需要更密集的干预措施，将多个系统纳入其中，并解决同时出现的心理健康问题，才能在这些涉及法庭的高风险青少年中实现性行为改变。
