Navigation Links
Better HIV prevention interventions needed for juvenile offenders
Date:4/14/2011

EAST PROVIDENCE, R.I. More intensive or family-based HIV prevention interventions may be needed to encourage juvenile offenders to use condoms and stop engaging in risky sexual behavior, say researchers from the Bradley Hasbro Children's Research Center (BHCRC).

Juvenile offenders are at increased risk for contracting HIV and other sexually transmitted diseases because they tend to have sex at earlier ages, have more sexual partners, use condoms less frequently and engage in more substance and alcohol use. Young offenders who are court-monitored but living at home in the community also have more opportunities to engage in these risk behaviors.

In a pilot study published in the April issue of the Journal of Correctional Health Care, researchers tested whether a group-based, adolescent-only HIV prevention program which has been successful with other groups of teens would increase condom use among substance-abusing juvenile offenders. But in a surprising twist, researchers say they did not find any differences in terms of condom use and risky sexual behavior between the adolescents who received the intervention and a separate group of juvenile offenders who were enrolled in a basic health education group.

"Although we did not get the results we expected, this study did shed some light on what components need to be incorporated into an HIV intervention prevention in order to be successful with juvenile drug court offenders," says lead author Marina Tolou-Shams, Ph.D., a child psychologist and researcher with the Bradley Hasbro Children's Research Center.

Tolou-Shams notes that family involvement has typically not been a factor in few HIV prevention interventions for juvenile offenders. "Research increasingly suggests that family-based interventions, focusing on parenting factors, such as parent-child communication about sex, play an important role in encouraging safe sex behavior," she says. "But to date, parental involvement has been a component of only oneHIV/STD risk reduction intervention for juvenile offenders. It's possible that a family-based intervention may have greater success than one that is only focused on adolescents."

Juvenile drug court offenders enter the court system after they are arrested and charged on substance-related crimes, such as possession or use. In the state of Rhode Island, where the study took place, the Juvenile Drug Court is a short-term program in which participants are required to attend substance abuse counseling, submit to random drug screens, attend school and comply with other court orders. The goal is to rehabilitate young offenders rather than sanctioning or punishing them. As part of this program, they are court-monitored but able to live at home in their community.

In the study, 57 juvenile drug court offenders between ages 13-18 were randomized to either a five-session HIV prevention intervention or a health education group that focused on general health issues, such as smoking and nutrition. Researchers did not find any differences in terms of condom use and sexual behavior between the two groups. They also did not find any differences in the teens' substance use, particularly marijuana. However, they did note that while both groups increased their rates of HIV testing, approximately one-third of teens across both groups are still having unprotected sex.

Tolou-Shams says that most public health interventions, including those focused on HIV prevention, are aimed at adolescents who are in jail or detention facilities, where their opportunity for risk is much more limited compared to court-involved youth who remain in the community.

"Our findings underscore the need for more programs for these youths who have the same HIV risk as their jailed or detained peers yet have more opportunities to engage in risky sexual behavior," she adds. "This is a very high risk group for HIV and STDs and clearly there is still a lot more work to be done to find a successful intervention to reduce their risk."


'/>"/>

Contact: Jessica Collins Grimes
jgrimes2@lifespan.org
Lifespan
Source:Eurekalert

Related medicine news :

1. Autism-Related Hypersensitivity Better Understood
2. Developing guidelines for better reporting of health research
3. Hawaiian-shirt.net Offers 10 Tips To Beat The Winter Blues: Things You Can Do Right Now to Have a Better Day
4. Better care at any hour for palliative patients
5. Patients Do Better at Hospitals That Follow Stroke Guidelines
6. More Expensive Hospital Care May Not Mean Better
7. New MRI May Lead to Better Brain Pictures
8. Biological clock could be a key to better health, longer life
9. Why do physicians order costly CTs? Ultrasound yields better diagnosis, safer, less costly
10. BetterInvesting Magazine Releases May Stock to Study and Undervalued Stock Choices for Investors Informational and Educational Use
11. New approach to immune cell analysis seen as first step to better distinguish health and disease
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... "With 30 ... their specific project," said Christina Austin - CEO of Pixel Film Studios. , ... and all within Final Cut Pro X . Simply select a ProHand generator ...
(Date:6/25/2016)... Oklahoma (PRWEB) , ... June 25, 2016 , ... ... both athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures ... Oklahoma City area —Johnson is one of the first doctors to perform the ...
(Date:6/24/2016)... Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... surgery procedures that most people are unfamiliar with. The article goes on to state ... procedures, but also many of these less common operations such as calf and cheek ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, ... at his family verbally and physically. , “When something upset him, he couldn’t control his ... it. He would throw rocks at my other children and say he was going to ...
(Date:6/24/2016)... Francisco, CA (PRWEB) , ... June 24, 2016 ... ... CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive ... self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research and ... Global Market - Forecast to 2022" report to their ... treatment method for the patients with kidney failure, it replaces ... fluid from the patient,s blood and thus the treatment helps ... and chloride in balance. Increasing number of ...
(Date:6/23/2016)... -- Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that ... PCT (procalcitonin) assay as a dedicated testing solution for ... clearance, Roche is the first IVD company in the ... risk assessment and management. PCT is a ... in blood can aid clinicians in assessing the risk ...
(Date:6/23/2016)... Pa. , June 23, 2016 Bracket ... will launch its next generation clinical outcomes platform, Bracket eCOA ... Meeting held on June 26 – 30, 2016 in ... the first electronic Clinical Outcome Assessment product of its kind ... Booth #715. Bracket eCOA 6.0 is a flexible ...
Breaking Medicine Technology: