title: Adolescent health-risk sexual behaviors: effects of a drug abuse intervention.
abstract: Adolescents who abuse substances are more likely to engage in health-risking sexual behavior (HRSB) and are at particularly high risk for HIV/AIDS. Thus, substance abuse treatment presents a prime opportunity to target HIV-risk behaviors. The present study evaluated a one-session HIV-risk intervention embedded in a controlled clinical trial for drug-abusing adolescents. The trial was conducted in New Mexico and Oregon with Hispanic and Anglo adolescents. Youths were randomly assigned to individual cognitive behavior therapy (CBT) or to an integrated behavioral and family therapy (IBFT) condition, involving individual and family sessions. The HIV-specific intervention was not associated with change. IBFT and CBT were both efficacious in reducing HIV-risk behaviors from intake to the 18-month follow-up for high-risk adolescents. For low-risk adolescents, CBT (versus IBFT) was more efficacious in suppressing HRSB. These data suggest that drug abuse treatments can have both preventative and intervention effects for adolescents, depending on their relative HIV-risk.
authors.affiliation: Oregon Research Institute, Eugene, 97403-1983, USA. hy@ori.org
authors.forename: Hyman
authors.initials: H
authors.lastname: Hops
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Ozechowski
authors.forename: Holly B
authors.initials: HB
authors.lastname: Waldron
authors.forename: Betsy
authors.initials: B
authors.lastname: Davis
authors.forename: Charles W
authors.initials: CW
authors.lastname: Turner
authors.forename: Janet L
authors.initials: JL
authors.lastname: Brody
authors.forename: Manuel
authors.initials: M
authors.lastname: Barrera
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D009516:New Mexico; D009922:Oregon; D012309:Risk-Taking; D012725:Sexual Behavior; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D013997:Time Factors; D044465:White People / Q000523:psychology