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At least 19 recordsLinked to original sources

Reducing HIV sexual risk behaviors among runaway adolescents.

OBJECTIVE: Reductions in runaways' sexual risk behaviors were evaluated in response to an intensive program to prevent human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS). DESIGN: In a nonrandomized control trial, sexual risk behaviors among 78 runaways at one residential shelter who received up to 30 HIV/AIDS intervention sessions were compared with 67 runaways at a nonintervention shelter with sexual behaviors assessed at baseline and 3 and 6 months. SETTING: Runaways were recruited from the only two publicly funded shelters in New York, NY. PARTICIPANTS: The runaways were aged 11 to 18 years, 64% female, and predominantly black or Hispanic. INTERVENTION: The intervention addressed general knowledge about HIV/AIDS, coping skills, access to health care and other resources, and individual barriers to safer sex. MAIN OUTCOME MEASURES: Consistent condom use, a high-risk pattern of sexual behavior, and sexual abstinence over a 3-month time frame were assessed. MAIN RESULTS: As the number of intervention sessions increased, runaways' reports of consistent condom use increased significantly (at 3 months, unique R2 = .06, P less than .05; at 6 months, unique R2 = .09, P less than .05), and their reports of engaging in a high-risk pattern of sexual behavior decreased significantly (at 3 months, unique R2 = .03, P = .06; at 6 months, unique R2 = .04, P less than .05). Abstinence did not change. CONCLUSIONS: The demonstrated effectiveness of the intensive HIV/AIDS program highlights the importance of enlarging the scope of most current HIV/AIDS prevention programs.

Acquired Immunodeficiency Syndrome

Runaway adolescents' perceptions of parents and self.

The purpose of the study was to investigate the relationship between runaway behavior in adolescence and an adolescent's self-concept and antecedent parental treatment. The Cornell Parent Behavior Questionnaire and the Adjective Check List were used to assess 47 runaways and a matched group of non-runaways. Analyses of the data indicated: (a) runaway adolescents report more punishment and less support from their parents; (b) runaway girls report the most and runaway boys the least degrees of parental control; (c) runaways hold a less favorable self-concept, specifically on the dimensions of anxiety, self-doubt, poor interpersonal relationships, and defensiveness; (d) runaways also manifest, as an aspect of the self, a readiness for counseling.

Adolescent

Problems of maltreated runaway youth.

Research has shown that physical and sexual maltreatment precipitate runaway behavior in adolescents. However, there have been few large-scale examinations of the family, school, and personal problems of maltreated adolescents. In the present paper, an 85-item Client Information Record was completed on 2,019 runaways by shelter staff from eight southeastern states. There were significant differences in the problems reported by physically abused and sexually abused runaways when compared to their nonabused runaway peers. Runaways who were both physically and sexually maltreated were significantly more vulnerable and much worse off than those who only experienced either physical or sexual abuse. Implications for the treatment of maltreated runaways are discussed.

Adaptation, Psychological

Lifetime sexual behaviors among predominantly minority male runaways and gay/bisexual adolescents in New York City.

Lifetime sexual behaviors were examined among two samples of predominantly minority, male adolescents in New York City aged 12 to 18 (M = 16.3), believed to be at high risk for HIV infection: 59 runaway males in two residential shelters and 60 males attending a community agency (HMI) for gay and bisexual youths. Interviews regarding psychosexual milestones indicated that 93% of these youths had engaged in oral, anal or vaginal intercourse and/or anilingus, with a median of 11.0 female partners among runaway males and a median of 7.0 male partners among HMI males. Both groups initiated sexual activity at a relatively early mean age of 12.6 years. Each group reported a unique developmental sequence of psychosexual milestones. Consistent condom use was reported by 13% of the youths. One quarter of the youths reported involvement in prostitution. These findings detail the need for AIDS prevention programs for these youths.

Adolescent

[Behavior-genetic analysis of responses in runway test as measures of emotional reactivity in rats: I.- phenotypic variations and heritability estimates based on offspring-parents regressions (author's transl)].

Individual differences of emotional reactivity were estimated from 6 kinds of responses measured in the Runway Test (modified ("Timidity Test") in 974 random-bred albino rats. 3 different estimates of heritability of these responses were calculated from the regressions of offspring on dam, sire, and midparent. The types and degree of the phenotypic variations are very different among the responses measured. Heritability estimates of 2 kinds of responses which are related to the behavior going to the remotest part of runway from starting box were relatively higher (.30-.55). Heritability estimates of starting latency, time in the starting box, and the number of sections rats traversed were medium (.20-.40). The estimates from defecation scores had lowest (.10-.30).

Animals

Jeopardy in community placement.

As part of a broader research effort, a survey of the adaptive behavior of 424 community-placed retarded persons was conducted through small group, tape-recorded interviews with their 109 caretakers. From 1252 incidents of problem behavior cited, 203 were judged to contain jeopardy. Seventy-seven percent of these incidents involved jeopardy to health and/or safety, 4 percent to general welfare, and 18 percent contained legal jeopardy. In 79 percent of incidents, the client jeopardized himself, in 12 percent he jeopardized a fellow client, and in 9 percent he jeopardized a member of the community at large. The evidence exposes need for full examination of this problem and ways to minimize it.

Adult

Psychosocial background and behavioral and emotional disorders of homeless and runaway youth.

One hundred fifty clients of a shelter for homeless youths in New York City were interviewed to obtain information about their backgrounds and the incidence of behavioral and emotional disorder. Most of the respondents came from backgrounds characterized by severe emotional deprivation and physical or sexual abuse. Of the 140 who completed the full interview, 90 percent fulfilled DSM-III-R criteria for an emotional or behavioral disorder. Fifty-nine percent had conduct disorder, three-quarters were depressed, 41 percent had considered suicide, and more than one-quarter had attempted suicide.

Adolescent

Exploring the relationship between a continuum of care and intrusiveness of children's mental health services.

Intake data for 61 children in three types of mental health programs in Philadelphia--partial hospitalization, home-based services, and outpatient treatment--were compared to examine an assumption of the continuum-of-care concept: the level of a program's intrusiveness is positively related to a child's severity of dysfunction. Results supported the relationship between intrusiveness and dysfunction only when children in outpatient treatment were compared with those in the other two programs. Children treated in the less intrusive home-based program were more dysfunctional than those treated in the more intrusive partial hospitalization program. Factors other than degree of dysfunction, such as a history of outpatient treatment, were more predictive of treatment type. Results suggest that it may be more accurate to speak of an array of services rather than a continuum.

Adolescent

A risk profile comparison of homeless youth involved in prostitution and homeless youth not involved.

All initial visits (n = 620) of runaway/homeless youths to an outpatient medical clinic over a 12-month period (July 1988-June 1989) were analyzed. Of these visits, 467 made by youth not involved in prostitution were compared with 153 visits by youth who were involved. According to the data from an adolescent risk profile interview, homeless youth involved in prostitution are at greater risk for a wide variety of medical problems and health-compromising behaviors, including drug abuse, suicide, and depression. The implications for public health and social policy are discussed.

Adolescent