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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Pathways to Preventing Substance Use Among Youth in Foster Care
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Pathways to Preventing Substance Use Among Youth in Foster Care

机译：防止寄养中青年物质使用的途径

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Substance use problems are highly prevalent among youth in foster care. Such problems in adolescence have long-lasting implications for subsequent adjustment throughout adulthood and even across generations. Although several programs have demonstrated positive results in reducing substance use in at-risk youth, few studies have systemically examined how such programs work for foster youth and whether they are effective for both genders. This study examined the efficacy of KEEP SAFE, a family-based and skill-focused program designed to prevent substance use and other related health risking behaviors among youth in foster care. We hypothesized that improving the caregiver-youth relationship would lead to later reductions in youths' involvement with deviant peers, which subsequently would lead to less substance use, and that this mechanism would work comparably for both genders. A sample of 259 youth (154 girls, ages 11-17 years) in foster care and their caregivers participated in a randomized controlled trial and was followed for 18 months post-baseline. Results indicated that the intervention significantly reduced substance use in foster youth at 18 months post-baseline and that the intervention influenced substance use through two processes: youths' improved quality of relationships with caregivers at 6 months post-baseline and fewer associations with deviant peers at 12 months post-baseline. This suggests that these two processes may be fruitful immediate targets in substance use prevention programs for foster youth. We also found little gender differences in direct and mediating effects of the intervention, suggesting KEEP SAFE may be effective for both genders in foster care.
机译：物质使用问题在寄养的青年中非常普遍。青春期的这些问题对随后的成年期甚至几代人进行了持久的影响。虽然有几个程序已经证明了降低风险青年的物质的积极结果，但很少有研究已经全身审查了这些方案如何为培养青年工作以及它们是否有效地对双方都有效。本研究审查了保持安全，以家庭为基础的和技能为中心的计划的效果，旨在防止寄养的青年中的物质和其他相关的健康风险行为。我们假设改善照顾者 - 青年关系将导致后来减少青少年与异常同行的参与，随后会导致物质较少使用，而这一机制将适用于两种性别。寄养护理及其护理人员的259家青年（154岁女孩，11-17岁）的样本参与了随机对照试验，后期后18个月后的基线。结果表明，基线后18个月的干预措施在18个月内显着降低了培养青年的物质，并通过两个进程的干预影响了物质：青少年在基线后6个月与护理人员改善了与护理人员的关系提高后基线12个月。这表明这两种过程可能是寄养青年的物质预防计划中的富有成效的直接目标。我们还发现了对干预的直接和调解效果的性别差异很小，建议保持安全可能是对寄养护理的两种性别有效。

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