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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults
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Predictors of Retention in an Alcohol and Risky Sex Prevention Program for Homeless Young Adults

机译：无家可归的年轻成年人的酒精和风险性预防计划的保留预测

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Homeless young adults are at risk for alcohol and other drug (AOD) use and risky sexual behavior. Interventions are needed to help these young people reduce their risky behavior, but this population is often difficult to engage and retain in services. We offered a four-session AOD and risky sex reduction program to 100 participants and examined if retention in the program was predicted by a number of factors: demographics, homelessness severity, other service use, AOD behaviors, mental health symptoms, sexual risk behaviors, and readiness to change AOD and condom use. Nearly half (48%) of participants completed all sessions. In bivariate analyses, participants were significantly less likely to be retained in the program if they had slept outdoors in the past month, engaged in more alcohol and marijuana use, experienced more alcohol-related consequences, and received the program in an urban drop-in center (as opposed to a drop-in center near the beach). When controlling for all significant bivariate relationships, only sleeping outdoors and receipt of the program in the urban setting predicted fewer sessions completed. The most endorsed reasons for program non-completion were being too busy to attend and inconvenient day/time of the program. Findings can help outreach staff and researchers better prepare methods to engage higher risk homeless youth and retain them in services. Finding unique ways to help youth overcome barriers related to location of services appears especially necessary, perhaps by bringing services to youth where they temporarily reside or offering meaningful incentives for program attendance.
机译：无家可归的年轻人面临酒精和其他药物（AOD）使用和冒险性行为的风险。需要干预措施来帮助这些年轻人降低风险行为，但这种人口往往难以参与和留在服务中。我们为100名参与者提供了四项会社和风险的性行为减少计划，并审查了这些方案中的保留值：人口统计数据，无家可归的严重程度，其他服务用途，AOD行为，心理健康症状，性风险行为，并准备改变AOD和避孕套使用。近一半（48％）的参与者完成了所有会议。在双方分析中，如果他们在过去一个月睡觉的情况下，参与者将在该计划中保留的可能性不太可能保留更多的酒精和大麻使用，经历了更多的酒精相关的后果，并在城市进入中获得了该计划中心（与海滩附近的中央中心相反）。在控制所有重要的双变量关系时，只睡觉在户外并在城市设置中收到程序预测完成的会话较少。计划未完成的最批准的原因太忙，无法参加和不方便的计划日/时间。调查结果可以帮助外联员工和研究人员更好地准备举办更高的风险无家可归青少年并保留在服务中的方法。寻找独特的方式来帮助年轻人克服与服务地点相关的障碍，可能是特别需要的，也许是在他们暂时居住或提供有意义的计划考勤中的有意义激励的情况下的服务。

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