A Review of STI/HIV Interventions for Delinquent and Detained Juveniles: An Application of the Social–Ecological Framework
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Youth involved in the juvenile justice system report significantly higher rates of STI/HIV infections, compared to youth in the general population. A limited number of epidemiological studies document that social–ecological factors at the peer, family, school, and policy levels are significantly related to unsafe sexual behaviors among this population. However, no existing studies have evaluated the extent to which existing STI/HIV intervention approaches target the various social–ecological factors that are implicated in STI/HIV risk behaviors among this cohort. Applying the social–ecological framework, we review research on STI/HIV prevention and intervention programs, which targeted family, peers, and school contexts of children and adolescent involved in the juvenile justice system. Our findings suggest that these youth report significantly higher rates of STI than do those with no juvenile justice involvement. However, we also found that a bulk of the programs reviewed have targeted individual risk factors as the primary target for behavior change, even though contextual factors beyond the individual are implicated in sexual behaviors. We conclude with implications for research and practice based on this review.
KeywordsAdolescents HIV Juvenile justice Social–ecological framework STI
- Bandura, A. (1996). Self-efficacy. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
- Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.Google Scholar
- Centers for Disease Control and Prevention. (2010). Sexually transmitted disease surveillance 2009. Atlanta, GA: US Department of Health and Human Services.Google Scholar
- Childs, K., Dembo, R., Belenko, S., Sullivan, C., & Cochran, J. (2011). A group-based modeling approach to examining sociodemographic variation in the association among risky sexual behavior, drug use, and criminal involvement in a sample of newly arrested juvenile offenders. Youth Violence and Juvenile Justice,. doi: 10.1177/1541204011402854.Google Scholar
- Davis, L. (2010). Adolescent sexual health and the dynamics of oppression: A call for cultural competency. Washington, DC: Advocates for Youth.Google Scholar
- DiClemente, R. J., Crosby, R. A., & Kegler, M. C. (Eds.). (2002). Emerging theories in health promotion practice and research: Strategies for improving public health. San Francisco: Wiley.Google Scholar
- Eng, T. R., & Butler, W. T. (Eds). (1997). The hidden epidemic: Confronting sexually transmitted diseases. The National Academy of Sciences, Institute of Medicine.Committee on Prevention and Control of Sexually Transmitted Diseases. Washington, DC: National Academy Press.Google Scholar
- Fisher, W. A., Fisher, J. D., & Harman, J. J. (2003). The information-motivation-behavioral skills model: A general social psychological approach to understanding and promoting health behavior. In J. Suls & K. A. Wallston (Eds.), Social psychological foundations of health and illness (pp. 82–106). Walden, MA: Blackwell Publishing.CrossRefGoogle Scholar
- Goldberg, E., Millson, P., Rivers, S., Manning, S. J., Leslie, K., Read, S., et al. (2009). A human immunodeficiency virus risk reduction intervention for incarcerated youth: A randomized controlled trial. Journal of Adolescent Health, 44, 136–145. doi: 10.1016/j.jadohealth.2008.07.021.PubMedCrossRefGoogle Scholar
- Hovell, M., Wahlgren, D., & Adams, M. (2009). The logical and empirical basis for the behavioral ecological model. In R. J. DiClemente, R. A. Crosby, & M. Kegler (Eds.), Emerging theories in health promotion practice and research: Strategies for enhancing public health (2nd ed., pp. 415–450). San Francisco: Jossey-Bass.Google Scholar
- Latham, T. P., Sales, J. M., Boyce, L. S., Renfro, T. L., Wingood, G. M., DiClemente, R. J., & Rose, E. (2010). Application of ADAPT-ITT: Adapting an evidence-based HIV prevention intervention for incarcerated African American adolescent females. Health Promotion Practice, 11(1), 53S–60S. doi: 10.1177/1524839910361433.PubMedCrossRefGoogle Scholar
- Lauby, J. L., LaPollo, A. B., Herbst, J. H., Painter, T. M., Batson, H., Pierre, A., & Milnamow, M. (2010). Preventing AIDS through live movement and sound: Efficacy of a theater-based HIV prevention intervention delivered to high-risk male adolescents in juvenile justice settings. AIDS Education and Prevention, 22(5), 402–416.PubMedCrossRefGoogle Scholar
- Marvel, F., Rowe, C. L., Colon-Perez, L., DiClemente, R. J., & Liddle, H. A. (2009). Multidimensional family therapy HIV/STD risk-reduction intervention: An integrative family-based model for drug-involved. Juvenile offenders. Family Process, 48(1), 69–84. doi: 10.1111/j.1545-5300.2009.01268.x.PubMedCrossRefGoogle Scholar
- Maton, K. (2000). Making a difference: The social ecology of social transformation. American Journal of Community Psychology, 28(1), 25–57. doi: 10.1023/A:1005190312887.
- Robertson, A., Lawrence, J. S., Morse, D. T., Baird-Thomas, C., Liew, H., & Gresham, K. (2011). The healthy teen girls project: Comparison of health education and STD risk reduction intervention for incarcerated adolescent females. Health Education & Behavior, 38(3), 241–250. doi: 10.1177/1090198110372332.CrossRefGoogle Scholar
- Rosengard, C., Stein, L. A. R., Barnett, N. P., Monti, P. M., Golembeske, C., Lebeau-Craven, R., & Miranda, R. (2007). Randomized clinical trial of motivational enhancement of substance use treatment among incarcerated adolescents: Post-release condom non-use. Journal of HIV/AIDS Prevention in Children & Youth, 8(2), 45–64. doi: 10.1300/J499v08n02_04.CrossRefGoogle Scholar
- Tolou-Shams, M., Stewart, A., Fasciano, J., & Brown, L. K. (2010). A review of HIV prevention interventions for juvenile offenders. Journal of Pediatric Psychology, 35(3), 250–261. doi: 10.1093/jpepsy/jsp069.
- Voisin, D. R., Crosby, R., Yarber, W. L., Salazar, L. F., DiClemente, R. J., & Staples-Horne, M. (2007). Witnessing community violence and health-risk behaviors among detained adolescents. American Journal of Orthopsychiatry, 77(4), 506–513. doi: 10.1037/0002-94220.127.116.116.PubMedCrossRefGoogle Scholar
- Voisin, D., Tan, K., Chan Tack, A., Wade, D., & DiClemente, R. (2012b). Examining parental monitoring as a pathway from community violence exposure to drug use and risky sex among detained youth. Journal of Social Service Research, 38(5), 699–711. doi: 10.1080/01488376.2012.716020.CrossRefGoogle Scholar
- World Health Organization. (1977). Health needs of adolescents. Report of a WHO Expert Committee, Technical Report Series 609. Geneva.Google Scholar