4335.0: Tuesday, October 23, 2001 - 8:45 PM

Abstract #26100

Understanding client needs--baseline risk factors

Thomas W Mangione, PhD1, Rodolfo Vega, PhD2, Anita Raj, PhD3, Hortensia Amaro, PhD3, Kim S. Watson, BA1, and Lucille Perez, MD4. (1) Survey Research Group, JSI Research and Training Institute, 44 Farnsworth Street, Boston, MA 02210, 617-482-9485, tmangione@jsi.com, (2) JSI Research and Training, 44 Farnsworth Street, Boston, MA 02210, (3) Department of Social and Behavioral Sciences, Boston University School of Public Health, 715 Albany St, T2W, Boston, MA 02118, (4) Medical and Clinical Affairs, Center for Substance Abuse Prevention, SAMHSA, 5600 Fishers Lane, Rockwall II, Rockville, MD 20857

The 47 projects included in SAMHSA/CSAP's Integrated HIV and Substance Abuse prevention program in minority communities serve a diverse clientele. Not only are they diverse in their ethnic background, age and gender but they are diverse on a variety of baseline outcome and contextual variables.

All clients of the 47 projects are administered a baseline survey. This survey provides a benchmark by which projects can gauge success in changing client behaviors, perceptions and knowledge that put clients at risk for becoming infected with the HIV virus or developing a substance abuse problem.

Data on approximately 3000 children, adolescents and female adults spanning the 47 projects provide a perspective on the levels of risk for those entering these programs. Our presentation will describe for adolescents and adults: the levels of drug use, risky sexual behaviors, perceived risk of these behaviors, perceived effectiveness of condoms, and perceived self-efficacy of using condoms. We will compare these baseline risk levels by gender and ethnicity. We will also describe the variability in contextual factors such as perceived racism, neighborhood attachment, peer attitudes and relationships, gender relationships, attitudes about male social roles, attitudes about school, family relationships and self-esteem.

These descriptive analyses will provide feedback to the programs on how their clientele compare to those in other programs. It also provides an indicator of the success the CSAP projects have had in reaching populations that are at high risk for infection with the HIV virus.

Learning Objectives: Participants will: 1) understand the levels of risk behavior that clients have as they enter the intervention; 2) identify the constellation of HIV/substance abuse risk, protective, and contextual factor associated with diverse communities; 3) articulate how to integrate indicators of HIV and substance abuse prevention strategies in community-based interventions.

Keywords: HIV Interventions, Substance Abuse Prevention

Awards: - Honorable MentionPresenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Substance Abuse and Mental Health Services Administration/Center for Substance Abuse Prevention (SAMHSA/CSAP)
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Handout (.ppt format, 1184.0 kb)

The 129th Annual Meeting of APHA