This competing continuation application requests funds to extend a longitudinal project examining the role of family and mental health factors in HIV risk exposure during the transition to adolescence to mid-late adolescence -- the time when most youth are likely to be involved in sexual and other risk behaviors (e.g., IV drug use) that can lead to exposure to HIV, other sexually transmitted diseases, early pregnancy or fatherhood, and other negative health consequences. A sample of 315 urban African-American families living in high rise housing neighborhoods in Chicago were first contacted when their children were pre-adolescent (10-12 years of age) and followed through early adolescence (12-14 years of age). Continued funding is requested to follow the sample to mid-late adolescence (16-18 years of age), in order to better understand the influence of pre and early adolescent experiences upon HIV risk exposure in later adolescence. At the initial two data waves, extensive videotape interaction and interview data were collected on individual (mental health, cognitive level, pubertal development), familial support, supervision/monitoring, control/decision-making, conflict, affect, problem solving, and communication) and friendship (support, values) factors, as well as upon HIV/AIDS knowledge and attitudes, and HIV risk behavior. The proposed follow-up wave would focus on these same factors, adapting as needed to new developmental levels. For example, in addition to videotaping the family, same sex friends would be requested to be involved in data collection, as such relationships may be powerful in communication of risk and behavioral decision making. In addition to assessment of friendship relationships, qualities of romantic relationships (with the possibility of both same and other sex relationships) will be assessed. An extensive strategy for recruitment and tracking and for adapting of assessments is proposed; included in this strategy is development of a youth collaborative board to advise on these issues. Results will be used to further develop existing programs aimed at primary and secondary prevention of HIV risk exposure for urban African-American youth and families, as well as to explore new possibilities for the incorporation of friendship and romantic partner relationships into these programs.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH050423-08
Application #
6351694
Study Section
Special Emphasis Panel (ZMH1-BRB-T (03))
Program Officer
Pequegnat, Willo
Project Start
1993-09-01
Project End
2003-01-31
Budget Start
2001-02-01
Budget End
2002-01-31
Support Year
8
Fiscal Year
2001
Total Cost
$692,749
Indirect Cost
Name
University of Illinois at Chicago
Department
Psychiatry
Type
Schools of Medicine
DUNS #
121911077
City
Chicago
State
IL
Country
United States
Zip Code
60612
Greenley, Rachel Neff; Holmbeck, Grayson N; Rose, Brigid M (2006) Predictors of parenting behavior trajectories among families of young adolescents with and without spina bifida. J Pediatr Psychol 31:1057-71
Greenley, Rachel Neff; Coakley, Rachael Millstein; Holmbeck, Grayson N et al. (2006) Condition-related knowledge among children with spina bifida: longitudinal changes and predictors. J Pediatr Psychol 31:828-39
Baptiste, Donna R; Paikoff, Roberta L; McKay, Mary McKernan et al. (2005) Collaborating with an urban community to develop an HIV and AIDS prevention program for black youth and families. Behav Modif 29:370-416
Friedman, Deborah; Holmbeck, Grayson N; Jandasek, Barbara et al. (2004) Parent functioning in families of preadolescents with spina bifida: longitudinal implications for child adjustment. J Fam Psychol 18:609-19
Sagrestano, Lynda M; Paikoff, Roberta L; Holmbeck, Grayson N et al. (2003) A longitudinal examination of familial risk factors for depression among inner-city African American adolescents. J Fam Psychol 17:108-20
McBride, Cami K; Paikoff, Roberta L; Holmbeck, Grayson N (2003) Individual and familial influences on the onset of sexual intercourse among urban African American adolescents. J Consult Clin Psychol 71:159-67
Williams, Paula G; Holmbeck, Grayson N; Greenley, Rachel Neff (2002) Adolescent health psychology. J Consult Clin Psychol 70:828-42
Madison, S M; McKay, M M; Paikoff, R et al. (2000) Basic research and community collaboration: necessary ingredients for the development of a family-based HIV prevention program. AIDS Educ Prev 12:281-98
Holmbeck, G N (1997) Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol 65:599-610
Holmbeck, G N; Faier-Routman, J (1995) Spinal lesion level, shunt status, family relationships, and psychosocial adjustment in children and adolescents with spina bifida myelomeningocele. J Pediatr Psychol 20:817-32

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