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Health Education & Behavior
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1090198107311278v1
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Medline Plus Health Information
*Child Behavior Disorders
*Drug Abuse
*Drugs and Young People
*Hispanic-American Health
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Article

Ecodevelopmental x Intrapersonal Risk: Substance Use and Sexual Behavior in Hispanic Adolescents

Guillermo J. Prado, PhD1*, Seth J. Schwartz, PhD1, Mildred Maldonado-Molina, PhD2, Shi Huang, PhD1, Hilda M. Pantin, PhD1, Barbara Lopez, PhD1, and Jose Szapocznik, PhD1

1 University of Miami, Florida
2 University of Florida, Gainesville

* To whom correspondence should be addressed. E-mail: gprado{at}med.miami.edu.


  Abstract
Hispanic adolescents are a rapidly growing population and are highly vulnerable to substance abuse and HIV infection. Many interventions implemented thus far have been "one size fits all" models that deliver the same dosage and sequence of modules to all participants. To more effectively prevent substance use and HIV in Hispanic adolescents, different risk profiles must be considered. This study’s purpose is to use intrapersonal and ecodevelopmental risk processes to identify Hispanic adolescent subgroups and to compare substance use rates and sexual behavior by risk subgroup. The results indicate that a larger proportion with high ecodevelopmental risk (irrespective of the intrapersonal risk for substance use) report lifetime and past 90-day cigarette and illicit drug use. In contrast, a larger proportion with high intrapersonal risk for unsafe sex (irrespective of ecodevelopmental risk) report early sex initiation and sexually transmitted disease incidence. Implications for intervention development are discussed in terms of these Hispanic adolescent subgroups.

First published on March 6, 2008, doi:10.1177/1090198107311278

Health Education & Behavior 2009;36:45.

A more recent version of this article appeared on February 1, 2009

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Home page
 Psychosom. Med.Home page
H. Pantin, G. Prado, B. Lopez, S. Huang, M. I. Tapia, S. J. Schwartz, E. Sabillon, C. H. Brown, and J. Branchini
A Randomized Controlled Trial of Familias Unidas for Hispanic Adolescents With Behavior Problems
Psychosom Med, November 1, 2009; 71(9): 987 - 995.
[Abstract] [Full Text] [PDF]