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  • 1.
    Barrio, G
    et al.
    Universidad Complutense, Madrid, Spain.
    de la Fuente, L
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Toro, C
    Hospital Carlos III, Madrid, Spain.
    Brugal, MT
    Agéncia de Salut Pública de Barcelona, Spain.
    Soriano, V
    Hospital Carlos III, Madrid, Spain.
    González, F
    Fundación Andaluza para la Atención a las Drogodependencias, Sevilla, Spain.
    Bravo, MJ
    Secretaría del Plan Nacional sobre el Sida, Ministerio de Sanidad y Consumo, Madrid, Spain.
    Vallejo, F
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Prevalence of HIV infection among young adult injecting and non-injecting heroin users in Spain in the era of harm reduction programmes: Gender differences and other related factors2007In: Epidemiology and Infection, ISSN 0950-2688, E-ISSN 1469-4409, Vol. 135, p. 592-603Article in journal (Refereed)
  • 2.
    Bravo, Maria J.
    et al.
    Secretaría del Plan Nacional sobre el Sida, Madrid.
    Barrio, Gregorio
    Centro Universitario de Salud Pública (CUSP), Madrid.
    de la Fuente, Luis
    Secretaría del Plan Nacional sobre el Sida, Madrid.
    Royuela, Luis
    Centro Universitario de Salud Pública (CUSP), Madrid.
    Domingo, Laura
    Proyecto Itínere, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Silva, Teresa
    Proyecto Itínere, Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Reasons for selecting an initial route of heroin administration and for subsequent transitions during a severe HIV epidemic2003In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 98, no 6, p. 749-760Article in journal (Refereed)
    Abstract [en]

    Aim  To identify the most important reasons for selecting a particular route of heroin administration and for subsequent transitions during a period of epidemic HIV transmission. To study temporal trends in these reasons.

    Design  Cross-sectional survey.

    Participants  Nine hundred heroin users in three Spanish cities: 305 in Seville, 297 in Madrid and 298 in Barcelona.

    Measurements  A separate analysis was made of the reasons for five types of behaviour: (a) selecting injection as the initial usual route of heroin administration (URHA); (b) changing the URHA to injection; (c) never having injected drugs; (d) selecting the smoked or sniffed route as the initial URHA; and (e) changing the URHA to a non-injected route. Subjects were invited to evaluate the importance of each reason included in a closed list. Spontaneously self-perceived reasons were also explored in an open-ended question for each of the five types of behaviour studied.

    Findings  The primary reason selected for each type of behaviour was: (a) pressure of the social environment; (b) belief that injection is a more efficient route than smoking or sniffing heroin; (c) concern about health consequences (especially fears of HIV and overdose), and fear of blood or of sticking a needle into one's veins; (d), pressure of the social environment and (e) concern about health consequences and vein problems. For women, having a sexual partner who injected heroin played a decisive role in initiating or changing to injection. Few people spontaneously mentioned market conditions for purchasing heroin as an important reason for any behaviour, nor did many mention risk of overdose as reasons for (c) or (d).

    Conclusions  These findings should be considered when designing interventions aimed at preventing initiation of injecting or facilitating the transition to non-injected routes.

  • 3. de la Fuente, L
    et al.
    Bravo, MJ
    Barrio, G
    Silva, T
    La instructiva historia de la epidemia de VIH/SIDA en los inyectores de drogas españoles: lecciones para el futuro2003In: La utilización de la evidencia en las decisiones sanitarias, Alicante: Universidad de Alicante, 2003Chapter in book (Other academic)
  • 4.
    de la Fuente, Luis
    et al.
    Secretaría del Plan Nacional sobre el Sida. Ministerio de Sanidad y Consumo. Madrid.
    Brugal, M Teresa
    Agència de Salut Pública de Barcelona.
    Ballesta, Rosario
    Fundación Andaluza para la Atención a las Drogodependencias. Sevilla.
    Bravo, Maria J
    Secretaría del Plan Nacional sobre el Sida. Ministerio de Sanidad y Consumo. Madrid.
    Barrio, Gregorio
    Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia. Universidad Complutense de Madrid.
    Domingo, Antonia
    Unidad de Investigación en Servicios Sanitarios. Institut Municipal d'Investigació Mèdica (IMIM).
    Silva, Teresa
    Centro Nacional de Epidemiología. Instituto de Salud Carlos III. Madrid.
    Ambrós, Mireia
    Agència de Salut Pública de Barcelona.
    Metodología del estudio de cohortes del proyecto ITINERE sobre consumidores de heroína en tres ciudades españolas y características básicas de los participantes2005In: Revista Española de Salud Pública, ISSN 1135-5727, Vol. 79, p. 475-491Article in journal (Refereed)
    Abstract [en]

    Cohort Study Methodology of the ITINERE Project on Heroin Users in Three Spanish Cities and Main Characteristics of the Participants

    Background: Cohort studies make it possible to monitor the health impact of drug use and to identify related factors. We describe the methodology and baseline characteristics of a cohort of heroin users designed with this objective. Methods: The participants were 991 young, community-recruited heroin users in Barcelona, Madrid and Seville. Most subjects were named by other participants (39.7%) or by non-participating drug users or ex-users (44.7%). A computer-aided questionnaire was administered (self-administered with audio for questions related with sex). A dried-blood spot sample was collected and anthropometric measurements were made. Both participants and recruiters received remuneration. Univariate and bivariate statistical methods were used. Results: Some 42.4% had changed the main route of heroin administration, mainly to injection in Barcelona and to the pulmonary route in Seville. About 75.8% (Barcelona), 49.8% (Madrid), and 15.5% (Seville) had injected drugs in the last 12 months. In Madrid and Seville, 96-97% used heroin in base form, while in Barcelona heroin hydrochloride predominated. Heroin and cocaine were frequently mixed in the same dose (generally base cocaine in Madrid and Seville, and cocaine hydrochloride in Barcelona). Conclusions: Important geographic differences persist in the prevalence of drug injection and in the patterns of heroin and cocaine use, which could explain the unequal distribution of some health problems. The difficulties encountered in recruiting the sample suggest that the incidence of heroin use has declined considerably.

  • 5.
    de la Fuente, Luis
    et al.
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    Toro, Carlos
    Hospital Carlos III, Madrid, Spain.
    Soriano, Vicente
    Hospital Carlos III, Madrid, Spain.
    Brugal, M Teresa
    Agència de Salut Pública de Barcelona, Spain.
    Vallejo, Fernando
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    Barrio, Gregorio
    Delegación del Gobierno para el Plan Nacional sobre Drogas, Madrid, Spain.
    Jimenez, Victoria
    Hospital Carlos III, Madrid, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6, 28029 Madrid, Spain.
    HTLV infection among young injection and non-injection heroin users in Spain: Prevalence and correlates2006In: Journal of Clinical Virology, ISSN 1386-6532, E-ISSN 1873-5967, Vol. 35, no 3, p. 244-249Article in journal (Refereed)
    Abstract [en]

    Background

    Although some studies have described the epidemiology of infection with HIV or hepatitis B and C in young users in Spain – one of the European countries with the highest prevalences – there are no studies of the prevalence of HTLV infection and the most important associated factors.

    Objectives

    To evaluate the prevalence and main determinants of HTLV-1 and HTLV-2 infection in young heroin users (including both injection (IDUs) and non-injection drug users (NIDUs)) recruited outside health care services in three of Spain's principal cities.

    Study design

    Cross-sectional cohort study. All participants (981) were street-recruited by chain referral procedures between April 2001 and December 2003. Face-to-face interviews were conducted using a structured questionnaire and dried blood spot samples were collected for serological testing.

    Results

    No sample was positive for HTLV-1 and 27 samples were positive for HTLV-2; all of these were found only in Spanish IDUs in the cities of Madrid (17, 6.2%) and Barcelona (10, 3.5%). The only two factors significantly associated with HTLV infection in the logistic regression analysis were HIV infection (OR 5.7; 95% CI 2.2–14.8) and having injected in the last 30 days (OR 6.5; 95% CI 1.4–29.8). Having been in prison (OR 2.4; 95% CI 0.9–6.4) and HCV infection (OR 3.8; 95% CI 0.5–30.7), which were strongly and significantly associated in the bivariate analysis, were no longer significant in the logistic analysis. Almost the same variables were selected in the tree analysis, in which subjects could be classified into three groups: high prevalence (28.5%, HIV+ and HBV+ who had injected in the last 30 days), medium prevalence (17.8%) and low (<3%) or zero prevalence (HIV−, HCV− and HBV−).

    Conclusions

    HTLV-1 was not detected among young Spanish heroin users. HTLV-2 was not found in NIDUs (perhaps due to the low rate of sexual transmission); it was found only in IDUs from Madrid and Barcelona, but not in those from Seville. Its prevalence is very low and the main correlates of infection were HIV infection and injection as the usual route of heroin administration.

  • 6. Garrido, Vicente
    et al.
    Lopez, Enrique
    Silva, Teresa
    López, MJ
    Molina, Pedro
    El modelo de la competencia social de la ley de menores2006Book (Other academic)
  • 7.
    González-Saiz, Francisco
    et al.
    Fundaci ́ on Andaluza para la Atenci ́ on a las Drogodependencias, Sevilla, Spain.
    Lozano, M. Oscar
    Fundaci ́ on Andaluza para la Atenci ́ on a las Drogodependencias, Sevilla, Spain.
    Ballesta, Rosario
    Fundaci ́ on Andaluza para la Atenci ́ on a las Drogodependencias, Sevilla, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiolog ́ ıa, Instituto de Salud Carlos III, Madrid, Spain.
    Brugal, Maria Teresa
    Agencia de Salut Publica, Barcelona, Spain.
    Bilbao, Izaskun
    Fundaci ́ on Andaluza para la Atenci ́ on a las Drogodependencias, Sevilla, Spain.
    Barrio, Gregorio
    Universidad Complutense de Madrid, Madrid, Spain.
    Domingo-Salvany, Antonia
    Unidad de Investigaci ́ on en Servicios Sanitarios, Institut Municipal.
    de la Fuente, Luis
    Centro Nacional de Epidemiolog ́ ıa, Instituto de Salud Carlos III, Madrid, Spain.
    Validity of the Severity of Dependence Scale (SDS) construct applying the Item Response Theory to a non-clinical sample of heroin users2008In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 43, no 7, p. 919-935Article in journal (Refereed)
    Abstract [en]

    Aims: The purpose of this work is to study the validity of the Severity of Dependence Scale (SDS) construct by applying Rasch models to a non-clinical sample of heroin abusers. Subjects: 982 (73% men) young people 30 years old or under (mean age 25.9 years) participated. All of them were captured from the community in the metropolitan areas of Madrid, Barcelona and Seville, between April 2002 and December 2003. Analysis: Dimensionality of the scale and calibration of items were studied using the Rating Scale model, which is a Rasch-type model. A factorial analysis was also performed to check the dimensionality of the scale. Results: The analysis of fit shows that all the items have infit and outfit values between ± 2 logits, indicating that the data fit the model and that it may be assumed to be unidimensional. The principal components analysis also showed the existence of a principal factor that explains 52.5% of the variance observed. Item calibration found that they are between +0.89 and −1.04 logits on the scale. Conclusion: The results show unidimensional structure of the SDS scale. Item calibration shows they are distributed along the continuum, which must be taken into account when calculating total scores. The study's limitations are noted.

  • 8.
    Larm, Peter
    et al.
    Maria Ungdom Research Centre, Karolinska Institutet, Stockholm County Council, Stockholm, Sweden.
    Silva, Teresa C
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Hodgins, Sheilagh
    Maria Ungdom Research Centre, Karolinska Institutet, Stockholm County Council, Stockholm, Sweden.
    Adolescent substance misusers with and without delinquency: Death, mental and physical disorders, and criminal convictions from age 21 to 452015In: Journal of Substance Abuse Treatment, ISSN 0740-5472, E-ISSN 1873-6483, Vol. 59, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Little is known about adult outcomes of males who as adolescents sought treatment for alcohol misuse or drug use, and who additionally were engaging or not engaging in other forms of delinquency. Since the rates of negative outcomes vary in the general population, the study determined whether the sub-groups of clinic attendees fared differently as compared to males of the same age who had not sought treatment for substance misuse from age 21 to 45. Adolescent males who consulted the only substance misuse clinic in a Swedish city between 1968 and1971 were divided into four groups: ALCOHOL no drug use, no criminal offending (n = 52); ALCOHOL + D no drug use, plus criminal offending (n = 105); DRUG use, no criminal offending (n = 92); and DRUG + D plus criminal offending (n = 474). These four groups were compared to a general population sample (GP) of males matched on age and birthplace, who did not seek treatment for SM in adolescence. National Swedish registers provided data on death, hospitalizations for substance misuse (SM), mental and physical disorders, and criminal convictions. Compared to the GP, and after controlling for co-occurring adult outcomes, ALCOHOL showed elevated risks for SM hospitalization and convictions for violent crimes, and DRUG showed elevated risks for SM hospitalization, convictions for non-violent crimes, and hospitalization for psychosis. ALCOHOL + D and DRUG + D showed increased risk for SM hospitalization, violent and non-violent convictions, and DRUG + D additionally, for death, and hospitalizations for psychosis and physical illness. Misuse of alcohol without drug use or other delinquency in adolescence was associated with increased risk for convictions for violent crimes during the subsequent 25 years, in addition to SM, while adolescent drug use without other forms of delinquency was associated with increased risks for convictions for non-violent crimes, hospitalizations for SM, and non-affective psychosis. Cannabis use, with and without delinquency, was associated with subsequent hospitalization for non-affective psychosis. Consistent with contemporary studies, most adolescents treated for SM from 1968–1971 presented delinquency that was associated with an increase in risk of all adverse outcomes to age 45.

  • 9.
    Martinez, MN
    et al.
    Unidad de Dolor Agudo Postoperatorio. Hospital Universitario Fundación Alcorcón. Madrid.
    Losa-Iglesias, M
    Departamento de Enfermería. Universidad Rey Juan Carlos. Alcorcón (Madrid).
    Silva, T
    Departamento de Enfermería. Universidad Rey Juan Carlos. Alcorcón (Madrid).
    Fuentes, P
    Departamento de Enfermería. Universidad Rey Juan Carlos. Alcorcón (Madrid).
    Gomez-Arnau, J
    Servicio de Anestesia, Reanimación y Terapia del Dolor. Hospital Universitario Fundación Alcorcón. Madrid.
    Martinez, FC
    Departamento de Enfermería. Universidad de Alcalá de Henares. Madrid.
    Martinez, RG
    Unidad Cuidados Críticos. Hospital Universitario San Carlos. Madrid.
    Altieri, P
    Unidad de Dolor Agudo Postoperatorio. Hospital Universitario de Móstoles. Madrid.
    Grado de conocimientos y actitudes de la enfermería de la Comunidad Autónoma de Madrid (CAM) ante el dolor: Diplomados en enfermería y profesionales2012In: Revista de la Sociedad Española del Dolor, ISSN 1134-8046, E-ISSN 2254-6189, Vol. 19, no 6, p. 293-300Article in journal (Refereed)
    Abstract [en]

    The pain has become the fifth vital sign and is now a critical issue in patient care. Effective treatment of it is still one of the most important and urgent health care system in developed countries worldwide. While pain in patients is a very in vogue these days, however, which is unchallenged is the education of future nursing professionals in the care of such patients. The study and treatment of pain should be instilled in nursing students in their training, both theoretical and practical. The work is very important that teachers also take on the subject. The challenge for the nursing profession in this field would you organize, structure and support a program involving the activation of educational programs for students and practicing nurses. To start our research we made an analysis on the one hand, the current curricula of different schools of nursing in the CAM, with subjects with pain content, analyzing the similarity or not between them, the treated sections, etc. all this curriculum outline compared to the IASP (International Association of Study of Pain) proposed for nursing studies and, secondly, we describe the knowledge and attitudes of both groups in nursing to pain, both professional and qualified nurses. To observe the degree of knowledge and attitudes towards pain in both groups, was introduced as a tool the NKAS-RP (Nurses' Knowledge and Attitudes Survey Regarding Pain). The working group is proposed, therefore, three general objectives: The first description of the curricula of the courses in the career of nursing content in pain, and el2 and 3 goals, define the knowledge and attitudes to pain nursing students and nurses of the CAM. This is a descriptive, observational, multicenter, randomized, which analyzes the current knowledge and attitudes of the nursing staff, both among students (future graduates in nursing) and among professionals. Was carried out between 2008 and 2010, used to publicize the results of the statistical package SPSS version 17.0. As results were obtained, as in previous studies, worldwide, a poor knowledge of pain and a bad attitude before that symptom. It is proposed to improve: in the case of students, changes in the curriculum of the Diploma (future degree) nurses, and in the case of professionals, continuing education and refresher courses in that subject.

  • 10.
    Neira-Leon, Montserrat
    et al.
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6. 28029, Madrid, Spain.
    Barrio, Gregorio
    Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, Universidad Complutense de Madrid, Madrid, Spain.
    Brugal, M. Teresa
    Agència de Salut Pública de Barcelona, Barcelona, Spain.
    de la Fuente, Luis
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6. 28029, Madrid, Spain ; Secretaría del Plan Nacional sobre el Sida, Ministerio de Sanidad y Consumo, Madrid, Spain.
    Ballesta, Rosario
    Fundación Andaluza para la Atención a las Drogodependencias, Seville, Spain.
    Bravo, Mará J.
    Secretaría del Plan Nacional sobre el Sida, Ministerio de Sanidad y Consumo, Madrid, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, C/Sinesio Delgado 6. 28029, Madrid, Spain.
    Rodriguez-Martos, Alicia
    Agència de Salut Pública de Barcelona, Barcelona, Spain.
    Do young heroin users in Madrid, Barcelona y Seville have sufficient knowledge of the risk factors for unintentional opioid overdose?2006In: Journal of urban health, ISSN 1099-3460, E-ISSN 1468-2869, Vol. 83, no 3, p. 477-496Article in journal (Refereed)
  • 11.
    Rodriguez-Llera, MC
    et al.
    Health Services Research Unit, Institut Municipal d’Investigació Mèdica (IMIM), Dr. Aiguader 80, E-08003 Barcelona, Spain.
    Domingo-Salvany, Antònia
    Health Services Research Unit, Institut Municipal d’Investigació Mèdica (IMIM), Dr. Aiguader 80, E-08003 Barcelona, Spain.
    Brugal, M.T.
    Public Health Agency (ASPB), Pl Lesseps 1, E-08023 Barcelona, Spain.
    Silva, Teresa
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III, Madrid, Spain.
    Sanchez-Nubió, A
    Health Services Research Unit, Institut Municipal d’Investigació Mèdica (IMIM), Dr. Aiguader 80, E-08003 Barcelona, Spain.
    Torrens, M
    Psychiatry Research Unit, IMIM, Dr. Aiguader 80, E-08003 Barcelona, Spain.
    Psychiatric comorbidity in young heroin users2006In: Drug And Alcohol Dependence, ISSN 0376-8716, E-ISSN 1879-0046, Vol. 84, no 1, p. 48-55Article in journal (Refereed)
    Abstract [en]

    In order to determine the prevalence of psychiatric comorbidity in a population of young heroin users recruited from outside of the healthcare context, a sample was assembled by targeted sampling and nomination techniques; it was comprised of regular current users of heroin aged between 18 and 30 years and resident in Barcelona, Spain. Psychiatric evaluation was done with the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) semi-structured interview. Of 149 individuals evaluated, 33% were women, whose mean age was 25.1 years; 93% received a diagnosis of heroin dependence and 71% of cocaine dependence. Thirty-two percent of the subjects had never been treated for substance use. Around two-thirds (67.1%, 95% CI: 59.6-74.7%) of the sample had lifetime psychiatric comorbidity, with antisocial personality and mood disorders being the most frequent conditions (33% and 26%, respectively). Mood, anxiety and eating disorders were more common among women than men. There were no differences in ever having been in treatment for drug use according to the presence of psychiatric comorbidity, although comorbidity was lower among those currently in treatment. Young heroin users recruited on the street presented a high prevalence of psychiatric comorbidity which was unrelated to past treatment history.

  • 12.
    Silva, Teresa
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Knowledge and skills needed for successful management of crime prevention strategies2018In: Journal of Scandinavian Studies in Criminology and Crime Prevention, ISSN 1404-3858, E-ISSN 1651-2340, Vol. 19, no 1, p. 113-114Article in journal (Refereed)
  • 13. Silva, Teresa
    La medición de la psicopatía en el contexto del sistema de justicia juvenil en España2009Doctoral thesis, monograph (Other academic)
  • 14.
    Silva, Teresa C
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    A crime prevention approach to an open-air drug market: Preliminary results of the ‘Navet’ project2018Conference paper (Refereed)
  • 15.
    Silva, Teresa C
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Sandström, Peter
    Parenting difficult children and adolescents2018In: Parenting: Empirical advances and intervention resources / [ed] L Benedetto & M Ingrassia, Croatia: InTech, 2018, p. 59-82Chapter in book (Refereed)
    Abstract [en]

    Parenting is generally conceived as a unidirectional construct in which parents arethought to be the direct or indirect cause of different child outcomes. Children whoexhibit problematic behavior, who display hurtful and uncaring behavior toward othersor who are aggressive or turn to delinquency when they reach adolescence are oftenviewed as the product of insufficient parental competence (i.e., nurture) in addition toinherited genetic predisposition (i.e., nature). Competent parental behavior, on the otherhand, counteracts the development of callous-unemotional traits and disruptive conductby promoting the internalization of prosocial and normative behavior. However, empiricalevidence consistently shows that the general behavioral patterns of parents and childrenbecome interdependent and mutually reinforcing during childhood. Parents withlow parental competence, who interact with temperamentally difficult children, consistentlycreate coercive exchanges that produce escalations in child oppositional andaggressive behavior, subsequently increasing the likelihood of continued harsh parentingstrategies. Therefore, early prevention and intervention programs must have a systemicapproach and target the parents, the children, and the interaction process itself. Ifthe cycle of harsh, negative, and confrontational interactions is not broken during earlychildhood, there is a risk that coercion settles as a baseline pattern of conduct for futurerelationships.

  • 16.
    Silva, Teresa C
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Stattin, Håkan
    Univ Orebro, S-31705 Orebro, Sweden.
    The moderating role of parenting on the relationship between psychopathy and antisocial behavior in adolescence2016In: Development and psychopathology (Print), ISSN 0954-5794, E-ISSN 1469-2198, Vol. 28, no 2, p. 505-515Article in journal (Refereed)
    Abstract [en]

    We aimed to analyze the impact of several parenting factors on the relationship between psychopathy and antisocial behavior. Nine hundred youths and their mothers reported on parent–youth interactions, and youth self-report measures of psychopathy, delinquency and violent behavior were taken. Multiple regression was used to test for the significance of interactions between parenting and psychopathy scores. In terms of delinquency, linear interactions between psychopathy and the level of conflict with parents and parents' knowledge of their youths' whereabouts/youths' willingness to disclose information were found based on the data reported by the youths. Data reported by mothers indicated a linear interaction between psychopathy and parents' knowledge/youth disclosure, and a quadratic interaction of conflict with parents. For violence, we used logistic regression models to analyze moderation. No interaction effects between psychopahy scores and parenting factors were found. Youths' reports of high conflict with parents and parents' knowledge/youth disclosure showed to have an impact on violence regardless of the level of psychopathic traits. Implications for the prevention and treatment are discussed.

  • 17.
    Silva, Teresa
    et al.
    Universidad Rey Juan Carlos, Spain..
    Garrido, Vicente
    López, Maria Jesus
    The use of a screening device to assess psychopathy in young offenders2012In: The Spanish Journal of Psychology, ISSN 1138-7416, E-ISSN 1988-2904, Vol. 15, no 2, p. 724-735Article in journal (Refereed)
    Abstract [en]

    The aim of this research was to determine to what extent a psychopath screening device (the APSD) is useful in forensic assessments to predict general and violent offending. For this purpose, a cross-sectional study was done and 238 young people serving a sentence were assessed. The gold standard instrument used to measure psychopathy was the Psychopathy Checklist: Youth Version (PCL:YV; Forth, Kosson & Hare, 2003). The results indicate that the association found between the screening device scores and several indicators of risk is low if compared with those obtained with the PCL:YV, suggesting that it is less useful as a tool in order to predict offending or violent offences. However, an Area Under the Curve of .784 and a validity index of 62.5 support its use as a screening device or as a preliminary approach to assess psychopathy in this population. The usefulness of this instrument to make assessments with young people in the forensic setting is discussed.

  • 18.
    Silva, Teresa
    et al.
    University of Montréal, Canada.
    Graña, José Luis
    Complutense University of Madrid, Spain.
    González-Cieza, Luis
    Community of Madrid, Spain.
    Self-report physical and emotional abuse among youth offenders and their association with internalizing and externalizing psychopathology. A preliminary study.2014In: International journal of offender therapy and comparative criminology, ISSN 0306-624X, E-ISSN 1552-6933, Vol. 58, no 5, p. 590-606Article in journal (Refereed)
  • 19.
    Silva, Teresa
    et al.
    Research Unit on Children’s Psycho-Social Maladjustment, University of Montreal.
    Larm, Peter
    Vitaro, Frank
    Tremblay, Richard
    Hodgins, Sheilagh
    The association between maltreatment in childhood and criminal convictions to age 24: A prospective study of a community simple of males from disadvantaged neighbourhoods2012In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 21, no 7, p. 403-413Article in journal (Refereed)
    Abstract [en]

    While many studies have observed a positive association between maltreatment in childhood and criminality in adolescence and adulthood, others have failed to detect such an association. Most studies, however, have not examined different types of maltreatment, nor taken account of other family and childhood factors that are predictive of criminality. Using data from a prospective, longitudinal investigation of a community sample of 1,037 males, we calculated hierarchical logistic regression models to estimate the associations of boys' self-reports of neglect, emotional abuse, and physical abuse at ages 10 and 12, with convictions for criminal offenses from age 12 to 24, after taking account of conduct problems, hurtful and uncaring behaviours (HUB), and parent's criminality. At ages 10 and 12, boys' reports of neglect, emotional abuse, and physical abuse, were not associated with criminal convictions for non-violent or for violent crimes from age 12 to 24. Among boys who did not engage in HUB towards others reports of emotional abuse were associated with subsequent criminality, while this association disappeared among the boys engaging in such behaviours. In this community sample of males, levels of each type of maltreatment were low and there were no direct associations with subsequent criminal convictions. The findings add to emerging evidence that the characteristics of the child and parents, as well as the type of maltreatment modify the association with future criminal offending.

  • 20. Silva, Teresa
    et al.
    Vallejo, F
    Fernandez, D
    Ruiz, S
    Ambrós, M
    Vallés, N
    Conflicto social en jóvenes consumidores de heroína2006In: Boletin Criminológico, ISSN 2254-2043, no 3, article id 85Article in journal (Other (popular science, discussion, etc.))
  • 21.
    Svensson, Jessika
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Baer, Nina
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Silva, Teresa C
    Mid Sweden University, Faculty of Human Sciences, Department of Humanities and Social Sciences.
    Adolescent’s level of knowledge of and supportive attitudes to sexual crime in the Swedish context2019In: Journal of Sexual Aggression, ISSN 1355-2600, E-ISSN 1742-6545, Vol. 25, no 2, p. 75-89Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was twofold. First, we wanted to quantify the level of knowledge of Swedish young people regarding sexual crime and to evaluate their supportive attitudes, while at the same time we aimed at identifying, through self-report, the sources that most contribute to such knowledge and attitudes. A sample of 245 upper secondary school students was selected from five schools in four Swedish counties. The results indicate that adolescents in Sweden have a high level of knowledge of rape, sexual molestation/harassment, and sexual exploitation of a dependent person. Furthermore, they show non-supportive attitudes to rape, sexual harassment, and sexual crime in general. However, some issues related to these types of crime proved to be confusing to the participants and, therefore, require targeting in education policies, specifically among juvenile males and those born abroad. The results are discussed in the context of the needs for sexual crime prevention.

  • 22.
    Vallejo, Fernando
    et al.
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III.
    Toro, Carlos
    Hospital Carlos III, Madrid.
    de la Fuente, Luis
    Centro Nacional de Epidemiología, Instituto de Salud Carlos III,.
    Brugal, M. Teresa
    Agència de Salut Pública de Barcelona, Barcelona .
    Soriano, Vicente
    Hospital Carlos III, Madrid.
    Silva, Teresa
    Secretaría del Plan Nacional sobre el Sida, Ministerio de Sanidad y Consumo, y .
    Bravo, Maria Jose
    Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, Universidad Complutense.
    Ballesta, Rosario
    Fundación Andaluza para la Atención a las Drogodependencias, Sevilla , España.
    Barrio, Gregorio
    Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia, Universidad Complutense; .
    Prevalence of and risk factors for hepatitis B virus infection among street-recruited young injection and non-injection heroin users in Barcelona, Madrid and Seville2008In: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 14, no 3, p. 116-124Article in journal (Refereed)
    Abstract [en]

    Background: To evaluate the prevalence of hepatitis B virus (HBV) and associated factors in 949 heroin users (HU): injectors (IHUs) and non-injectors (NIHUs). Methods: Cross-sectional study; structured questionnaire administered by computer-assisted personal interviewing and audio computer-assisted self-interviewing; dry blood samples analysed for the hepatitis B core antigen and hepatitis B surface antigen; bivariate analysis and logistic regression. Results: The prevalence of infection was significantly higher in IHUs (22.5%) than in NIHUs (7.4%) in the three cities. In the logistic analysis of male IHUs, infection was found to be associated with living in Seville, age over 25, foreign nationality, having had a sexual partner who traded sex, hepatitis C virus infection, and having injected for more than 5 years. In female IHUs, HBV infection was associated with age over 25, having injected as the first main route of administration, and having begun to inject before 18 years of age. In NIHUs, the associated factors were female gender, foreign nationality and having been tattooed. In young IHUs, the prevalence of HBV infection remains four times higher than in the general population of the same age group. Conclusion: The vaccination strategy urgently needs to be reinforced and redesigned to achieve acceptable control of the HBV infection in the most vulnerable groups, with special attention to immigrants.

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