PS11-003 Minority AIDS Research Initiative

大都会亚特兰大社区青少年快速检测倡议（MACARTI）与链接， 护理和咨询试验是一个多学科的建议，响应美国国家 艾滋病毒/艾滋病战略，目的是增加艾滋病毒阳性青少年的检测和护理联系， 18-25岁的年轻人。考虑到以下情况的发生率和流行率，这项建议尤其重要： 在亚特兰大大都会统计区的年轻人中新的艾滋病毒感染。 我们假设，在非传统场所实施60秒快速艾滋病毒检测是可行的， 这将有助于加强预防和早期发现， 高危人群。在与庞塞家庭和青年艾滋病毒诊所的重点小组协商后， 作为人种学研究，我们将决定哪些地点适合进行测试。 作为第二个目标，我们将采用一种新的干预模式，旨在加强与艾滋病毒护理的联系， 采用激励性访谈技术与强化病例管理相结合的受感染青年 支持从测试时开始。我们将比较我们目前的转诊系统，平均时间为 首次就诊时间为9周，新模式的留存率为60%，旨在降低平均 第一次就诊的时间为2周，并将留存率提高到至少80%。我们还将研究 两组之间6个月后的第二次访视和长期护理，以及 与晚期免疫抑制和治疗延迟有关。 以新的方式接触感染艾滋病毒的青少年和年轻人以及减少健康差距 在青年人中，我们期望MACARTI试验在这方面是一个有用的战略。

The Metropolitan Atlanta Community Adolescent Rapid Testing Initiative (MACARTI) with Linkage to Care and Counseling Trial is a multidisciplinary proposal which responds to the United States National Strategy for HIV/AIDS and aims to increase testing and linkage into care of HIV-positive adolescents and young adults 18-25 years of age. This proposal is particularly relevant given the incidence and prevalence of new HIV infections among young adults in the Atlanta Metropolitan Statistical Area. We hypothesize that implementing sixty second rapid HIV testing in non-traditional venues is a feasible and acceptable alternative to traditional forms of testing and will help increase prevention and early detection in an at-risk population. Following consultation with focus groups from the Ponce Family and Youth HIV clinic as well as ethnographic studies, we will decide which venues are suitable for testing. As a second objective we will apply a new model of intervention aiming to increase linkage into care of HIV- infected youth using a combination of motivational interview techniques with intensive case management support starting at the time of testing. We will compare our current referral system that has an average time to first medical visit of 9 weeks and a retention rate of 60%to the new model, which aims to decrease the average time to first medical visit to 2 weeks and increase the retention rate to at least 80%.We will also look at time to second visit and permanence in care after 6 months between the two arms, and differences in variables that are associated with advanced immunosuppression and delay of treatment. Novel ways of approaching HIV-infected adolescents and young adults as well as decreasing health disparities among youth are needed and we anticipate the MACARTI trial to be a useful strategy in this regard.