PS11-003 Minority AIDS Research Initiative

大都会亚特兰大社区青少年快速测试倡议(MACARTI)与 护理和咨询试验是一项多学科的提案，它响应了美国国家 艾滋病毒/艾滋病战略，旨在增加对艾滋病毒阳性青少年的检测和与护理的联系 18-25岁的青壮年。这项建议特别相关，因为它的发病率和流行率 亚特兰大大都会统计区年轻人中新的艾滋病毒感染情况。 我们假设，在非传统场所实施六十二秒艾滋病毒快速检测是可行的和 传统检测方式的可接受替代方案，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焦点小组进行磋商后 作为人种学研究，我们将决定哪些场地适合进行测试。 作为第二个目标，我们将应用一种新的干预模式，旨在增加与艾滋病毒护理的联系- 使用激励性访谈技术与密集病例管理相结合的感染青年 支持在测试时开始。我们将比较我们目前的推荐系统的平均时间与 首次就诊时间为9周，保留率为60%，旨在降低平均 首次就诊时间为2周，保留率至少提高到80%。我们还将考虑 6个月后的复诊和永久护理，以及变量的差异 与晚期免疫抑制和延迟治疗有关。 接近感染艾滋病毒的青少年和年轻人以及缩小健康差距的新方法 需要在青年中开展这项活动，我们期待MACARTI试验将成为这方面的一项有益战略。

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.