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The Metropolitan Atlanta community adolescent rapid testing initiative study: closing the gaps in HIV care among youth in Atlanta, Georgia, USA.


ABSTRACT: To determine the effectiveness of the Metropolitan Atlanta community adolescent rapid testing initiative (MACARTI) intervention relative to standard of care (SOC), in achieving early diagnosis, linkage, and retention among HIV-infected youth ages 18-24 years.MACARTI was a pilot single-center, prospective, nonrandomized study.MACARTI combined nontraditional venue HIV testing, motivational interviewing, and case management. We collected demographic, clinical variables and calculated linkage and appointment adherence rates. We obtained SOC data from an adolescent HIV clinic. Longitudinal data were analyzed using inverse propensity treatment-weighted linear growth models; medians, interquartile ranges (IQR), means, and 95% confidence intervals are provided.MACARTI screened 435 participants and identified 49 (11.3%) HIV infections. The SOC arm enrolled 49 new HIV-infected individuals. The 98 participants, (49 in each arm) were: 85% men; 91% Black; mean age?=?21 years (SD?:?1.8). Overall, 63% were linked within 3 months of diagnosis; linkage was higher for MACARTI compared to SOC (96 vs. 57%, P?

SUBMITTER: Camacho-Gonzalez AF 

PROVIDER: S-EPMC5497786 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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The Metropolitan Atlanta community adolescent rapid testing initiative study: closing the gaps in HIV care among youth in Atlanta, Georgia, USA.

Camacho-Gonzalez Andres F AF   Gillespie Scott E SE   Thomas-Seaton LaTeshia L   Frieson Krystal K   Hussen Sophia A SA   Murray Ashley A   Gaul Zaneta Z   Leong Traci T   Graves Chanda C   Sutton Madeline Y MY   Chakraborty Rana R  

AIDS (London, England) 20170701


<h4>Objective</h4>To determine the effectiveness of the Metropolitan Atlanta community adolescent rapid testing initiative (MACARTI) intervention relative to standard of care (SOC), in achieving early diagnosis, linkage, and retention among HIV-infected youth ages 18-24 years.<h4>Design</h4>MACARTI was a pilot single-center, prospective, nonrandomized study.<h4>Methods</h4>MACARTI combined nontraditional venue HIV testing, motivational interviewing, and case management. We collected demographic,  ...[more]

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