ArticleAIDS (London, England)2017
The Metropolitan Atlanta community adolescent rapid testing initiative study: closing the gaps in HIV care among youth in Atlanta, Georgia, USA.
Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis of the evidence for community-based HIV testing on men's engagement in the HIV care cascade.International journal of STD & AIDS · 2022Pooled it
- Interactive Internet-Based Motivational Interviewing Training for HIV Counseling Support Staff to Improve Health Communication in HIV Care Interactions: Protocol for Training Development and a Pilot Randomized Controlled Trial.JMIR research protocols · 2026Article
- Understanding effective post-test linkage strategies for HIV prevention and care: a scoping review.Journal of the International AIDS Society · 2024Article
- Addressing epistemic injustice in HIV research: a call for reporting guidelines on meaningful community engagement.Journal of the International AIDS Society · 2022Article
- Vital Voices: HIV Prevention and Care Interventions Developed for Disproportionately Affected Communities by Historically Underrepresented, Early-Career Scientists.Journal of racial and ethnic health disparities · 2021Review
- Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men.Current HIV/AIDS reports · 2020Review
- Factors Associated With HIV Testing Among Atlanta's Homeless Youth.AIDS education and prevention : official publication of the International Society for AIDS Education · 2020Article
- Considerations for Addressing Low HIV Testing Rates Among Adolescent Men Who Have Sex With Men.Pediatrics · 2020Article
- Metropolitan Atlanta Community Adolescent Rapid Testing Initiative: The impact of motivational interviewing and intensive case management on the psychosocial and clinical care outcomes of adolescents and young adults with HIV.Psychotherapy (Chicago, Ill.) · 2020Article
- Ecological Framework for Social Justice Advocacy by Behavioral Health Professionals in Public Healthcare.Psychological services · 2020Article
- Improving Timely Linkage to Care among Newly Diagnosed HIV-Infected Youth: Results of SMILE.Journal of urban health : bulletin of the New York Academy of Medicine · 2019Article
- Retrospective review of immobilization vs. immediate resumption of activity in patients with Oligoarticular juvenile idiopathic arthritis following knee injections.Pediatric rheumatology online journal · 2019Observational
- Missed Opportunities for HIV Screening Among a Cohort of Adolescents With Recently Diagnosed HIV Infection in a Large Pediatric Hospital Care Network.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
- Screening for HIV and linkage to care in adolescents: insights from a systematic review of recent interventions in high- versus low- and middle-income settings.Adolescent health, medicine and therapeutics · 2018Review
- Adolescents, young people, and the 90-90-90 goals: a call to improve HIV testing and linkage to treatment.AIDS (London, England) · 2017Article
- Retention in Medical Care Among Insured Adolescents and Young Adults With Diagnosed HIV Infection, United States, 2010-2014.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveTo 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.
designMACARTI was a pilot single-center, prospective, nonrandomized study.
methodsMACARTI 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.
resultsMACARTI 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 < 0.001). Median linkage time for MACARTI participants compared to SOC was 0.39 (IQR : 0.20-0.72) vs. 1.77 (IQR : 1.12-12.65) months (P < 0.001). MACARTI appointment adherence was higher than SOC (86.1 vs. 77.2%, P = 0.018). In weight-adjusted models, mean CD4 T-cell counts increased and mean HIV-1 RNA levels decreased in both arms over 12 months, but the differences were more pronounced in the MACARTI arm.
conclusionMACARTI successfully identified and linked HIV-infected youth in Atlanta, USA. MACARTI may serve as an effective linkage and care model for clinics serving HIV-infected youth.
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