A comparison of network-based strategies for screening at-risk Hispanic/Latino adolescents and young adults for undiagnosed asymptomatic HIV infection.

TitleA comparison of network-based strategies for screening at-risk Hispanic/Latino adolescents and young adults for undiagnosed asymptomatic HIV infection.
Publication TypePublication
Year of Publication2014
AuthorsBoyer CB, Robles-Schrader GM, Li SX, Miller RL, Korelitz J, Price GN, Torres CMRivera, Chutuape KS, Stines SJ, Straub DM, Peralta L, Febo I, Hightow-Weidman L, Gonin R, Kapogiannis BG, Ellen JM
JournalJ Adolesc Health
Volume55
Issue6
Pagination765-73
Date Published2014 Dec
ISSN1879-1972
KeywordsAdolescent, Adult, Community Health Services, Cross-Sectional Studies, Female, Hispanic Americans, HIV Infections, Humans, Interviews as Topic, Male, Mass Screening, Prevalence, Puerto Rico, Risk, Risk Factors, Risk-Taking, Sexual Behavior, United States, Young Adult
Abstract

<p><b>PURPOSE: </b>Hispanic/Latino adolescents and young adults are disproportionately impacted by the HIV/AIDS epidemic; yet little is known about the best strategies to increase HIV testing in this group. Network-based approaches are feasible and acceptable means for screening at-risk adults for HIV infection, but it is unknown whether these approaches are appropriate for at-risk young Hispanics/Latinos. Thus, we compared an alternative venue-based testing (AVT) strategy with a social and sexual network-based interviewing and HIV testing (SSNIT) strategy.</p><p><b>METHODS: </b>All participants were Hispanics/Latinos aged 13-24 years with self-reported HIV risk; they were recruited from 11 cities in the United States and Puerto Rico and completed an audio computer-assisted self-interview and underwent HIV screening.</p><p><b>RESULTS: </b>A total of 1,596 participants (94.5% of those approached) were enrolled: 784 (49.1%) through AVT and 812 (50.9%) through SSNIT. HIV infection was identified in three SSNIT (.37%) and four AVT (.51%) participants (p = .7213).</p><p><b>CONCLUSIONS: </b>Despite high levels of HIV risk, a low prevalence of HIV infection was identified with no differences by recruitment strategy. We found overwhelming support for the acceptability and feasibility of AVT and SSNIT for engaging and screening at-risk young Hispanics/Latinos. Further research is needed to better understand how to strategically implement such strategies to improve identification of undiagnosed HIV infection.</p>

DOI10.1016/j.jadohealth.2014.07.009
Alternate JournalJ Adolesc Health
PubMed ID25223476
PubMed Central IDPMC4252839
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
UM1 AI069415 / AI / NIAID NIH HHS / United States
5U01HD40474 / HD / NICHD NIH HHS / United States
5U01HD40533 / HD / NICHD NIH HHS / United States