Identifying Undiagnosed Asymptomatic HIV Infection in Hispanic/Latino Adolescents and Young Adults

1. Inclusion Criteria

1a. Alternative Venue-Based Testing (AVT) Participants

- Self-identifies as being of Hispanic or Latino ethnicity;

- Provides verbal confirmation that his/her age is between 13 years, 0 days to 24
years, 364 days at the time of enrollment;

- Self-reports a negative or unknown HIV status;

- Is male and self-reports any unprotected anal sex with a male sexual partner in the
past three months; OR Is female and self-reports any unprotected anal or vaginal sex
with two or more male sexual partners in the past three months; OR Is female and
self-reports any unprotected anal or vaginal sex with a male sexual partner who was
incarcerated in the past 12 months; OR Is male or female and self-reports any history
of injection drug use; OR Is male or female and self-reports any unprotected anal or
vaginal sex with an individual who is known to be HIV positive; OR Is male or female
and self-reports any unprotected anal or vaginal sex with an injection drug user in
the past 12 months;

- Willing to complete an HIV risk assessment;

- Willing to undergo HIV screening; and

- Able to understand and willing to provide signed informed consent/assent in English
or Spanish.

1b. Social and Sexual Index Recruiter Participants

- Self-identifies as being of Hispanic or Latino ethnicity;

- Provides verbal confirmation that his/her age is between 13 years, 0 days to 24
years, 364 days at the time of enrollment;

- Is male or female and self-reports being diagnosed with HIV in the past 12 months; OR
Is female and self-reports any unprotected anal or vaginal sex with a male sexual
partner who was incarcerated in the past 12 months; OR Is male or female and
self-reports any history of injection drug use; OR Is male or female and self-reports
any unprotected anal or vaginal sex with an individual who is known to be HIV
positive; OR Is male or female and self-reports any unprotected anal or vaginal sex
with an injection drug user in the past 12 months;

- Willing to complete a HIV risk assessment;

- Willing to undergo HIV screening (or an HIV confirmatory test if previously
diagnosed);

- Willing to recruit one or more Latino/Latina family members, friends, or sexual
partners who are between the ages of 13-24 years and who meet the criteria for a
Social and Sexual Network Member for participation in the study; and

- Able to understand and willing to provide signed informed consent/assent in English
or Spanish.

1c. Social and Sexual Network Members

- Self-identifies as being of Hispanic or Latino ethnicity;

- Provides verbal confirmation that his/her age is between 13 years, 0 days to 24
years, 364 days at the time of enrollment;

- Self-reports any anal or vaginal sexual activity in the past 3 months and any
unprotected anal or vaginal sex in the last 12 months; OR Self-reports any history of
injection drug use;

- Willing to complete a HIV risk assessment;

- Willing to undergo HIV screening; and

- Able to understand and willing to provide signed informed consent/assent in English
or Spanish.

1d. Additional Inclusion Criteria for Social and Sexual Network Member Recruiters

- Is male or female and self-reports being diagnosed with HIV in the past 12 months; OR
Is female and self-reports any unprotected anal or vaginal sex with a male sexual
partner who was incarcerated in the past 12 months; OR Is male or female and
self-reports any history of injection drug use; OR Is male or female and self-reports
any unprotected anal or vaginal sex with an individual who is known to be HIV
positive; OR Is male or female and self-reports any unprotected anal or vaginal sex
with an IDU in the past 12 months; and

- Willing to recruit one or more Latino/Latina family members, friends, or sexual
partners who are between the ages of 13-24 years and who meet the criteria for Social
and Sexual Network Members for participation in the study.

2. Exclusion Criteria

2a. All Participants

- Previous participation in ATN 096 as an AVT or a SSNIT study participant;

- Current or prior participation in ATN 084;

- Anything that would impair the participant's ability to provide informed
consent/assent and/or interfere with the protocol's objectives; i.e., readily
apparent psychiatric symptoms (hallucinations, thought disorder), visibly distraught
(suicidal, homicidal, exhibiting violent behavior) or visibly intoxicated or under
the influence of alcohol or other substances at the time of study enrollment, and

- Acute illness that, in the opinion of study staff, would interfere with the
participant's ability to adhere to the protocol requirements and/or interfere with
the protocol objectives.

2b. Additional Exclusion Criteria for Alternative Venue-Based Testing Participants

- Self-reports a prior diagnosis of HIV