Managerial Database II

The proposed study is a cross sectional study intended to be conducted at each of the 15
Adolescent Medicine Trials Units (AMTUs) participating in the ATN and to enroll all
participating patients followed at each site. This approach will allow for the examination
of the broad spectrum of youth participating in the ATN, including those newly entered into
care.

Psychosocial and risk-taking behavioral data will be collected using Audio Compute-Assisted
Self-Interview (ACASI); biomedical information will be collected through medical chart
abstraction.

Inclusion Criteria:

- Laboratory evidence of HIV-1 infection documented by a positive result on any of the
following licensed tests at any time: Any HIV-1 antibody test confirmed by Western
blot, HIV-1 culture, HIV-1 DNA PCR, or plasma HIV-1 RNA PCR > 1,000 copies/ml;

- Knowledge of HIV positive diagnoses;

- Age 12 years through 24 years, inclusive;

- Engaged in care at the AMTU or its affiliate and/or partnering clinic. Individuals
will be considered to be engaged in care if:

- Diagnosed less than or equal to 12 months prior to the date of approval to generate
the master list and has attended a minimum of one visit since diagnosis for the
management of HIV disease or its sequelae; or

- Diagnosed more than 12 months prior to the date of approval to generate the master
list and has had a minimum of one visit, as described above, within the past 12
months.

- Ability to understand written and/or verbal English

- Ability and willingness to provide signed consent/assent;

- Parental/legal guardian permission (if applicable)

Exclusion Criteria:

- Presence of serious psychiatric symptoms (e.g., active hallucinations, thought
disorder) that would impair the individuals' ability to complete the study measures;

- Visibly distraught (e.g., suicidal, homicidal, exhibiting violent behavior); or

- Intoxicated or under the influence of alcohol or other substances at the time of
consent/assent.