Awareness of and Attitudes Toward Pre-exposure Prophylaxis Among Predominantly Heterosexual Black Adolescents and Young Adults and Their Guardians in an Urban Area With HIV Epidemic in the United States

Koay, Wei Li Adeline; Fortuna, G. Gasbarrini; Griffith, Caleb; Ellenberger, Nicole; Ferrer, Kathleen; Madati, Jamil P; Rakhmanina, Natella

doi:10.1097/inf.0000000000003029

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Youth at high risk for HIV, including youth in high prevalence of HIV and sexual violence settings, lesbian, gay, bisexual, and transgender youth of color, and homeless youth, have the lowest rates of PrEP awareness and uptake. [83][84][85][86] Understanding health care provider knowledge, attitudes, and willingness to prescribe PrEP will also be crucial in the successful implementation of PrEP for youth. 80 Few studies have examined providers' perspectives on PrEP specifically for youth.…”

Section: Implementation Of Hiv Screeningmentioning

confidence: 99%

Adolescents and Young Adults: The Pediatrician’s Role in HIV Testing and Pre- and Postexposure HIV Prophylaxis

Hsu

Rakhmanina

2021

Pediatrics

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Most sexually active youth in the United States do not believe that they are at risk for contracting HIV and have never been tested. Creating safe environments that promote confidentiality and respect, obtaining an accurate sexual and reproductive health assessment, and providing nonstigmatizing risk counseling are key components of any youth encounters. Pediatricians can play a key role in preventing and controlling HIV infection by promoting risk-reduction counseling and offering routine HIV testing and prophylaxis to adolescent and young adult (youth) patients. In light of persistently high numbers of people living with HIV in the United States and documented missed opportunities for HIV testing, the Centers for Disease Control and Prevention and the US Preventive Services Task Force recommend universal and routine HIV screening among US populations, including youth. Recent advances in HIV diagnostics, treatment, and prevention help support this recommendation. This clinical report reviews epidemiological data and recommends that routine HIV screening be offered to all youth 15 years or older, at least once, in health care settings. After initial screening, youth at increased risk, including those who are sexually active, should be rescreened at least annually, and potentially as frequently as every 3 to 6 months if at high risk (male youth reporting male sexual contact, active injection drug users, transgender youth; youth having sexual partners who are HIV-infected, of both genders, or injection drug users; youth exchanging sex for drugs or money; or youth who have had a diagnosis of or have requested testing for other sexually transmitted infections). Youth at substantial risk for HIV acquisition should be routinely offered HIV preexposure prophylaxis, and HIV postexposure prophylaxis is also indicated after high-risk exposures. This clinical report also addresses consent, confidentiality, and coverage issues that pediatricians face in promoting routine HIV testing and HIV prophylaxis for their patients.

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