What If My Dad Finds Out!?: Assessing Adolescent Men Who Have Sex with Men’s Perceptions About Parents as Barriers to PrEP Uptake

Moskowitz, David; Macapagal, Kathryn; Mongrella, Melissa; Pérez-Cardona, Leishla; Newcomb, Michael E.; Mustanski, Brian

doi:10.1007/s10461-020-02827-z

Cited by 38 publications

(16 citation statements)

References 61 publications

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“…Our results suggest that intensive community sensitization to promote PrEP awareness and combat stigma [41,45,47,61] is crucial to making PrEP a viable HIV prevention option for AGYW and other vulnerable populations. Speci c messages and events for parents, male partners, and community leaders could promote awareness, provide accurate information about PrEP, and help AGYW who want to use PrEP gain the support of their parents and partners.…”

Section: Discussionmentioning

confidence: 99%

Health Care Providers’ Attitudes Toward and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women in Kenya, South Africa, and Zimbabwe

Lanham

Ridgeway

Mireku

et al. 2021

Preprint

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Background: In Kenya, South Africa and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls and young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake and effective use of sexual and reproductive health services; however, few published studies have explored providers’ attitudes toward and experiences delivering PrEP to AGYW.Methods: We conducted a cross-sectional qualitative study, interviewing 113 providers at 36 public, private, and nongovernmental health facilities in Kenya, South Africa, and Zimbabwe that were offering PrEP during the research period or were likely to offer PrEP in the future. Data were coded in NVivo 11, and an applied thematic analysis was conducted.Results: Most providers preferred that adolescent girls wait until age 18 to have sex but acknowledged that many girls younger than 18 could benefit from oral PrEP. Their primary concern was whether adolescent girls would be able to take PrEP daily, especially if they do not tell their parents or partners they are using it. Providers reported that it was more challenging to deliver PrEP and other HIV services to girls younger than 18. Those with experience providing PrEP pointed to stigma and lack of PrEP awareness in communities as two primary barriers to PrEP uptake and use.Conclusions: Providers were generally accepting of oral PrEP as an HIV prevention option for AGYW; however, many had negative attitudes about adolescent girls being sexually active and concerns about whether they could take PrEP daily. Results were used to update national PrEP training materials to address negative provider attitudes about PrEP use by AGYW.

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Section: Discussionmentioning

confidence: 99%

Health Care Providers’ Attitudes Toward and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women in Kenya, South Africa, and Zimbabwe

Lanham

Ridgeway

Mireku

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Consistent with other studies [ 27 , 32 , 44 , 45 , 49 – 54 ], participants reported that the main barriers to PrEP uptake and use among AGYW were lack of PrEP awareness among AGYW and communities; fear of disclosing PrEP use to partners and parents; and stigma related to HIV and to adolescent sexuality. These results suggest that intensive community sensitization to promote PrEP awareness, combat stigma, and address social norms around adolescent sexuality [ 32 , 42 , 51 , 52 , 55 ] is critical to making PrEP a viable HIV prevention option for AGYW and other vulnerable populations. Specific messages and events for parents, male partners, and community leaders could promote awareness, provide accurate information about PrEP, and help AGYW who want to use PrEP gain the support of their parents and partners.…”

Section: Discussionmentioning

confidence: 99%

Health care providers’ attitudes toward and experiences delivering oral PrEP to adolescent girls and young women in Kenya, South Africa, and Zimbabwe

Nhamo

Bhatasara²,

Digolo³

et al. 2021

BMC Health Serv Res

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Background In Kenya, South Africa, and Zimbabwe, oral pre-exposure prophylaxis (PrEP) is recommended for adolescent girls and young women (AGYW) at high risk of HIV. Health providers play a critical role in the uptake and effective use of sexual and reproductive health services; however, few published studies have explored providers’ attitudes toward and experiences delivering PrEP to AGYW. Methods We conducted a cross-sectional qualitative study, interviewing 113 providers at 36 public, private, and nongovernmental health facilities in Kenya, South Africa, and Zimbabwe that were offering PrEP during the research period or were likely to offer PrEP in the future. Data were coded in NVivo 11, and an applied thematic analysis was conducted. Results Most providers preferred that adolescent girls wait until age 18 to have sex but acknowledged that many girls younger than 18 could benefit from oral PrEP. Their primary concern was whether adolescent girls would be able to take PrEP daily, especially if they do not tell their parents or partners they are using it. Providers reported that it was more challenging to deliver PrEP and other HIV services to girls younger than 18. Those with experience providing PrEP pointed to stigma and lack of PrEP awareness in communities as two primary barriers to PrEP uptake and use. Conclusions Providers were generally accepting of oral PrEP as an HIV prevention option for AGYW; however, many had negative attitudes about adolescent girls being sexually active and concerns about whether they could take PrEP daily. Results were used to update national PrEP training materials to address negative provider attitudes about PrEP use by AGYW.

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“…Sexual orientation concealment and/or disassociation from homosexuality in many cases are due to fear of negative consequences within the family unit. Improvement in family relationships and parental bonding may extend the reach of PrEP among adolescents [13,14].…”

Section: Introductionmentioning

confidence: 99%

“…There is a dearth of literature on parental bonding in BLMSM and its effects on their PrEP attitudes, stigma, and use and perceptions of stigma. However, previous studies associate child-parent communication to current PrEP use and the perceived lack of parental support of PrEP use to low interest in initiating PrEP [14][15][16][17]. Parental bonding or parental communication may improve many sexual health outcomes, such as the age of sexual debut, number of sexual partners, reduction in HIV risk behaviors, and the acquisition of other sexually transmitted infections [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

The Influence of Family Bonding, Support, Engagement in Healthcare, on PrEP Stigma among Young Black and Latino Men Who Have Sex with Men: A Path Analysis

et al. 2022

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This study employs the ecodevelopmental theory to examine the influence of mother and father bonding, family engagement in healthcare, and family support on PrEP stigma among BLMSM. We used a cross-sectional sample from wave five of the Healthy Young Men (HYM) study, with a survey sample of 399 participants aged 16–24 years. We conducted two-path analyses to test multiple hypotheses: (1) mother/father bonding is associated with an increase in family engagement in healthcare; (2) family engagement in healthcare is associated with family social support; and (3) family social support is associated with PrEP stigma. Family social support was negatively correlated with PrEP stigma (r = −0.15; p < 0.001). The findings show that families either led by a Black/Latino father or mother have a significant impact on the sexual health-seeking behavior of BLMSM and their perception of HIV and PrEP.

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What If My Dad Finds Out!?: Assessing Adolescent Men Who Have Sex with Men’s Perceptions About Parents as Barriers to PrEP Uptake

Cited by 38 publications

References 61 publications

Health Care Providers’ Attitudes Toward and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women in Kenya, South Africa, and Zimbabwe

Health Care Providers’ Attitudes Toward and Experiences Delivering Oral PrEP to Adolescent Girls and Young Women in Kenya, South Africa, and Zimbabwe

Health care providers’ attitudes toward and experiences delivering oral PrEP to adolescent girls and young women in Kenya, South Africa, and Zimbabwe

The Influence of Family Bonding, Support, Engagement in Healthcare, on PrEP Stigma among Young Black and Latino Men Who Have Sex with Men: A Path Analysis

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