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Identifying Missed Opportunities for Human Immunodeficiency Virus Pre-exposure Prophylaxis During Preventive Care and Reproductive Visits in Adolescents in the Deep South.
- Source :
-
Sexually Transmitted Diseases . Feb2020, Vol. 47 Issue 2, p88-95. 8p. - Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Pre-exposure prophylaxis (PrEP) for individuals at significant risk for Human Immunodeficiency Virus acquisition is approved for individuals weighing at least 35 kg by the Food and Drug Administration. This cross-sectional study analyzed indications for PrEP in a clinical setting.<bold>Methods: </bold>There were 429 charts reviewed from adolescents between 15 and 21 years old seen for preventive care visits at an adolescent primary care center in the Deep South during a 1-year timeframe. Univariate and multivariable regression analyses were completed to identify factors associated with indications for PrEP.<bold>Results: </bold>Forty-four percent of 429 adolescents (between 15 and 21 years) had a PrEP indication; 77% were women and 95% heterosexual. Significant factors associated with an indication for PrEP included living with a nonparent or nonrelative and polysubstance use. No adolescents with an indication for PrEP were prescribed PrEP. A sensitivity analysis comparing indications for PrEP between the 2014 and 2017 The Centers for Disease Control and Prevention Guidelines revealed no significant differences in percent with an indication (44.5% vs. 42.8%) or factors associated with indications.<bold>Conclusions: </bold>Pre-exposure prophylaxis as a biomedical tool for adolescents and young adults (AYAs) may remain underutilized. A key factor in improving utilization involves providers being able to recognize AYAs who may have an indication for PrEP with a specific focus on those AYAs who do not live in households with parents or a surrogate family member and those who are polysubstance users. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV infection epidemiology
*HIV prevention
*HETEROSEXUALITY
*ANTI-HIV agents
*RESEARCH
*OUTPATIENT medical care
*CROSS-sectional method
*RESEARCH methodology
*EVALUATION research
*MEDICAL cooperation
*PREVENTIVE health services
*PRIMARY health care
*COMPARATIVE studies
*ADOLESCENT medicine
*DRUG abusers
*HIV
Subjects
Details
- Language :
- English
- ISSN :
- 01485717
- Volume :
- 47
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Sexually Transmitted Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 141338905
- Full Text :
- https://doi.org/10.1097/OLQ.0000000000001104