Does Parental Insurance Impact Willingness to Take Prep in Adolescents &amp; Young Adults?

Moore, Kelvin; Dell, Shanna; Oliva, Miles; Morgan, Anthony; Rothman, Richard E.; Hsieh, Yu‐Hsiang; Arrington‐Sanders, Renata

doi:10.1016/j.jadohealth.2017.11.047

Cited by 11 publications

(2 citation statements)

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“…In general, sexual minority men (SMM) and young sexual minority men (YSMM) face unique challenges accessing routine sexual health care due to individual and structural factors, such as low perceived risk of HIV and high levels of stigma and medical mistrust [5,6]. There is a growing body of literature demonstrating that YSMM have lower rates of HIV testing and are less likely to adequately adhere to PrEP compared to older adult SMM because of enduring structural barriers including racism and discrimination, disinterest in regimen adherence, and confidentiality concerns [7,8], especially among Black and Latino YSMM [9,10]. The ongoing pandemic may highlight these disparities.…”

Section: Introductionmentioning

confidence: 99%

PrEP Use and Persistence Among Young Sexual Minority Men 17–24 Years Old During the COVID-19 Pandemic

et al. 2021

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The COVID-19 pandemic has caused disruptions to health care access for sexual and gender minorities in the U.S. We sought to explore the impact of COVID-19 on HIV pre-exposure prophylaxis (PrEP) use and sexual health services by assessing PrEP eligibility and use, changes in sexual behaviors, and HIV/STI testing during the COVID-19 pandemic. We surveyed 239 young sexual minority men (YSMM) 17-24 years old between April and September 2020 in the U.S. One-in-seven YSMM PrEP users discontinued use during the pandemic, and all those who discontinued PrEP reported a decrease in sexual activity. Twenty percent reported difficulty getting prescriptions and medications from their doctors or pharmacies, and more than 10% reported challenges accessing HIV/STI testing. Among those who met Centers for Disease Control and Prevention criteria for PrEP (n = 104), 86.5% were not currently using PrEP. Among those surveyed 3 months or later after the start of major COVID-19 stay-at-home measures (n = 165), 35.8% reported CAS with a causal partner within the past 3 months during the COVID-19 pandemic. Seeking HIV testing was associated with reporting condomless anal sex in the previous 3 months, indicating the necessity for ensuring continuity of basic sexual health services for YSMM. Failure to adequately adjust HIV prevention services and intervention in the face of pandemic-related adversity undermines efforts to end the HIV epidemic in the U.S. Keywords Sexual minority men • Men who have sex with men • HIV • Pre-exposure prophylaxis • COVID-19 ResumenLa pandemia de COVID-19 ha causado interrupciones en el acceso a la atención médica para las minorías sexuales y de género en los EE. UU. Buscamos explorar el impacto de COVID-19 en el uso de la profilaxis de preexposición al VIH (PrEP) y los servicios de salud sexual mediante la evaluación de la elegibilidad y el uso de PrEP, los cambios en los comportamientos sexuales y las pruebas de VIH/ITS durante la pandemia de COVID-19. Encuestamos a 239 hombres jóvenes de

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Section: Introductionmentioning

confidence: 99%

PrEP Use and Persistence Among Young Sexual Minority Men 17–24 Years Old During the COVID-19 Pandemic

et al. 2021

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“…These adolescents may not be able to utilize health insurance coverage for PrEP due to fear of inadvertent disclosure of PrEP use to parents via benefits statements sent by the insurance company. While this is an emerging focus of research, one study has examined parental insurance coverage as a potential barrier to PrEP uptake among adolescents and found that among 151 urban adolescents and young adults aged 13-25, 91% reported having health insurance, with 46% reporting being on parent's insurance policy (Moore et al, 2018). The study found that while dependence upon parental insurance was not significantly associated with willingness to take PrEP, individuals who indicated that they would not want their parents to know that they are taking PrEP had a 59% lower odds of using PrEP than those who would.…”

Section: Discussionmentioning

confidence: 99%

“I Don't Need PrEP Right Now”: A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model

Felsher

Szep

Krakower

et al. 2018

AIDS Education and Prevention

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The Health Belief Model has been useful for studying uptake of HIV prevention behaviors and has had limited application to understanding utilization of pre-exposure prophylaxis (PrEP), a biomedical strategy to reduce HIV acquisition. We recruited 90 persons undergoing HIV screening and educated them about PrEP. We followed up with 35 participants approximately 3 weeks later and quantitatively assessed PrEP uptake. No participant had initiated PrEP. We conducted in-depth interviews with 15 participants to explore situational factors impacting this decision. In this paper we provide an overview of PrEP-related engagement using qualitative data to contextualize (in)action. While participants perceived PrEP as beneficial, perceived benefits did not outweigh real- and perceived barriers, such as financial and time-related constraints. In order to promote PrEP uptake, cues to action that increase the benefits of PrEP during seasons of risk, and interventions that reduce real and perceived barriers are needed.

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Factors Associated with PrEP Support and Disclosure Among YMSM and Transgender Individuals Assigned Male at Birth in Chicago

et al. 2019

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Does Parental Insurance Impact Willingness to Take Prep in Adolescents & Young Adults?

Cited by 11 publications

References 0 publications

PrEP Use and Persistence Among Young Sexual Minority Men 17–24 Years Old During the COVID-19 Pandemic

PrEP Use and Persistence Among Young Sexual Minority Men 17–24 Years Old During the COVID-19 Pandemic

“I Don't Need PrEP Right Now”: A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model

Factors Associated with PrEP Support and Disclosure Among YMSM and Transgender Individuals Assigned Male at Birth in Chicago

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