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Curr Opin HIV AIDS. 2018 May;13(3):274-280. doi: 10.1097/COH.0000000000000457.

Reaching key adolescent populations.

Author information

1
Centre for Infectious Disease Epidemiology and Research.
2
Division of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, United States of America.

Abstract

PURPOSE OF REVIEW:

Adolescents and young people who fit within key populations face some of the greatest barriers to HIV care, but are frequently overlooked. We review the recent literature on these young, vulnerable populations including HIV risk factors, barriers to care, and strategies for engagement.

RECENT FINDINGS:

Common risk factors include age, risky sexual practices, poor education, and high levels of alcohol and drug abuse. Barriers to care include limited data, criminalization, and high levels of stigma. Strategies to increase engagement include incorporating adolescents into biological and behavioral surveys and the use of social media. Digital innovations for HIV prevention and testing show promise, and pre-exposure prophylaxis may be acceptable. At a policy level, decriminalizing same-sex activity and commercial sex work are priorities. Differentiated models of care including HIV self-testing, after-hour services, community-based delivery, and multimonth dispensing of antiretroviral therapy, should be combined into holistic care.

SUMMARY:

There has been limited success in reaching these key adolescent populations largely because of criminalization and stigma. Accurate, generalizable data are needed to inform the development of innovative strategies for holistic care.

PMID:
29432229
PMCID:
PMC5956528
[Available on 2019-05-01]
DOI:
10.1097/COH.0000000000000457

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