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

AIDS and Behavior
David A MoskowitzBrian Mustanski

Abstract

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy for high-risk adults and recently was given US FDA approval for use among adolescents. Yet, the barriers to medication uptake for this population are unique when compared to adult populations, as parents may be just as likely as prescribers to be gatekeepers to access. To better understand the role of parents in adolescents' attitudes towards PrEP, we surveyed 491 adolescent men who have sex with men (AMSM) ages 13-18, using forced choice and open-ended response questions. We measured perceived parent-PrEP supportiveness, hypothetical parent reactions to a request to initiate PrEP, and perceived positive and negative aspects of taking PrEP without parents knowing. A mixed-methods approach was employed. Results indicated a majority of AMSM had heard of PrEP and most reported their parents would be unsupportive of their taking PrEP. Teens perceived their parents would likely be angry, accusatory, and punitive if PrEP use was discovered, and that accessing PrEP independent of parents might increase their health autonomy, agency, and prevent awkward conversations about sex. Furthermore, a path model revealed that fears of parental reaction and poor self-efficac...Continue Reading

References

Mar 1, 1990·Psychological Bulletin·P M Bentler
Aug 2, 2003·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M Katherine HutchinsonGeoffrey T Fong
Aug 3, 2005·Archives of Pediatrics & Adolescent Medicine·John A SieverdingJonathan Ellen
Oct 6, 2005·Qualitative Health Research·Hsiu-Fang Hsieh, Sarah E Shannon
Jun 15, 2007·Western Journal of Nursing Research·M Katherine Hutchinson, Arlene J Montgomery
Feb 22, 2008·Journal of Abnormal Child Psychology·Rebekah Levine ColeyHolly S Schindler
Aug 14, 2008·Behavior Research Methods·Kristopher J Preacher, Andrew F Hayes
Nov 8, 2008·Prevention Science : the Official Journal of the Society for Prevention Research·Andrew LacJason T Siegel
Oct 24, 2009·Current HIV/AIDS Reports·Jessica Haberer, Claude Mellins
Oct 5, 2010·Perspectives on Sexual and Reproductive Health·Aletha Y AkersGiselle Corbie-Smith
Oct 26, 2010·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Hyekyun RheeJudith Brasch
Dec 12, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jill E PaceBill G Kapogiannis
Mar 27, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Rebekah Levine ColeyJacqueline Sims
Nov 5, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Signe Hanghøj, Kirsten A Boisen
Dec 25, 2013·Journal of Consulting and Clinical Psychology·Jeffrey T ParsonsSarit A Golub
Jan 31, 2014·Current HIV Research·Jose A BauermeisterGary W Harper
Mar 5, 2014·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Andreia B AlexanderGregory D Zimet
Dec 30, 2014·Journal of Health Psychology·Roberto BaioccoFiorenzo Laghi
Jun 8, 2015·Journal of Pediatric and Adolescent Gynecology·Juliana MeloMaryam Guiahi
Mar 10, 2016·Journal of Empirical Research on Human Research Ethics : JERHRE·Celia B FisherBrian Mustanski
Apr 12, 2016·American Journal of Preventive Medicine·Brian Mustanski, Celia B Fisher
Sep 16, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sybil G HosekUNKNOWN Adolescent Trials Network (ATN) for HIVAIDS Interventions
Feb 12, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jeffrey T ParsonsChristian Grov
Sep 7, 2017·Archives of Sexual Behavior·Brian MustanskiCelia B Fisher
May 23, 2018·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Kathryn MacapagalBrian Mustanski
Jun 26, 2018·American Journal of Preventive Medicine·Brian MustanskiGregory Swann
Sep 25, 2018·Sexuality Research & Social Policy : Journal of NSRC : SR & SP·Michael E NewcombBrian Mustanski
Oct 23, 2018·Current Pediatrics Reports·Tanya L Kowalczyk Mullins, Corinne E Lehmann
Oct 30, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Brian C Thoma, David M Huebner
Jul 31, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Krystal MadkinsBrian Mustanski
Aug 28, 2019·Sexually Transmitted Diseases·Chelsea L ShannonUNKNOWN Adolescent Trials Network (ATN) CARES Team

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.