HIV Specialist - March 2021 - 31

How to Scale PrEP for
Adolescents and
Young Adults
By: Carrie Chan, CPNP, Geoffrey Hart-Cooper, MD and Megen Vo, MD

T

HE STATISTICS REGARDING HIV INFECTION RATES among

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adolescents and young adults are daunting:

About one in five new HIV diagnoses are among adolescents and
young adults ages 13-24.1
Not surprisingly, in many states including California, youth ages
13-24 have the greatest unmet pre-exposure prophylaxis (PrEP)
needs compared with any other age group.2

While pre-exposure prophylaxis (PrEP) was first approved for HIV
prevention in 2012 by the U.S. Food and Drug Administration (FDA),
its use for adolescents was approved in 2018. PrEP has been shown to
reduce the risk of acquiring HIV from sex by about 99 percent if taken
daily; however, uptake and adherence can be particularly challenging
for adolescents and young adults.3,4
In addition, racial and ethnic healthcare disparities are discouragingly apparent in PrEP awareness and use. We see significant and
concerning disparities in HIV diagnoses, PrEP awareness, discussing
PrEP with a provider and PrEP use.5

Create a program that appeals to adolescents
and young adults

At Stanford Children's Health, we developed the Stanford Medicine
Virtual PrEP Program for Adolescents and Young Adults to provide
youth-focused PrEP care. Our pediatric and adolescent providers
meet with patients from the comfort of their homes (or wherever
they choose) through free, confidential and secure virtual visits. We
are supported by a team of medical and physician assistant students
who provide PrEP support as our PrEP Navigator team. These " PrEP
Navs " are essential in frequently checking in with patients and navigating payment assistance programs.

ISTOCK/ DAWID MARKIEWICZ

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HIV Specialist - March 2021

Table of Contents for the Digital Edition of HIV Specialist - March 2021

HIV Specialist - March 2021 - Cover1
HIV Specialist - March 2021 - Cover2
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HIV Specialist - March 2021 - Cover3
HIV Specialist - March 2021 - Cover4
https://www.nxtbook.com/ygsreprints/AAHIVM/hiv-specialist-march-2021
https://www.nxtbook.com/ygsreprints/AAHIVM/G121337_AAHIV_122020
https://www.nxtbook.com/ygsreprints/AAHIVM/G119632_AAHIV_092020
https://www.nxtbook.com/ygsreprints/AAHIVM/G118334_AAHIV_062020
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