Posey Dionta, Temples Heide S
J Pediatr Health Care. 2025 May-Jun;39(3):503-514. doi: 10.1016/j.pedhc.2024.07.011.
Preexposure prophylaxis (PrEP) uptake remains low among adolescents and young adults at high risk due to various barriers, such as decreased access to care, human immunodeficiency virus (HIV) stigma, and misinformation. The barriers to the uptake of PrEP among adolescents and young adults are multifaceted and require comprehensive mitigation strategies. Presented is the epidemiology of HIV, pathophysiology, and complications of HIV in adolescents, history of PrEP research, "How to End the HIV Epidemic in the U.S." plan, reviewing and eliminating barriers to PrEP care, PrEP curriculum opportunities for the provider, and the role of the nurse practitioner in reducing new HIV diagnoses in adolescents.
由于各种障碍，如获得护理的机会减少、对人类免疫缺陷病毒（HIV）的污名化以及错误信息，暴露前预防（PrEP）在高危青少年和年轻人中的使用率仍然很低。青少年和年轻人接受PrEP的障碍是多方面的，需要全面的缓解策略。本文介绍了青少年中HIV的流行病学、病理生理学和HIV并发症、PrEP研究历史、“如何在美国终结HIV流行”计划、审查和消除PrEP护理障碍、为提供者提供的PrEP课程机会以及执业护士在减少青少年新HIV诊断方面的作用。
