Methods: We administered validated PrEP acceptability and barriers measures to HIV(-) 13-17 year olds from January-April 2016 in an adolescent clinic and emergency department in Atlanta, GA. Total measure scores (acceptability = AS; barriers = BS) were calculated by averaging survey items and ranged from 1 to 3. For AS, 1 was very unlikely, while 3 was very likely to accept PrEP; concomitantly, scores near 3 indicated fewer barriers to PrEP. Participants were stratified by risk group (high versus low), high risk being: more than three lifetime partners, unprotected sex, use of alcohol or drugs before sex, and lack of consistent and correct condom use. Two-sample testing and Pearson correlations were used to evaluate between groups.
Results: 102 adolescent/parent dyads were recruited. Adolescents were 67% female, 94% black, with mean age of 15.7 ± 1.5 years. Overall, 17% met high risk criteria. Thirty one percent admitted having sex, of those, 53% used condoms routinely. Three percent had a previous sexually transmitted illness, but none were aware of their HIV status. Overall AS averaged between somewhat to very likely (2.4 ± 0.5) with no differences between risk groups (p=0.571). BS averaged between unlikely and somewhat likely (2.0 ± 0.4) with no differences between risk groups (p=0.180).
Parents were 94% female, 96% black, with mean age of 42.5 ± 8.9 years. Nearly all (93%) had conversations about sex with their teenagers, and 23% knew their child was sexually active. Overall parent AS averaged between somewhat likely and very likely (2.2 ± 0.6), and BS averaged between unlikely and somewhat likely (1.9 ± 0.5) with no difference between risk groups (p=0.276 and p=0.333).
Conclusion: The adolescent/parent dyad are likely to accept PrEP and its implementation as an HIV prevention method, regardless of risk. These results support future PrEP research in adolescents.
C. R. Morris, None
S. E. Gillespie, None
A. Camacho-Gonzalez, None