Teens and young adults often don't use HIV-prevention medications known as PrEP, even when they could benefit from these drugs. But a few simple strategies, including telehealth coaching appointments and automated text messages, can dramatically boost usage in this group, a new study finds.
"We've known for decades now that HIV prevention is not a high priority for many people struggling with daily survival needs, other mental or physical health priorities, or other priorities in their lives," said Dallas Swendeman, lead author of the report and a behavioral scientist at UCLA's Center for HIV Identification, Prevention, and Treatment Services.
To find ways of boosting PrEP use among young people, Swendeman and colleagues recruited hundreds of teens and young adults ages 12 to 24 in Los Angeles and New Orleans. The trial focused on gay and bisexual men and other men who have sex with men, as well as on transgender and gender-diverse people, as more than 80% of young people with HIV in the U.S. belong to these categories.
The peer-support groups enabled young people to chat about topics ranging from current events and pop culture to mental health and jobs. They were also safe spaces for participants to ask questions about PrEP, share experiences and raise concerns.Finally, participants received coaching from people whose backgrounds closely matched their own. Coaches started by interviewing the participants to identify strengths and challenges in their daily lives.
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