TY - JOUR
T1 - Medical Care for Adolescent Males Who Have Sex with Males
AU - Chulani, Veenod
AU - Cooper, M. Brett
AU - Reitman, David
AU - Warus, Jonathan
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/6
Y1 - 2021/6
N2 - Purpose of review: This paper reviews the most recent literature describing the bio-psycho-social challenges that may be faced by adolescent males who have sex with males (AMSM) and outlines recommendations for screening, medical and psychosocial concerns, and prevention for this population. Recent findings: Emerging research has demonstrated that adverse childhood experiences (ACEs) disproportionately affect AMSM, which can impact lifelong psychosocial functioning. In addition, significant medical advances in HIV prevention should be incorporated into primary care for adolescents and young adults at risk for HIV. Summary: Pediatricians need to understand the psychological and physical health risks which may be unique to AMSM. Screening and referral for depression, anxiety, substance use, and/or high-risk sexual behavior is especially important for this sub-group of adolescents and young adults. For sexually active AMSM, HIV and STI screening (including screening of extragenital sites) should be performed regularly, and providers should encourage the use of pre-exposure prophylaxis for patients at risk for HIV.
AB - Purpose of review: This paper reviews the most recent literature describing the bio-psycho-social challenges that may be faced by adolescent males who have sex with males (AMSM) and outlines recommendations for screening, medical and psychosocial concerns, and prevention for this population. Recent findings: Emerging research has demonstrated that adverse childhood experiences (ACEs) disproportionately affect AMSM, which can impact lifelong psychosocial functioning. In addition, significant medical advances in HIV prevention should be incorporated into primary care for adolescents and young adults at risk for HIV. Summary: Pediatricians need to understand the psychological and physical health risks which may be unique to AMSM. Screening and referral for depression, anxiety, substance use, and/or high-risk sexual behavior is especially important for this sub-group of adolescents and young adults. For sexually active AMSM, HIV and STI screening (including screening of extragenital sites) should be performed regularly, and providers should encourage the use of pre-exposure prophylaxis for patients at risk for HIV.
KW - Adolescent
KW - Gay
KW - HIV prevention
KW - Health disparities
KW - Men who have sex with men
KW - STI screening
UR - http://www.scopus.com/inward/record.url?scp=85124720831&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85124720831&partnerID=8YFLogxK
U2 - 10.1007/s40124-021-00237-w
DO - 10.1007/s40124-021-00237-w
M3 - Review article
AN - SCOPUS:85124720831
VL - 9
SP - 30
EP - 36
JO - Current Pediatrics Reports
JF - Current Pediatrics Reports
SN - 2167-4841
IS - 2
ER -