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. 2021 Jan 4;10(1):e22279.
doi: 10.2196/22279.

Research Priorities to End the Adolescent HIV Epidemic in the United States: Viewpoint

M Isabel Fernandez #  1 , Gary W Harper #  2 , Lisa B Hightow-Weidman #  3 , Bill G Kapogiannis #  4 , Kenneth H Mayer #  5 , Jeffrey T Parsons #  6 , Mary Jane Rotheram-Borus #  7 , Arlene C Seña #  3 , Patrick S Sullivan #  8
Affiliations

Research Priorities to End the Adolescent HIV Epidemic in the United States: Viewpoint

M Isabel Fernandez et al. JMIR Res Protoc. .

Abstract

Youth represent 21% of new HIV diagnoses in the United States. Gay, bisexual, and transgender (GBT) youth, particularly those from communities of color, and youth who are homeless, incarcerated, in institutional settings, or engaging in transactional sex are most greatly impacted. Compared with adults, youth have lower levels of HIV serostatus awareness, uptake of antiretroviral therapy (ART), and adherence. Widespread availability of ART has revolutionized prevention and treatment for both youth at high risk for HIV acquisition and youth living with HIV, increasing the need to integrate behavioral interventions with biomedical strategies. The investigators of the Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) completed a research prioritization process in 2019, focusing on research gaps to be addressed to effectively control HIV spread among American youth. The investigators prioritized research in the following areas: (1) innovative interventions for youth to increase screening, uptake, engagement, and retention in HIV prevention (eg, pre-exposure prophylaxis) and treatment services; (2) structural changes in health systems to facilitate routine delivery of HIV services; (3) biomedical strategies to increase ART impact, prevent HIV transmission, and cure HIV; (4) mobile technologies to reduce implementation costs and increase acceptability of HIV interventions; and (5) data-informed policies to reduce HIV-related disparities and increase support and services for GBT youth and youth living with HIV. ATN's research priorities provide a roadmap for addressing the HIV epidemic among youth. To reach this goal, researchers, policy makers, and health care providers must work together to develop, test, and disseminate novel biobehavioral interventions for youth.

Keywords: HIV/AIDS; adolescents.

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Conflict of interest statement

Conflicts of Interest: ACS receives support from a Gilead FOCUS grant. The other authors have no conflicts to declare.

Figures

Figure 1
Figure 1
Map of Adolescent Medicine Trials Network for HIV/AIDS Interventions study sites and Ending the HIV Epidemic geographic areas.
Figure 2
Figure 2
A nested model of the research needed to defeat the rising HIV epidemic among adolescents and young adults in the United States. This model includes the primary targeted outcomes to achieve reductions in HIV among youth at high risk and viral suppression among youth living with HIV.
See this image and copyright information in PMC

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