{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T18:19:17Z","timestamp":1790705957529,"version":"4.1.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Research Service Award","award":["5TL1TR002388"],"award-info":[{"award-number":["5TL1TR002388"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Over 7000 youth ages 13\u201324 are diagnosed annually with HIV-1 in the United States despite the 2018 approval of oral pre-exposure prophylaxis (PrEP) for adolescents, highlighting the need for more research on provider prescribing practices in pediatric populations. Prior research chiefly focuses on patient barriers to accessing PrEP, and thus, our study explored provider barriers. From August to December of 2023, we conducted a survey of medical providers in pediatrics, family medicine (FM), and internal medicine (IM)\/pediatrics. A 5-point Likert scale (0\u20134) assessed comfort in providing adolescent sexual health care and potential barriers to PrEP prescription, including discussions around sexual activity, gender identity, sexual orientation, sexually transmitted infections, and PrEP. In total, 158 responses were received. FM providers were more familiar with PrEP (3.4 to 1.5, 76.4% difference) and with prescribing PrEP (3.4\u20130.7, 131.2%) than pediatric providers. Logistic regression analysis found that FM providers were 32 times more likely to prescribe PrEP than pediatric providers. Pediatric providers were 3.4 times more likely than FM providers to identify barriers to PrEP prescription, notably \u201clack of time to counsel on risk reduction\u201d, \u201clack of capacity for follow-up\u201d, \u201clack of knowledge,\u201d and \u201clack of comfort\u201d and non-prescribers were 2.7 times more likely than prior prescribers to identify barriers, notably \u201clack of knowledge\u201d and \u201clack of comfort\u201d. This study highlights the crucial need for educational interventions for pediatric providers around PrEP provision, but also adolescent sexual health care more widely.<\/jats:p>","DOI":"10.1177\/10872914251394786","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T07:56:36Z","timestamp":1764834996000},"page":"515-524","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Barriers to Adolescent Pre-exposure prophylaxis and Sexual Health Care in Pediatric Versus Family Medicine Providers"],"prefix":"10.1177","volume":"39","author":[{"given":"Alex","family":"Rosencrance","sequence":"first","affiliation":[{"name":"Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Rosebush","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Infectious Diseases, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Mannheim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Section of Infectious Diseases, University of Chicago, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/17512433.2019.1698946"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/phar.2240"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2021.1936440"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1011205"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2101016"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2407001"},{"key":"e_1_3_2_8_2","unstructured":"CDC. The Preexposure Prophylaxis for the Prevention of HIV Infection in the United States\u20132021 Update. Available from: https:\/\/www.cdc.gov\/hiv\/pdf\/risk\/prep\/cdc-hiv-prep-guidelines-2021.pdf"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2023.0131"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25461"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25883"},{"key":"e_1_3_2_12_2","unstructured":"Centers for Disease Control and Prevention. Diagnoses deaths and prevalence of HIV in the United States and 6 territories and freely associated states 2022. HIV Surveillance Report 2022. vol. 35. Available from: http:\/\/www.cdc.gov\/hiv-data\/nhss\/hiv-diagnoses-deaths-prevalence.html. Published May 2024."},{"key":"e_1_3_2_13_2","unstructured":"U.S Health and Human Services. (2019. August 18). America\u2019s HIV epidemic analysis dashboard (AHEAD). Retrieved August 27 2025. Available from: https:\/\/ahead.hiv.gov"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2174\/1570162x12666140129100411"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000001164"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-019-00995-6"},{"issue":"3","key":"e_1_3_2_17_2","first-page":"21","article-title":"Young HIV-infected adults are at greater risk for medication nonadherence","volume":"4","author":"Becker SL","year":"2002","unstructured":"Becker SL, , Dezii CM, , Burtcel B, et al. Young HIV-infected adults are at greater risk for medication nonadherence. 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Youth Risk Behavior Survey Data Summary & Trends Report: 2013\u20132023. U.S. Department of Health and Human Services; 2024."},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1542\/9781610020237"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-3740"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.78826"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2023.02.017"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2018.10.007"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2858"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-021-01007-x"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000003943"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2019.305389"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2023.00808"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.focus.2024.100311"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2022.307199"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2014.10.262"},{"key":"e_1_3_2_40_2","unstructured":"Published. 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