Medical Care for Adolescent Males Who Have Sex with Males

Veenod Chulani, M. Brett Cooper, David Reitman, Jonathan Warus

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)30-36
Number of pages7
JournalCurrent Pediatrics Reports
Volume9
Issue number2
DOIs
StatePublished - Jun 2021

Keywords

  • Adolescent
  • Gay
  • HIV prevention
  • Health disparities
  • Men who have sex with men
  • STI screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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