Youth-Serving Professionals' Perspectives on HIV Prevention Tools and Strategies Appropriate for Adolescent Gay and Bisexual Males and Transgender Youth

J Pediatr Health Care. 2020 Mar-Apr;34(2):e1-e11. doi: 10.1016/j.pedhc.2019.09.003. Epub 2019 Oct 23.


Introduction: HIV disproportionally burdens adolescent men who have sex with men (AMSM) and transgender youth. This study explores barriers and facilitators that professionals face in delivering HIV preventive services and education.

Methods: Adolescent health providers (nurse practitioners, physicians, and other), school nurses, youth workers, and school educators were recruited nationally for this qualitative study.

Results: Thirty-four professionals participated. Common categories identified across professional group were (1) effective strategies for building trust with youth, (2) perceived barriers/facilitators to sexual health communication, (3) perceived barriers/facilitators to effective HIV prevention, and (4) preferred content for HIV prevention tools.

Discussion: Key elements for developing multidisciplinary resources to support AMSM and transgender youth should include (1) web-based or easily accessible sexual health educational materials, (2) resources for referrals, (3) trainings to support competence in caring for sexual and gender minority youth, and (4) guidance for navigating policies or eliciting policy change.

Keywords: HIV prevention; adolescent men who have sex with men; multidisciplinary professionals; sexual health; transgender youth.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adolescent Medicine*
  • Attitude of Health Personnel*
  • HIV Infections / prevention & control*
  • Homosexuality, Male / psychology*
  • Humans
  • Male
  • Sexual and Gender Minorities / psychology*
  • Transgender Persons / psychology*