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Year:: 2023
Contributor:: Durandeau, Eva (creator); Rusley, Jack (thesis advisor); Achilli, Toni-Marie (reader); Brown University. Biology and Medicine (sponsor)
Genre:: theses
Subject:: HIV infections--Prevention; Teenagers--Sexual behavior; Sexual health--Research

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Abstract:: Adolescent sexual minority and/or gender diverse assigned males (ASM/GDM) are at higher risk of acquiring HIV in their lifetimes than their heterosexual and cisgender peers. Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention method, but uptake has been low in this group. Prior work has highlighted suboptimal sexual health communication with caregivers as a barrier to uptake. This thesis aimed to understand the impact of relationship quality between parents and adolescents on sexual health communication and parents’ willingness to support their adolescent using PrEP (“PrEP willingness”). Data was obtained from fourteen individual in-depth interviews with parents in the US who had at least one adolescent age 14-17 who was assigned male at birth. Participants were recruited via social media advertisements, during primary or gender specialty care clinical visits, and by community-based organization outreach. Interviews were facilitated using a semistructured guide. Detailed debriefs were written immediately after the interviews, reviewed, and summarized using a content analysis approach to determine preliminary themes about relationship quality, sexual health communication and PrEP willingness. Analysis of the interviews showed that closer parent-adolescent relationships lead to more accepting, comprehensive, and proactive sexual health communication. Most parents expressed greater PrEP willingness and wanted to learn more about the medication (n=10), despite most caregivers having never heard of PrEP previously (n=9). However, parents with closer 2 relationships were not always PrEP willing, nor were parents with less close relationships always PrEP unwilling. Relationship quality between parents and ASM/GDM was generally greater among parents with more open and proactive sexual health communication. Relationship quality and PrEP willingness were not as closely related, but most parents were receptive to learning about PrEP and willing to consider it for their child regardless of relationship quality or openness of communication. Future studies should focus on facilitating open and inclusive SHC between caregivers and ASM/GDM by providing strategies, reducing PrEP and HIV misinformation, and incorporating parents into PrEP uptake interventions.
Notes:: Senior thesis (ScB)--Brown University, 2023; Concentration: Biology

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Citation

Durandeau, Eva, "Impact of Parent-Adolescent Relationship Quality on Sexual Health Communication and Willingness to Support Pre-Exposure Prophylaxis for HIV" (2023). Biology and Medicine Theses and Dissertations. Brown Digital Repository. Brown University Library. https://repository.library.brown.edu/studio/item/bdr:j8w95bdv/

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Biology and Medicine Theses and Dissertations

Theses and Dissertations for the Biology and Medicine department.
...

Impact of Parent-Adolescent Relationship Quality on Sexual Health Communication and Willingness to Support Pre-Exposure Prophylaxis for HIV