Evidence map›Paper›PMID 32157491›Full record

ArticleAIDS and behavior2020

What If My Dad Finds Out!?: Assessing Adolescent Men Who Have Sex with Men's Perceptions About Parents as Barriers to PrEP Uptake.

David A Moskowitz, Kathryn Macapagal, Melissa Mongrella, Leishla Pérez-Cardona, Michael E Newcomb, Brian Mustanski

Open access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  6. Article
  7. Parent-Adolescent Relationship Quality, Sexual Health Communication, and Willingness to Support Pre-Exposure Prophylaxis for HIV: A Qualitative Study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
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  13. Experiences of Successful PrEP Uptake Among Adolescent Sexual Minority Men in the United States: A Qualitative Exploration.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
    Article
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  20. Disclosure of male attraction to primary care clinicians by adolescent sexual minority males.Sexuality research & social policy : journal of NSRC : SR & SP · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

David A MoskowitzInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Avenue, Floor 14, Chicago, IL, 60611, USA.
Kathryn MacapagalInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Avenue, Floor 14, Chicago, IL, 60611, USA.
Melissa MongrellaInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Avenue, Floor 14, Chicago, IL, 60611, USA.
Leishla Pérez-CardonaMary Ann & J. Milburn Smith Child Health Research, Outreach and Advocacy Center, Chicago, IL, USA.
Michael E NewcombInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Avenue, Floor 14, Chicago, IL, 60611, USA.
Brian MustanskiInstitute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Avenue, Floor 14, Chicago, IL, 60611, USA. brian@northwestern.edu.
Northwestern University · USLurie Children's Hospital · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Virology and Immunology Technology CoreP30AI117943 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Sahera Dirajlal-Fargo · 2015 to 2026
$38.4M
A Pragmatic Trial of An Adaptive eHealth HIV Prevention Program for Diverse Adolescent MSMU01MD011281 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MUSTANSKI, BRIAN · 2016 to 2020
$9.7M
NCATS NIH HHS UL1 TR001422NIAID NIH HHS P30 AI117943NIMHD NIH HHS U01 MD011281NIMHD NIH HHS U01MD011281
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy for high-risk adults and recently was given US FDA approval for use among adolescents. Yet, the barriers to medication uptake for this population are unique when compared to adult populations, as parents may be just as likely as prescribers to be gatekeepers to access. To better understand the role of parents in adolescents' attitudes towards PrEP, we surveyed 491 adolescent men who have sex with men (AMSM) ages 13-18, using forced choice and open-ended response questions. We measured perceived parent-PrEP supportiveness, hypothetical parent reactions to a request to initiate PrEP, and perceived positive and negative aspects of taking PrEP without parents knowing. A mixed-methods approach was employed. Results indicated a majority of AMSM had heard of PrEP and most reported their parents would be unsupportive of their taking PrEP. Teens perceived their parents would likely be angry, accusatory, and punitive if PrEP use was discovered, and that accessing PrEP independent of parents might increase their health autonomy, agency, and prevent awkward conversations about sex. Furthermore, a path model revealed that fears of parental reaction and poor self-efficacy to communicate with parents about PrEP significantly contributed to participants feeling PrEP was not "right" for them, and as a corollary, less interest in starting PrEP. The study suggests that improving parental knowledge of PrEP and encouraging parents to begin the conversation about PrEP could help increase uptake in AMSM.

Indexed as

Parent-Child RelationsAdolescentAdultAnti-HIV AgentsCommunicationFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHomosexuality, MaleHumansMaleParentsPre-Exposure ProphylaxisQualitative ResearchSafe SexSurveys and QuestionnairesAnti-HIV AgentsAdolescentsFamily communicationHIV preventionParentsPrEP

Identifiers

PMID32157491
PMCPMC7462124
OpenAlexW3010806265

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.