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Building our youth for the future.

Linda-Gail Bekker1,2, Leigh Johnson3, Melissa Wallace1,4

  • 1The Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, University of Cape Town, Cape Town, South Africa.

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Summary

Adolescents and young adults, especially young key populations (YKPs), face high HIV risks and rising deaths. Interventions must be adolescent-centered, integrating prevention and treatment through testing, counseling, and technology.

Keywords:
HIVPrevention and treatmentyoung key populations

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Area of Science:

  • Public Health
  • Epidemiology
  • Adolescent Medicine

Background:

  • Adolescents and young adults are a high-risk group for HIV infection due to significant life transitions.
  • HIV-related mortality is increasing in this demographic, contrasting with declines in other age groups.
  • Young key populations (YKPs), including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent/young adult sex workers, disproportionately bear the HIV burden.

Discussion:

  • A comprehensive strategy combining primary and secondary HIV prevention with improved management is crucial.
  • An interwoven prevention and treatment cascade model, starting with HIV counseling and testing, is recommended.
  • Interventions must be adolescent-centered, considering their socio-ecological context and leveraging technology.

Key Insights:

  • New HIV infections and deaths among adolescents and young adults require urgent societal attention.
  • Adolescent-centered care and technology integration are vital for effective HIV prevention and management.
  • Addressing the unique vulnerabilities of YKPs is essential for achieving global HIV goals.

Outlook:

  • Sustained focus on HIV research, policy, and advocacy for YKPs is necessary.
  • Achieving zero new HIV infections, zero discrimination, and zero deaths depends on targeted interventions for youth.
  • Integrating innovative technologies into HIV prevention and care can improve outcomes for young people.