Chlamydia trachomatis is the most common reportable sexually transmitted infection (STI) in the United States, with >60% of reported cases occurring in individuals aged 15-24. US practice guidelines recommend directly observed therapy (DOT) for the treatment of chlamydia in…

Clinical decision support (CDS) is a promising intervention for improving uptake of HIV testing and pre-exposure prophylaxis (PrEP). However, little is known regarding provider perspectives on acceptability, appropriateness, and feasibility of CDS for HIV prevention in pediatric…

Many adolescents use the emergency department (ED) as their primary source of health care. As a result, the ED serves as a unique opportunity to reach adolescents. Although many adolescent visits to the ED are related to reproductive health, ED providers report barriers to providing…

STUDY OBJECTIVE: The objective of this study was to examine racial/ethnic disparities in contraceptive delivery for adolescent patients within an adolescent medicine subspecialty clinical system before and during the COVID-19 pandemic. Secondarily, we aimed to assess the relationship…

Growing rates of sexually transmitted infections (STIs) and limited access to comprehensive reproductive health care in many states highlight the need to better support our teens with research, programming and policies that address their full spectrum of sexual and reproductive health…

Through the federal family planning program, Title X, all minors seeking care at a Title X-funded clinic are legally allowed to access confidential services, including sexually transmitted disease testing, contraception and pregnancy counseling, without a parent or guardian even in…

IMPORTANCE: In May 2019, new federal regulations regarding Title X funding were introduced. There has been no formal evaluation of the impact of this regulatory shift as it pertains to minors' access to services. OBJECTIVE: To explore the geography of federally funded…

Telehealth services for medical care were rarely available in the United States before March 2020 when stay-at-home orders went into place in response to the coronavirus disease 2019 (COVID-19) pandemic. Gender-affirming care for transgender and nonbinary (TNB) individuals was no…

Incidence of syphilis has been rising in recent years and disproportionately affects young adults, racial/ethnic minority men, and people living with HIV. This study describes patterns of syphilis infection and syphilis-related care utilization among adolescents and young adults living…

This qualitative study aimed to determine how men and gender diverse individuals who have sex with men describe their perceived risk of HIV and what factors influence this risk assessment. We conducted in-depth, virtual interviews with 18 HIV-negative individuals from Philadelphia,…