Do confidentiality concerns impact pre-exposure prophylaxis willingness in emergency department adolescents and young adults?

While the Health Insurance Portability and Accountability Act (HIPAA) prevents release of information without written authorization, the insurer can provide the policy holder with information related to billing and payment in an Explanation of Benefits [EOB] which occurs more often in EDs where AYAs are more likely to seek care [3,6]. [...]research is critical as PrEP for AYAs expands in settings, including EDs where AYAs are frequently seeking care.Declarations of interest None.Acknowledgments Thank you to the participants in this study and the staff in Johns Hopkins Hospital Emergency Department Staff and HIV testing program.Funding This work was supported by the Adolescent and Young Adult Scientific Working Group (AYA SWG) Microgrant of the Johns Hopkins Center for AIDS Research (CFAR) Adolescent (PI: Characteristic Mean (SD) N (%) Age, in years 22.1 (2.2) Insurance status Insured 143 (91.7%) Under 26 on parent's insurance 71 (45.5%) Race (N = 116) White 20 (17.2%) Undefined 14 (12.1%) Black/African-American 82 (70.7%) Gender identity Female 92 (59.0%) Male 63 (40.4%) Other 1 (0.64%) Sexual orientation Heterosexual 135 (86.5%) LGBTQa 21 (13.5%) Sexual behaviors Men who have sex with men 4 (2.6%) Unprotected receptive anal sex 20 (12.8%) Unprotected receptive vaginal sex 59 (37.8%) STD/HIV history History of STI 38 (24.4%) Have been tested for HIV 126 (80.8%) Perception of HIV likelihood 3 (1.9%) Drug use last 6 months Marijuana 84 (53.9%) Otherb 7 (4.5%) Table 1 Demographics, N = 156.