Beyond the “public health paradox”: Explaining rising HIV infections among youth in the Philippines

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Key Points

This commentary explores the rising HIV infections among youth in the Philippines and critiques the interpretation of the public health paradox related to PrEP use.
Discussed the rise in HIV infections among ages 15-24 and assessed the implications of increased PrEP access.
Highlighted structural issues like stigma and inadequate funding affecting HIV prevention services.
Suggested interventions such as improved sexual health education and expanded access to testing and PrEP.
Noted that PrEP coverage is below UNAIDS recommendations, suggesting low impact on population-level HIV trends.
Identified stigma and limited health services as critical factors in rising infections.
Recommended innovative approaches to HIV prevention, emphasizing youth involvement and education.

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Commentary reveals structural factors driving HIV infections in youth, indicating urgent need for improved health services.

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Gareth Davey (2026) studied this question.

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