Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities
- 424 Downloads
Couples-based voluntary HIV counseling and testing (CVCT)—in which couples receive counseling and their HIV test results together—has been shown to be an effective strategy among heterosexual sero-discordant couples in Africa for reducing HIV transmission by initiating behavioral change. This study examined attitudes towards CVCT among men who have sex with men (MSM) in three US cities. Four focus group discussions (FGD) were held with MSM in Atlanta, Chicago, and Seattle. Although initially hesitant, participants reported an overwhelming acceptance of CVCT. CVCT was seen as a sign of commitment within a relationship and was reported to be more appropriate for men in longer-term relationships. CVCT was also seen as providing a forum for the discussion of risk-taking within the relationship. Our results suggest that there may be a demand for CVCT among MSM in the United States, but some modifications to the existing African CVCT protocol may be needed.
KeywordsMSM Couples HIV testing
This research was supported by the Emory Center for AIDS Research (P30 AI050409), National Institute for Mental Health (1R34MH086331), and NIMH RO1 667667, Fogarty AIDS International Training and Research Program FIC 2D43 TW001042.
- 3.Gates GJ. Same-sex couples and the gay, lesbian, bisexual population: new estimates from the American Community Survey [online report]. 2006. Available at: http://www.law.ucla.edu/Williamsinstitute/publications/SameSexCouplesandGLBpopACS.pdf. Accessed May 2010.
- 4.Centers for Disease Control and Prevention. HIV Testing Survey, 2002. Atlanta: US. Department of Health and Human Services, Centers for Disease Control and Prevention; 2004. p. 1–28. HIV/AIDS Special Surveillance Report 5. 2004. Available at http://www.cdc.gov/hiv/stats/hasrsupp.htm.
- 5.Centers for Disease Control and Prevention. HIV prevalence, unrecognized infection, and HIV testing among men who have sex with men—five US cities, June 2004–April 2005. MMWR. 2005;52(24):597–601.Google Scholar
- 13.Chomba C, Allen S, Kaweka W, Tichacek A, Cox G, Shutes E, et al. Evolution of couples’ voluntary counseling and testing for HIV in Lusaka, Zambia. J AIDS. 2008;47(1):108–15.Google Scholar
- 14.Farquhar C, Kiarie JN, Richardson BA, Kabura M, Francis J, Nduati R, et al. Antenatal couple counseling increases uptake of interventions to prevent HIV-1 transmission. Epidemiol Soc Sci. 2004;37(5):1620–6.Google Scholar
- 18.Hageman KH, Tichacek A, Allen S. Couples voluntary counseling and testing. In: Mayer KH, Pizer HF, editors. HIV prevention: a comprehensive approach. London: Academic Press; 2009.Google Scholar
- 20.NUD*IST. QSR International: http://www.qsrinternational.com/. Accessed May 2010.
- 26.Gorbach PM, Holmes KK. Transmission of STIs/HIV at the partnership level: Beyond individual-level analyses. J Urban Health Bull NY Acad Med. 2003;80(3):iii15–25.Google Scholar
- 28.Marks G, Crepaz N, Senterfitt JW, Janssen R. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States Implications for HIV prevention programs. J AIDS. 2005;39(4):446–53.Google Scholar