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Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities

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Abstract

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.

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Acknowledgments

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.

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Authors and Affiliations

  1. Hubert Department of Global Health, Rollins School of Public Health, 1518 Clifton Road NE, #722, Emory, Atlanta, GA, 30322, USA

    Rob Stephenson

  2. Department of Epidemiology, Rollins School of Public Health, Emory, Atlanta, GA, USA

    Patrick S. Sullivan

  3. Department of Behavioral Science & Health Education, Rollins School of Public Health, Emory, Atlanta, GA, USA

    Laura F. Salazar

  4. Howard Brown Health Center and School of Public Health, University of Illinois at Chicago, Chicago, IL, USA

    Beau Gratzer

  5. Zambia-Emory HIV Research Group, Department of Pathology, School of Medicine, Emory University, Atlanta, GA, USA

    Susan Allen

  6. Lifelong AIDS Alliance, Seattle, WA, USA

    Erick Seelbach

Authors
  1. Rob Stephenson
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  2. Patrick S. Sullivan
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  3. Laura F. Salazar
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  4. Beau Gratzer
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  5. Susan Allen
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  6. Erick Seelbach
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Correspondence to Rob Stephenson.

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Stephenson, R., Sullivan, P.S., Salazar, L.F. et al. Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities. AIDS Behav 15 (Suppl 1), 80–87 (2011). https://doi.org/10.1007/s10461-011-9893-2

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  • DOI: https://doi.org/10.1007/s10461-011-9893-2

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