Improving Young Male Couples' Sexual and Relationship Health in the 2GETHER Program: Intervention Techniques, Environments of Care, and Societal Considerations.
Improving Young Male Couples' Sexual and Relationship Health in the 2GETHER Program: Intervention Techniques, Environments of Care, and Societal Considerations.
复制标题
DOI：
10.1016/j.cbpra.2018.07.004
复制
发表时间：
2019-05-01
影响因子：
2.9
通讯作者：
Newcomb, Michael E
中科院分区：
文献类型：
--
作者：
Macapagal, Kathryn;Feinstein, Brian A;Newcomb, Michael E
年轻男性夫妇感染人类免疫缺陷病毒（HIV）的风险很高。然而，很少有艾滋病毒预防计划能够满足年轻男性夫妇对如何维持健康关系感兴趣的需求。因此，我们开发了 2GETHER，这是一项以夫妇为基础的计划，将降低艾滋病毒风险和性健康信息整合到专门针对年轻男性夫妇的关系教育计划中。 2GETHER 以降低艾滋病毒风险和关系功能的认知行为理论为指导，并以社会生态学视角为指导，解决夫妻内外可能影响性和关系健康的因素。作为微观层面的干预，2GETHER通过心理教育和认知行为策略直接干预夫妻，改变夫妻的沟通模式、性健康行为和关系满意度。 2GETHER 的成功实施需要中层干预措施，为性少数群体和在文化上有能力与年轻男性夫妇合作的促进者创造一个肯定的护理环境。尽管改变社会对性少数群体的接受度和与性少数群体相关的政策的宏观干预超出了 2GETHER 的范围，但我们讨论临床医生如何倡导系统性改变以改善性少数群体的健康，以及 2GETHER 如何解决此类宏观因素对夫妻关系的影响。我们开发和测试 2GETHER 的经验表明，针对年轻男性夫妇的艾滋病毒预防计划应反映塑造性少数群体个体关系和生活的独特背景，并且该计划应尽可能在多个层面进行干预，以改善性少数群体男性的健康。
Young male couples are at high risk for acquiring human immunodeficiency virus (HIV). However, few HIV prevention programs meet the needs of young male couples that express an interest in how to maintain healthy relationships. As such, we developed 2GETHER, a couple-based program that integrates HIV risk reduction and sexual health information into a relationship education program specific to young male couples. 2GETHER was guided by cognitive-behavioral theories of HIV risk reduction and relationship functioning and was informed by a social-ecological perspective to address factors within and outside the couple that can impact sexual and relationship health. As a micro-level intervention, 2GETHER intervenes directly with couples via psychoeducation and cognitive-behavioral strategies to change couples' communication patterns, sexual health behaviors, and relationship satisfaction. Successful implementation of 2GETHER requires mezzo-level interventions that create an affirming environment of care for sexual-minority individuals and facilitators who are culturally competent in working with young male couples. Although macro-level interventions to change societal acceptance of and policies germane to sexual-minority couples are beyond the scope of 2GETHER, we discuss how clinicians can advocate for systemic changes to improve sexual-minority couples' health, and how 2GETHER addresses the impact of such macro-level factors on the couple's relationship. Our experience developing and testing 2GETHER indicates that HIV prevention programs for young male couples should reflect the unique contexts shaping sexual-minority individuals' relationships and lives, and that programs should intervene within and across multiple levels when possible to improve health for sexual-minority men.