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

Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities
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DOI:
10.1007/s10461-011-9893-2
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发表时间:
2011-04-01
期刊:
影响因子:
4.4
通讯作者:
Seelbach, Erick
Seelbach, Erick
中科院分区:
医学2区
文献类型:
--
作者:
Stephenson, Rob;Sullivan, Patrick S.;Seelbach, Erick

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以夫妇为基础的自愿艾滋病毒咨询和检测(CVCT)-夫妇接受咨询和他们的艾滋病毒检测结果一起-已被证明是非洲异性恋血清不协调夫妇中通过发起行为改变来减少艾滋病毒传播的一种有效策略。这项研究调查了美国三个城市男男性行为者(MSM)对CVCT的态度。在亚特兰大、芝加哥和西雅图与男男性接触者举行了四次焦点小组讨论(FGD)。尽管最初犹豫不决,但参与者报告说,他们压倒性地接受了CVCT。CVCT被视为一段恋情中承诺的标志,据报道,它更适合处于长期关系中的男性。CVCT还被视为为讨论两国关系中的冒险行为提供了一个论坛。我们的结果表明,在美国的MSM中可能存在对CVCT的需求,但可能需要对现有的非洲CVCT方案进行一些修改。
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.