Developmental Barriers to Couples' HIV Testing and Counseling Among Adolescent Sexual Minority Males: A Dyadic Socio-ecological Perspective.

TitleDevelopmental Barriers to Couples' HIV Testing and Counseling Among Adolescent Sexual Minority Males: A Dyadic Socio-ecological Perspective.
Publication TypePublication
Year of Publication2021
AuthorsStarks TJ, Lovejoy TI, Sauermilch D, Robles G, Stratton MJ, Cain D, Naar S, Ewing SWFeldstei
JournalAIDS Behav
Volume25
Issue3
Pagination787-797
Date Published2021 Mar
ISSN1573-3254
KeywordsAdolescent, AIDS Serodiagnosis, Communication, Counseling, Health Services Accessibility, HIV Infections, HIV Testing, Humans, Male, Patient Acceptance of Health Care, Qualitative Research, Sexual and Gender Minorities, Sexual Partners, Urban Population, Young Adult
Abstract

<p>Couples HIV Testing and Counseling (CHTC) is now a standard of care for partnered sexual minority men. While adolescent sexual minority men (ASMM; ages 15-19) face disproportionate HIV risk, the emergent nature of relationships and communication skills may present challenges to accessing and engaging in CHTC. This study utilized qualitative data from 28 ASMM recruited in 4 urban centers in the USA during the formative stage of Adolescent Trials Network study ATN-156. Participants were cis-male, HIV-negative, and in a relationship with a similarly-aged cis-male partner. Thematic analysis indicated low and high levels of commitment were barriers to CHTC. Concerns about caregiver attitudes towards HIV testing were salient. Adolescents' perception of structural barriers highlighted reliance on caregiver resources, which limited access to sexual health services. Prevention programming must address structural barriers to access encountered by adolescents. ASMM in relationships may benefit from programming that includes options for individual and dyadic participation.</p>

DOI10.1007/s10461-020-03044-4
Alternate JournalAIDS Behav
PubMed ID32944842
PubMed Central IDPMC7887008
Grant ListU19 HD089875 / HD / NICHD NIH HHS / United States
U19 HD089875 / HD / NICHD NIH HHS / United States