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

Tyrel J. Starks, Travis I. Lovejoy, Daniel Sauermilch, Gabriel Robles, Mark J. Stratton, Demetria Cain, Sylvie Naar, Sarah W.Feldstein Ewing

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
JournalAIDS and Behavior
DOIs
StateAccepted/In press - 2020

Keywords

  • Adolescence
  • Couples HIV testing
  • Gay couples
  • HIV prevention

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Developmental Barriers to Couples’ HIV Testing and Counseling Among Adolescent Sexual Minority Males: A Dyadic Socio-ecological Perspective'. Together they form a unique fingerprint.

Cite this