Developmental Barriers to Couples’ HIV Testing and Counseling Among Adolescent Sexual Minority Males: A Dyadic Socio-ecological Perspective
| Autor: | Sarah W. Feldstein Ewing, Daniel Sauermilch, Sylvie Naar, Travis I. Lovejoy, Mark J. Stratton, Demetria Cain, Tyrel J. Starks, Gabriel Robles |
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| Rok vydání: | 2020 |
| Předmět: |
Counseling
Male medicine.medical_specialty Adolescent Urban Population Social Psychology HIV Infections Qualitative property Health Services Accessibility Article Developmental psychology HIV Testing Formative assessment Sexual and Gender Minorities Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Qualitative Research Reproductive health 030505 public health business.industry Communication Public health Perspective (graphical) Public Health Environmental and Occupational Health AIDS Serodiagnosis Patient Acceptance of Health Care Sexual minority Health psychology Sexual Partners Infectious Diseases Thematic analysis 0305 other medical science business Psychology |
| Zdroj: | AIDS Behav |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-020-03044-4 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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