+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Gay male couples' attitudes toward using couples-based voluntary HIV counseling and testing



Gay male couples' attitudes toward using couples-based voluntary HIV counseling and testing



Archives of Sexual Behavior 43(1): 161-171



Many men who have sex with men acquire HIV from their primary male partners while in a relationship. Studies with gay couples have demonstrated that relationship characteristics and testing behaviors are important to examine for HIV prevention. Recently, couples-based voluntary HIV counseling and testing (CVCT) has become available to male couples throughout the U.S. However, HIV-negative couples' attitudes toward using CVCT and how their relationship characteristics may affect their use of CVCT remain largely unknown. This information is particularly relevant for organizations that offer CVCT. To assess couples' attitudes, and associated factors toward using CVCT, a cross-sectional study design was used with a novel Internet-based recruitment method to collect dyadic data from a national sample of 275 HIV-negative gay couples. Multivariate multilevel modeling was used to identify factors associated with differences between and within couples about their attitudes towards using CVCT. Findings revealed that couples were "somewhat" to "very likely" to use CVCT. More positive attitudes toward using CVCT were associated with couples who had higher levels of relationship satisfaction and commitment toward their sexual agreement and among those who had at least one partner having had sex outside of the relationship. Less positive attitude toward using CVCT was associated with couples who had higher levels of trust toward their partners being dependable. Differences within couples, including age between partners, whether sex had occurred outside of the relationship, and value toward a sexual agreement also affected their attitudes toward using CVCT. Providing additional testing methods may help HIV-negative gay couples better manage their HIV risk.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053356895

Download citation: RISBibTeXText

PMID: 24213623

DOI: 10.1007/s10508-013-0211-0


Related references

HIV voluntary counseling and testing of couples during maternal labor and delivery: the TRIPAI Couples study. Sexually Transmitted Diseases 40(9): 704-709, 2013

Couples' Voluntary HIV Counseling and Testing (CVCT) Followed by Treatment as Prevention (TasP) for Discordant Couples: The Impact of Each Step. Aids Research and Human Retroviruses 30(S1): A285-A286, 2014

Technical Assistance Needs for Successful Implementation of Couples HIV Testing and Counseling (CHTC) Intervention for Male Couples at US HIV Testing Sites. Aids and Behavior 20(4): 841-847, 2016

A Pilot Randomized Trial of Intervention Components Addressing Drug Use in Couples HIV Testing and Counseling (CHTC) with Male Couples. Aids and Behavior 23(9): 2407-2420, 2019

Perceived acceptability of home-based couples voluntary HIV counseling and testing in Northern Tanzania. Aids Care 24(4): 413-419, 2012

Attitudes toward couples-based HIV counseling and testing among MSM in Cape Town, South Africa. Aids and Behavior 17(Suppl. 1): S43-S50, 2013

Interest in couples-based voluntary HIV counseling and testing in a national U.S. sample of gay and bisexual men: the role of demographic and HIV risk factors. Archives of Sexual Behavior 43(1): 149-159, 2014

Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomised trial. The Voluntary HIV-1 Counseling and Testing Efficacy Study Group. Lancet 356(9224): 103-112, 2000

Predictors of first follow-up HIV testing for couples' voluntary HIV counseling and testing in Ndola, Zambia. Journal of Acquired Immune Deficiency Syndromes 66(1): E1-E7, 2014

Willingness of US men who have sex with men (MSM) to participate in Couples HIV Voluntary Counseling and Testing (CVCT). Plos one 7(8): E42953, 2012

Evolution of couples' voluntary counseling and testing for HIV in Lusaka, Zambia. Journal of Acquired Immune Deficiency Syndromes 47(1): 108-115, 2008

Willingness to use couples voluntary counseling and testing services among men who have sex with men in seven countries. Aids Care 26(2): 191-198, 2014

Home-Based HIV Testing and Counseling for Male Couples (Project Nexus): A Protocol for a Randomized Controlled Trial. Jmir Research Protocols 6(5): E101, 2017

An Examination of Gay Couples' Motivations to Use (or Forego) Pre-exposure Prophylaxis Expressed During Couples HIV Testing and Counseling (CHTC) Sessions. Prevention Science 20(1): 157-167, 2019

Couples' voluntary HIV counseling and testing provider training evaluation, Zambia. Health Promotion International 33(4): 580-588, 2018