Perspectives from Young Partnered Gay, Bisexual, and Other Men Who Have Sex with Men on the Adaptation of Couples HIV Testing and Counseling (CHTC)

AIDS Behav. 2021 Mar;25(3):836-846. doi: 10.1007/s10461-020-03037-3. Epub 2020 Sep 25.


Young gay, bisexual, and other men who have sex with men (YGBMSM) are a priority population for HIV prevention efforts. Although there has been a growing focus on dyadic HIV prevention interventions for same-gender male couples, the unique needs of partnered YGBMSM have been largely overlooked. In this qualitative study, we explored partnered YGBMSM's perceptions of existing HIV prevention interventions to inform the design of a relationship-focused HIV prevention intervention. Between July and November 2018, we conducted in-depth interviews with 30 young partnered YGBMSM (mean age = 17.8, SD = 1.1). Participants described that interventions were needed to address skills regarding: (1) implicit versus explicit communication about sexual agreements; (2) boundary setting and identifying signs of abusive relationships; and (3) relationship dynamics (e.g., trust). Participants noted the absence of inclusive sexual education for them; thus, findings suggest that the provision of relationship skills training are requisites for HIV prevention interventions with YGBMSM in the US.

Keywords: Gay and bisexual men; HIV testing; Relationships; Youth.

MeSH terms

  • Communication*
  • Counseling*
  • HIV Infections / diagnosis*
  • HIV Infections / prevention & control
  • HIV Infections / psychology
  • HIV Testing / methods*
  • Homosexuality, Male / psychology*
  • Humans
  • Interviews as Topic
  • Male
  • Qualitative Research
  • Sexual Partners / psychology*
  • Sexual and Gender Minorities / psychology*
  • Young Adult