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Attitudes Toward Couples-Based HIV Counseling and Testing Among MSM in Cape Town, South Africa

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Abstract

Couples-based voluntary HIV counseling and testing (CVCT) allows couples to receive their HIV test results together and has been demonstrated to be effective in reducing HIV transmission, increasing and sustaining condom use, and reducing sexual risk-taking among at-risk heterosexual couples. However, the acceptability of CVCT among MSM has yet to be evaluated in an African setting. The results from seven focus group discussions and 29 in-depth interviews conducted in Cape Town, South Africa exhibit overwhelmingly high acceptance of CVCT. Participants were attracted to the counseling components of the service, stating that these would allow for the couple to increase their commitment and to explore methods of how to effectively reduce their risk of acquiring or transmitting HIV in the presence of a trained counselor. These results suggest CVCT would be highly welcomed and could work to fill the significant lack of services available and accessible to MSM couples in Cape Town.

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References

  1. Painter TM. Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa. Soc Sci Med. 2001;53:1397–411.

    Article  PubMed  CAS  Google Scholar 

  2. Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S, Fideli U, et al. Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS. 2003;17(5):733–40.

    Article  PubMed  Google Scholar 

  3. Dunkle KL, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.

    Article  PubMed  Google Scholar 

  4. Allen S, Tice J, Van de Perre P, Serufilira A, Hudes ES, Nsengumuremyi F, et al. Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. Br Med J. 1992;304:1605–9.

    Article  CAS  Google Scholar 

  5. Roth DL, Stewart KE, Clay OJ, van der Straten A, Karita E, Allen S. Sexual practices of HIV discordant and concordant couples in Rwanda: effects of testing and counselling programme for men. Int J STD AIDS. 2001;12:181–8.

    Article  PubMed  CAS  Google Scholar 

  6. Allen S, Serufilira A, Gruber V, Kegeles S, Van de Perre P, Carael M, et al. Pregnancy and contraception use among urban Rwandan women after HIV testing and counselling. Am J Public Health. 1993;83(5):705–10.

    Article  PubMed  CAS  Google Scholar 

  7. Sweat M, Gregorich S, Sangiwa G, Furlonge C, Balmer D, Kamenga C, et al. Cost-effectiveness of voluntary HIV-1 counselling and testing in reducing sexual transmission of HIV-1 in Kenya and Tanzania. Lancet. 2000;356:113–21.

    Article  PubMed  CAS  Google Scholar 

  8. Smith AD, Tapsoba P, Peshu N, Sanders EJ, Jaffe HW. Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet. 2009;374:416–22.

    Article  PubMed  Google Scholar 

  9. Sandfort TGM, Nel J, Rich E, Reddy V, Yi H. HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey. Sex Transm Infect. 2008;84(6):425–9.

    Article  PubMed  CAS  Google Scholar 

  10. Burrell E, Baral S, Beyrer C, Wood R, Bekker L, editors. Comparison of sexual risk behaviours and HIV prevalence among men who have sex with men (MSM) in traditionally black and coloured townships in Cape Town, South Africa. In: 4th South African AIDS conference; 2009.

  11. Lane T, Raymond HF, Dladla S, Rasethe J, Struthers H, McFarland W, et al. High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto men’s study. AIDS Behav. 2009;15(3):626–34.

    Google Scholar 

  12. Rispel L, Metcalf C, Cloete A, Reddy V, Townsend T, Zembe Y, editors. A hidden HIV epidemic among men who have sex with men (MSM)? Preliminary findings from the Johannesburg/eThekwini Men’s Study. In: 4th South African AIDS Conference. Durban; 2009.

  13. Shisana O, Rehle T, Simbayi LC, Zuma K, Jooste S, Pillay-Van Wyk V, et al. South African national HIV prevalence, incidence, behaviour and communication survey 2008: a turning tide among teenagers?. Cape Town: HSRC Press; 2009.

    Google Scholar 

  14. Wade AS, Kane CT, Diallo PAN, Diop AK, Gueye K, Mboup S, et al. HIV infection and sexually transmitted infections among men who have sex with men in Senegal. AIDS. 2005;19:2133–40.

    Article  PubMed  Google Scholar 

  15. Beyrer C. HIV/AIDS: HIV epidemiology update and transmission factors: risks and risk contexts—16th international AIDS conference epidemiology plenary. Clin Infect Dis. 2007;44(7):981–7.

    Article  PubMed  Google Scholar 

  16. van Harmelen J, Wood R, Lambrick M, Rybicki EP, Williamson AL, Williamson C. An association between HIV-1 subtypes and mode of transmission in Cape Town, South Africa. AIDS. 1997;11:81–7.

    Article  PubMed  Google Scholar 

  17. van Griensven F, de Lind van Wijngaarden JW, Baral S, Grulich A. The global epidemic of HIV infection among men who have sex with men. Curr Op HIV. AIDS. 2009;4(4):300–7.

    Google Scholar 

  18. UNAIDS. 2010 report on the global AIDS epidemic, Geneva; 2010.

  19. WHO. The Global Forum on MSM and HIV (MSMGF) Civil Society Consultation: MSM and Transgender Values and Preferences Regarding HIV- and STI-related Services. Genevain press: Geneva; 2010.

  20. Parry C, Petersen P, Dewing S, Carney T, Needle R, Kroeger K, et al. Rapid assessment of drug-related HIV risk among men who have sex with men in three South African cities. Drug Alcohol Depend. 2008;95(1–2):45–53.

    Article  PubMed  Google Scholar 

  21. Spielberg F, Branson BM, Goldbaum GM, Lockhart D, Kurth A, Celum CL, et al. Overcoming barriers to HIV testing: preferences for new strategies among clients of a needle exchange, a sexually transmitted disease clinic, and sex venues for men who have sex with men. J Acquir Immune Defic Syndr. 2003;32:318–28.

    Article  PubMed  Google Scholar 

  22. Wells H, Polders L. Gay and lesbian people’s experience of the health care sector in Gauteng. Joint Working Group Research Initiative, conducted by OUT LGBT Well-being in collaboration with the UNISA Centre for Applied Psychology Pretoria (undated).

  23. CDC. HIV among gay, bisexual and other men who have sex with men. 2010.

  24. Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62.

    Article  PubMed  Google Scholar 

  25. Stephenson R, Sullivan PS, Salazar LF, Gratzer B, Allen S, Seelbach E. Attitudes Towards Couples-Based HIV Testing Among MSM in Three US Cities. AIDS Behav. 2011;15:S80–7.

    Article  PubMed  Google Scholar 

  26. Morgan DL. Focus groups. Annu Rev Sociol. 1996;22:129–52.

    Article  Google Scholar 

  27. Varghese B, Maher JE, Peterman TA, Branson BM, Steketee RW. Reducing the risk of sexual HIV transmission: quantifying the per-act risk for hiv on the basis of choice of partner, sex act, and condom use. Sex Transm Dis. 2002;29(1):38–43.

    Article  PubMed  Google Scholar 

  28. Cloete A, Simbayi LC, Kalichman SC, Strebel A, Henda N. Stigma and discrimination experiences of HIV-positive men who have sex with men in Cape Town, South Africa. AIDS Care. 2008;20(9):1105–10.

    Article  PubMed  CAS  Google Scholar 

  29. Lee RS, Kochman A, Sikkema KJ. Internalized stigma among people living with HIV-AIDS. AIDS Behav. 2002;6(4):309–19.

    Article  Google Scholar 

  30. Baral S, Sifakis F, Cleghorn F, Beyrer C. Elevated risk for HIV infection among men who have sex with men in low- and middle income countries 2000–2006: a systematic review. PLoS Med. 2007;4(12):1901–11.

    Article  Google Scholar 

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Correspondence to Rob Stephenson.

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Stephenson, R., Rentsch, C., Sullivan, P. et al. Attitudes Toward Couples-Based HIV Counseling and Testing Among MSM in Cape Town, South Africa. AIDS Behav 17 (Suppl 1), 43–50 (2013). https://doi.org/10.1007/s10461-012-0293-z

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