Mitchell J W, Lee J-Y, Godoy F, Asmar L, Perez G
a Office of Public Health Studies , University of Hawai'i at Mānoa Myron B. Thompson School of Social Work , Honolulu , HI , USA.
b University of Miami Miller School of Medicine , Miami , FL , USA.
AIDS Care. 2018 Jun;30(sup2):54-60. doi: 10.1080/09540121.2018.1465527. Epub 2018 May 30.
A number of HIV prevention interventions for male couples are in the pipeline for development as few evidence-based ones exist. Among these projects, none include all three groups of male couples (concordant HIV-negative, HIV-discordant, and concordant HIV-positive) as their target population, and only two are eHealth-based. The present qualitative study sought to assess whether one of the eHealth HIV prevention interventions for concordant HIV-negative male couples - called MCAP - could be adapted to meet the relationship and HIV prevention needs of HIV-discordant and HIV-positive male couples. Data for this study are drawn from in-person, individual-level interviews conducted with a convenience sample of 10 HIV-discordant male couples (n = 20) and 8 HIV-positive male couples (n = 16) from the Miami-Fort Lauderdale metro area in 2016. Thematic analysis was conducted to identify patterns (themes) of partners' thoughts about the toolkit, including how they perceived it could be improved for their own relationship and other couple's relationships. Two themes emerged from analysis of the qualitative data suggesting how the participants wanted the toolkit to be improved to meet their needs. Specifically, participants recommended for the toolkit to include guidance about integrating the use of biomedical HIV prevention strategies into couple's relationships, as well as for how partners can best take care of each other and further protect themselves from HIV and/or other STIs (Prevention Guidance). In addition, participants requested for the concept of sexual agreements to be broadened to include other aspects they deemed to be important in their life (e.g., mental health, exercise and nutrition) (Holistic agreements). Findings from the present study illuminate the ways in which MCAP would need to be adapted for these two groups of male couples in order to meet the needs for all three groups of male couples in the U.S. in a future iteration of this intervention.
由于几乎没有基于证据的干预措施，许多针对男同性恋伴侣的艾滋病毒预防干预措施正在筹备开发中。在这些项目中，没有一个将所有三类男同性恋伴侣（艾滋病毒抗体均为阴性、一方感染艾滋病毒另一方未感染、艾滋病毒抗体均为阳性）作为目标人群，只有两个是以电子健康为基础的。本定性研究旨在评估一种针对艾滋病毒抗体均为阴性的男同性恋伴侣的电子健康艾滋病毒预防干预措施——称为MCAP——是否可以进行调整，以满足一方感染艾滋病毒另一方未感染以及艾滋病毒抗体均为阳性的男同性恋伴侣在关系和艾滋病毒预防方面的需求。本研究的数据来自2016年对迈阿密 - 劳德代尔堡都会区的10对一方感染艾滋病毒另一方未感染的男同性恋伴侣（n = 20）和8对艾滋病毒抗体均为阳性的男同性恋伴侣（n = 16）进行的个人层面的当面访谈。进行了主题分析，以确定伴侣们对该工具包的想法模式（主题），包括他们认为如何改进该工具包以适用于他们自己的关系以及其他伴侣关系。对定性数据的分析产生了两个主题，表明参与者希望如何改进该工具包以满足他们的需求。具体而言，参与者建议该工具包应包括关于将生物医学艾滋病毒预防策略的使用融入伴侣关系的指导，以及伴侣如何最好地相互照顾并进一步保护自己免受艾滋病毒和/或其他性传播感染（预防指导）。此外，参与者要求扩大性协议的概念，以包括他们认为在生活中重要的其他方面（例如心理健康、锻炼和营养）（整体协议）。本研究的结果阐明了为了在该干预措施的未来版本中满足美国所有三类男同性恋伴侣的需求，MCAP需要如何针对这两类男同性恋伴侣进行调整。
