Leblanc Natalie M, Muheriwa-Matemba Sadandaula R, St Vil Noelle, Alcena-Stiner Danielle, Bond Keosha T, Glazier Alexander, Rosario-McCabe Luis, Lambert Faith, Smith Martez
School of Nursing, University of Rochester, Rochester, New York, United States of America.
Research Education Institute for Diverse Scholars (REIDS), Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, Connecticut, United States of America.
PLoS One. 2025 Feb 25;20(2):e0299185. doi: 10.1371/journal.pone.0299185. eCollection 2025.
Given the influence of provider perspective and practice in the uptake of HIV/STI prevention and care strategies, this qualitative descriptive design study sought to illuminate perspectives of couples HIV testing and counseling (CHTC) and describe couple/partner-based practices among health providers in New York State. We utilized a purposive sampling strategy to recruit health providers (N = 27). Semi-structured in-depth interviews were conducted from Sept. 2019 to Feb. 2021. Four themes emerged: perspectives on engaging partners and couples-centered sexual health promotion; providers' experiences with patients and partners in HIV prevention and care; provider endorsement of CHTC; and perceived CHTC implementation determinants. CHTC endorsement was prominently due to the perception of CHTC as a facilitator to enhance patient-provider engagement in HIV/STI treatment and care, especially in the communication and dissemination of information among partners. Providers reported that health literacy needs regarding HIV/STI testing and diagnosis, but primarily STIs treatment regimens warranted a joint approach. CHTC endorsement entailed the strategy's perceived ability to enhance sexual health literacy among patients and patient's partners. Lastly, CHTC endorsements entailed provider beliefs that it ensured knowledge equity and joint literacy in the communication of health information among health consumers. Determinants of CHTC implementation were factors that providers perceived to have a bearing on the facilitation or posed as barriers to jointly engage partners in HIV/STI prevention and care and was subsequently a source of provider uncertainty. These determinants ranged from provider-level factors to organizational capacity issues that could impact CHTC implementation. Recommendations for CHTC are discussed.
鉴于提供者的观点和实践对艾滋病毒/性传播感染预防与护理策略采用情况的影响，这项定性描述性设计研究旨在阐明夫妻艾滋病毒检测与咨询（CHTC）的观点，并描述纽约州医疗服务提供者中基于夫妻/伴侣的实践。我们采用了目的抽样策略来招募医疗服务提供者（N = 27）。2019年9月至2021年2月进行了半结构化深度访谈。出现了四个主题：关于吸引伴侣和以夫妻为中心的性健康促进的观点；提供者在艾滋病毒预防与护理方面与患者及伴侣的经历；提供者对CHTC的认可；以及CHTC实施的决定性因素。对CHTC的认可主要是因为认为CHTC有助于加强患者与提供者在艾滋病毒/性传播感染治疗与护理方面的互动，特别是在伴侣之间的信息沟通与传播方面。提供者报告称，在艾滋病毒/性传播感染检测与诊断方面，尤其是性传播感染治疗方案方面，健康素养需求需要采取联合方法。对CHTC的认可意味着该策略被认为有能力提高患者及其伴侣的性健康素养。最后，对CHTC的认可意味着提供者相信它能确保在健康消费者之间传播健康信息时的知识公平和共同素养。CHTC实施的决定性因素是提供者认为对促进或阻碍伴侣共同参与艾滋病毒/性传播感染预防与护理有影响的因素，因此是提供者不确定性的一个来源。这些决定性因素从提供者层面的因素到可能影响CHTC实施的组织能力问题不等。文中讨论了对CHTC的建议。
