Rob Stephenson

CVCTPlus: A Couples-Based Approach to Linkage to Care and ARV Adherence

Research Project Description

Men who have sex with men (MSM) continue to be the most heavily-impacted risk group in the US HIV epidemic. Studies suggest that the majority of incident HIV infections among MSM are attributable to sex with a main male sex partner; however, HIV prevention interventions that target male-male couples are lacking.
Because of this, Couples HIV Voluntary Counseling and Testing (CVCT), an intervention that has been repeatedly shown to reduce HIV transmission within heterosexual couples, has been adapted to US MSM couples. Additionally, novel evidence demonstrates that antiretroviral therapy (ART) not only reduces morbidity and mortality among HIV-positive persons, but also serves to reduce the risk of HIV transmission to a negative partner by 96%. As adherence to ART is modifiable, and levels of peer support have been shown to increase ART adherence, this current study proposes to use CVCT combined with dyadic adherence counseling ?CVTCPlus?) to improve linkage to care, retention in care, ART adherence and viral suppression among HIVsero-discordant male-male couples using a cohort of 250 serodiscordant couples in Atlanta, Boston, and Chicago.

Eunice Kennedy Shriver National Institute of Child Health and Human Development
(7 R01 HD 075655 03)

Funding Period: 1/1/2015 to 12/31/2018

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