Designing an HIV counseling and testing program for bathhouses: The Seattle experience with strategies to improve acceptability

Freya Spielberg, Bernard M. Branson, Gary M. Goldbaum, Ann Kurth, Robert W. Wood

Research output: Contribution to journalArticle

Abstract

Bathhouses are important venues for providing HIV counseling and testing to high-risk men who have sex with men (MSM), yet relatively fcw bathhouses routinely provide this service, and few data are available to guide program design. We examine numerous logistic considerations that had been identified in the HIV Alternative Testing Strategies study and that influenced the initiation, effectiveness, and maintenance of HIV testing programs in bathhouses for MSM. Key programmatic considerations in the design of a bathhouse HIV counseling and testing program included building alliances with community agencies, hiring and training staff, developing techniques for offering testing, and providing options for counseling, testing, and disclosure of results. The design included ways to provide client support and follow-up for partner notification and treatment counseling and to maintain relationships with bathhouse management for support of prevention activities. Early detection of HIV infection and HIV prevention can be achieved for some high-risk MSM through an accessible and acceptable HIV counseling and testing program in bathhouses. Keys to success include establishing community prevention collaborations between bathhouse personnel and testing agencies, ensuring that testing staff are supported in their work, and offering anonymous rapid HIV testing. Use of FDA approved, new rapid tests that do not require venipuncture, centrifugation, or laboratory oversight will further decrease barriers to testing and facilitate implementation of bathhouse testing programs in other communities.

Original languageEnglish (US)
Pages (from-to)203-220
Number of pages18
JournalJournal of Homosexuality
Volume44
Issue number3-4
DOIs
StatePublished - 2003

Fingerprint

Counseling
counseling
HIV
experience
program guide
staff
community
hiring
Contact Tracing
Phlebotomy
personnel
Disclosure
logistics
Centrifugation
HIV Infections
Maintenance
management

Keywords

  • Bathhouse
  • HIV
  • HIV counseling and testing
  • HIV prevention

ASJC Scopus subject areas

  • Psychology(all)
  • Social Sciences(all)

Cite this

Designing an HIV counseling and testing program for bathhouses : The Seattle experience with strategies to improve acceptability. / Spielberg, Freya; Branson, Bernard M.; Goldbaum, Gary M.; Kurth, Ann; Wood, Robert W.

In: Journal of Homosexuality, Vol. 44, No. 3-4, 2003, p. 203-220.

Research output: Contribution to journalArticle

Spielberg, Freya ; Branson, Bernard M. ; Goldbaum, Gary M. ; Kurth, Ann ; Wood, Robert W. / Designing an HIV counseling and testing program for bathhouses : The Seattle experience with strategies to improve acceptability. In: Journal of Homosexuality. 2003 ; Vol. 44, No. 3-4. pp. 203-220.
@article{5566425ae82c4d5d88f981f2f842f0b1,
title = "Designing an HIV counseling and testing program for bathhouses: The Seattle experience with strategies to improve acceptability",
abstract = "Bathhouses are important venues for providing HIV counseling and testing to high-risk men who have sex with men (MSM), yet relatively fcw bathhouses routinely provide this service, and few data are available to guide program design. We examine numerous logistic considerations that had been identified in the HIV Alternative Testing Strategies study and that influenced the initiation, effectiveness, and maintenance of HIV testing programs in bathhouses for MSM. Key programmatic considerations in the design of a bathhouse HIV counseling and testing program included building alliances with community agencies, hiring and training staff, developing techniques for offering testing, and providing options for counseling, testing, and disclosure of results. The design included ways to provide client support and follow-up for partner notification and treatment counseling and to maintain relationships with bathhouse management for support of prevention activities. Early detection of HIV infection and HIV prevention can be achieved for some high-risk MSM through an accessible and acceptable HIV counseling and testing program in bathhouses. Keys to success include establishing community prevention collaborations between bathhouse personnel and testing agencies, ensuring that testing staff are supported in their work, and offering anonymous rapid HIV testing. Use of FDA approved, new rapid tests that do not require venipuncture, centrifugation, or laboratory oversight will further decrease barriers to testing and facilitate implementation of bathhouse testing programs in other communities.",
keywords = "Bathhouse, HIV, HIV counseling and testing, HIV prevention",
author = "Freya Spielberg and Branson, {Bernard M.} and Goldbaum, {Gary M.} and Ann Kurth and Wood, {Robert W.}",
year = "2003",
doi = "10.1300/J082v44n03_09",
language = "English (US)",
volume = "44",
pages = "203--220",
journal = "Journal of Homosexuality",
issn = "0091-8369",
publisher = "Routledge",
number = "3-4",

}

TY - JOUR

T1 - Designing an HIV counseling and testing program for bathhouses

T2 - The Seattle experience with strategies to improve acceptability

AU - Spielberg, Freya

AU - Branson, Bernard M.

AU - Goldbaum, Gary M.

AU - Kurth, Ann

AU - Wood, Robert W.

PY - 2003

Y1 - 2003

N2 - Bathhouses are important venues for providing HIV counseling and testing to high-risk men who have sex with men (MSM), yet relatively fcw bathhouses routinely provide this service, and few data are available to guide program design. We examine numerous logistic considerations that had been identified in the HIV Alternative Testing Strategies study and that influenced the initiation, effectiveness, and maintenance of HIV testing programs in bathhouses for MSM. Key programmatic considerations in the design of a bathhouse HIV counseling and testing program included building alliances with community agencies, hiring and training staff, developing techniques for offering testing, and providing options for counseling, testing, and disclosure of results. The design included ways to provide client support and follow-up for partner notification and treatment counseling and to maintain relationships with bathhouse management for support of prevention activities. Early detection of HIV infection and HIV prevention can be achieved for some high-risk MSM through an accessible and acceptable HIV counseling and testing program in bathhouses. Keys to success include establishing community prevention collaborations between bathhouse personnel and testing agencies, ensuring that testing staff are supported in their work, and offering anonymous rapid HIV testing. Use of FDA approved, new rapid tests that do not require venipuncture, centrifugation, or laboratory oversight will further decrease barriers to testing and facilitate implementation of bathhouse testing programs in other communities.

AB - Bathhouses are important venues for providing HIV counseling and testing to high-risk men who have sex with men (MSM), yet relatively fcw bathhouses routinely provide this service, and few data are available to guide program design. We examine numerous logistic considerations that had been identified in the HIV Alternative Testing Strategies study and that influenced the initiation, effectiveness, and maintenance of HIV testing programs in bathhouses for MSM. Key programmatic considerations in the design of a bathhouse HIV counseling and testing program included building alliances with community agencies, hiring and training staff, developing techniques for offering testing, and providing options for counseling, testing, and disclosure of results. The design included ways to provide client support and follow-up for partner notification and treatment counseling and to maintain relationships with bathhouse management for support of prevention activities. Early detection of HIV infection and HIV prevention can be achieved for some high-risk MSM through an accessible and acceptable HIV counseling and testing program in bathhouses. Keys to success include establishing community prevention collaborations between bathhouse personnel and testing agencies, ensuring that testing staff are supported in their work, and offering anonymous rapid HIV testing. Use of FDA approved, new rapid tests that do not require venipuncture, centrifugation, or laboratory oversight will further decrease barriers to testing and facilitate implementation of bathhouse testing programs in other communities.

KW - Bathhouse

KW - HIV

KW - HIV counseling and testing

KW - HIV prevention

UR - http://www.scopus.com/inward/record.url?scp=0041353622&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0041353622&partnerID=8YFLogxK

U2 - 10.1300/J082v44n03_09

DO - 10.1300/J082v44n03_09

M3 - Article

VL - 44

SP - 203

EP - 220

JO - Journal of Homosexuality

JF - Journal of Homosexuality

SN - 0091-8369

IS - 3-4

ER -