Couples HIV Testing and Counseling (CHTC) is now a standard of care for partnered sexual minority men. While adolescent sexual minority men (ASMM; ages 15–19) face disproportionate HIV risk, the emergent nature of relationships and communication skills may present challenges to accessing and engaging in CHTC. This study utilized qualitative data from 28 ASMM recruited in 4 urban centers in the USA during the formative stage of Adolescent Trials Network study ATN-156. Participants were cis-male, HIV-negative, and in a relationship with a similarly-aged cis-male partner. Thematic analysis indicated low and high levels of commitment were barriers to CHTC. Concerns about caregiver attitudes towards HIV testing were salient. Adolescents’ perception of structural barriers highlighted reliance on caregiver resources, which limited access to sexual health services. Prevention programming must address structural barriers to access encountered by adolescents. ASMM in relationships may benefit from programming that includes options for individual and dyadic participation.

夫妻艾滋病毒检测和咨询 (CHTC) 现在是伴侣性少数男性的护理标准。虽然青少年性少数男性（ASMM；15-19 岁）面临着不成比例的艾滋病毒风险，但关系和沟通技巧的紧急性质可能会给接触和参与 CHTC 带来挑战。本研究利用了在青少年试验网络研究 ATN-156 的形成阶段在美国 4 个城市中心招募的 28 个 ASMM 的定性数据。参与者是顺式男性，艾滋病毒阴性，并且与年龄相似的顺式男性伴侣有关系。专题分析表明，低水平和高水平的承诺是恒天的障碍。对照顾者对 HIV 检测的态度的担忧是突出的。青少年对结构性障碍的看法突出了对照顾者资源的依赖，这限制了获得性健康服务的机会。预防规划必须解决青少年遇到的结构性障碍。关系中的 ASMM 可能会受益于包括个人和二元参与选项的编程。