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Abstract

We interviewed 15 South Africans seeking HIV testing to understand the factors that influenced their seeking an HIV test. Reasons in favour of testing included having had unprotected sex, availability of social support if testing HIV positive and modelling test-seeking behaviour to others. Reasons against seeking testing included fear testing HIV positive, the possibility of receiving treatment too late, HIV-related stigma and long distances to testing sites. Participants also discussed ways to increase the uptake of HIV testing, such as workplace testing, the role of the media and the role of cultural rituals such as male circumcision.

Keywords

community health psychology health psychology HIV South Africa testing

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References

Bandura

(1986) Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.

Bandura

Walters

(1963) Social Learning and Personality Development, vol. 14. New York: Holt, Rinehart and Winston.

Bokhour

Solomon

Knapp

. (2009) Barriers and facilitators to routine HIV testing in VA primary care. Journal of General Internal Medicine 24: 1109–1114.

Brashers

Neidig

Goldsmith

(2004) Social support and the management of uncertainty for people living with HIV or AIDS. Health Communication 16: 305–331.

Burns

Johnson

Nazroo

. (2008) Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK. AIDS 22: 115–122.

Campbell

(2002) Health consequences of intimate partner violence. The Lancet 359: 1331–1336.

Campbell

Bernhardt

(2003) Factors that contribute to women declining antenatal HIV testing. Health Care for Women International 24: 544–551.

Chesney

Smith

(1999) Critical delays in HIV testing and care: The potential role of stigma. American Behavioral Scientist 42: 1162–1174.

Coetzee

Kagee

Vermeulen

(2011) Structural barriers to adherence to antiretroviral therapy in a resource-constrained setting: The perspectives of health care providers. AIDS Care 23(2): 146–151.

10.

Kincaid

Figueroa

(2014) Impacts of four communication programs on HIV testing behavior in South Africa. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV 26: 1109–1117.

11.

Erwin

Morgan

Britten

. (2002) Pathways to HIV testing and care by black African and white patients in London. Sexually Transmitted Infections 78: 37–39.

12.

Flowers

Duncan

Knussen

(2003) Re-appraising HIV testing: An exploration of the psychosocial costs and benefits associated with learning one’s HIV status in a purposive sample of Scottish gay men. British Journal of Health Psychology 8: 179–194.

13.

Forsyth

Agogo

Lau

. (2008) Would offering rapid point-of-care testing or non-invasive methods improve uptake of HIV testing among high-risk genitourinary medicine clinic attendees? A patient perspective. International Journal of STD & AIDS 19: 550–552.

14.

Gardner

McLees

Steiner

. (2011) The spectrum of engagement in HIV care and its relevance to test-and-treat strategies for prevention of HIV infection. Clinical Infectious Diseases 52: 793–800.

15.

Gonzalez

Penedo

Antoni

. (2004) Social support, positive states of mind, and HIV treatment adherence in men and women living with HIV/AIDS. Health Psychology 23: 413.

16.

Heijman

Stolte

Thiesbrummel

. (2009) Opting out increases HIV testing in a large sexually transmitted infections outpatient clinic. Sexually Transmitted Infections 85: 249–255.

17.

Johnson

Rehle

Jooste

. (2015) Rates of HIV testing and diagnosis in South Africa: Successes and challenges. AIDS 29: 1401–1409.

18.

Kagee

(2008) Application of the DSM-IV criteria to the experience of living with AIDS: Some concerns. Journal of Health Psychology 13(8): 1008–1011.

19.

Kagee

Delport

(2010) Barriers to adherence to antiretroviral treatment: The perspectives of patient advocates. Journal of Health Psychology 15(7): 1001–1011.

20.

Kagee

Nothling

Coetzee

(2012) The perspectives of users of antiretroviral therapy on structural barriers to adherence in South Africa. South African Family Practice 54(6): 540–544.

21.

Kagee

Remien

Berkman

. (2011) Structural barriers to ART adherence in Southern Africa: Challenges and potential ways forward. Global Public Health 6(1): 83–97.

22.

Leibowitz

Taylor

(2007) Distance to public test sites and HIV testing. Medical Care Research and Review 64: 568–584.

23.

MacPhail

Pettifor

Coates

. (2008) ‘You must do the test to know your status’: Attitudes to HIV voluntary counseling and testing for adolescents among South African youth and parents. Health Education & Behavior 35: 87–104.

24.

Mikolajczak

Hospers

Kok

(2006) Reasons for not taking an HIV-test among untested men who have sex with men: An Internet study. AIDS and Behavior 10: 431–435.

25.

Musheke

Ntalasha

Gari

. (2013) A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa. Public Health 220: 1–16. Available at: http://www.biomedcentral.com/1471-2458/13/220

26.

Nyblade

(2006) Measuring HIV stigma: Existing knowledge and gaps. Psychology, Health & Medicine 11: 335–345.

27.

Rao

Kekwaletswe

Hosek

. (2007) Stigma and social barriers to medication adherence with urban youth living with HIV. AIDS Care 19: 28–33.

28.

Rogers Everett

(1983) Diffusion of Innovations (3rd edn). New York: Free Press of Glencoe.

29.

Sethosa

Peltzer

(2005) Evaluation of HIV counselling and testing, self-disclosure, social support and sexual behaviour change among a rural sample of HIV reactive patients in South Africa. Curationis 28: 29–41.

30.

Shriver

Everett

Morin

(2000) Structural interventions to encourage primary HIV prevention among people living with HIV. AIDS 14: S57–S62.

31.

Simmons

Brown

Sutton

. (2011) Barriers and facilitators to HIV testing in primary care among health care providers. Journal of the National Medical Association 103: 432.

32.

Skovdal

Campbell

Madanhire

. (2011) Masculinity as a barrier to men’s use of HIV services in Zimbabwe. Globalization and Health 7: 1–14. Available at: http://www.globalizationandhealth.com/content/7/1/13

33.

Smith

Rossetto

Peterson

(2008) A meta-analysis of disclosure of one’s HIV-positive status, stigma and social support. AIDS Care 20: 1266–1275.

34.

Sood

Nambiar

(2006) Comparative cost-effectiveness of the components of a behavior change communication campaign on HIV/AIDS in North India. Journal of Health Communication 11(suppl. 2): 143–162.

35.

South Africa to move to earlier treatment (n.d.) Health E-news. Available at: https://www.health-e.org.za/2014/04/04/south-africa-move-earlier-hiv-treatment/ (accessed 9 June 2016).

36.

Stolte

De Wit

Kolader

. (2007) Low HIV-testing rates among younger high-risk homosexual men in Amsterdam. Sexually Transmitted Infections 83: 387–391.

37.

Strauss

(1987) Qualitative Analysis for Social Scientists. Cambridge: Cambridge University Press.

38.

The Joint United Nations Programme on HIV/AIDS (UNAIDS) (2013) AIDS by the numbers. Available at: http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2013/JC2571_AIDS_by_the_numbers_en.pdf

39.

Van der Linde

(2013) HIV/AIDS in South Africa: At last the glass is half full. Paper presented at the conference human science research council third plenary session, South Africa. Available at: http://www.hsrc.ac.za/en/media-briefs/hiv-aids-stis-and-tb/plenary-session-3-20-june-2013-hiv-aids-in-south-africa-at-last-the-glass-is-half-full

40.

Weiser

Heisler

Leiter

. (2006) Routine HIV testing in Botswana: A population-based study on attitudes, practices, and human rights concerns. PLoS Medicine 3: e261.

41.

World Health Organization (WHO) (2003) Leading the Health Sector Response to HIV/AIDS. Geneva: WHO.

Perceived barriers and facilitators to HIV testing in South African communities

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