Decisional Balance, Perceived Risk and HIV Testing Practices

Lauby, Jennifer; Bond, Lisa; Eroĝlu, Doĝan; Batson, Heather

doi:10.1007/s10461-005-9029-7

Cited by 91 publications

(41 citation statements)

References 30 publications

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“…This finding is supported by findings from U.S. studies, which suggest that individuals in high prevalence communities are sometimes motivated to test for HIV by increased salience and worry rather than perceived behavioral risk [13,24,25]. While perceived vulnerability increases the likelihood of repeat testing, our findings indicate that women who perceive their HIV risk to be high are less likely to be repeat testers.…”

Section: Discussionsupporting

confidence: 85%

Client Characteristics and HIV Risk Associated with Repeat HIV Testing Among Women in Ethiopia

et al. 2010

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In Ethiopia, the number of HIV tests administered doubled from 2007 to 2008. However, very little is known about the number of clients testing repeatedly in one year, or their motivations for doing so. We examine repeat HIV testing among 2,027 Ethiopian women attending eight VCT facilities in 2008. Multivariate logistic regression was used to examine associations between repeat HIV testing and demographic, behavioral, and psychosocial characteristics, as well as HIV status. Nearly 40% of clients had tested previously for HIV. Women with high sexual risk are nearly four times more likely than those with no sexual risk to have tested previously, but HIV prevalence was lower among repeat testers (6.5%) than first-time testers (8.5%). Moderate perceived vulnerability, or feeling powerless to prevent HIV infection, is associated with a 50% increased likelihood of being a repeat tester. High perceived behavioral risk is associated with a 40% reduction in the likelihood a woman is testing for at least the second time. Costs associated with repeat testing should be balanced against identification of new HIV cases and prevention benefits.

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Section: Discussionsupporting

confidence: 85%

Client Characteristics and HIV Risk Associated with Repeat HIV Testing Among Women in Ethiopia

et al. 2010

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“…Empirical evidence supports the idea that personal acquaintance with an HIV-infected individual decreases negative attitudes toward persons living with HIV/AIDS (Macintyre, Brown and Sosler, 2001). HIV-related education can also decrease stigmatising attitudes and increase willingness to have a test for HIV (Kalichman and Simbayi, 2004;Peltzer, Nzewi and Mohan, 2004;Lauby, Bond, Eroglu and Batson, 2006).…”

Section: Discussionmentioning

confidence: 92%

Perceptions of door-to-door HIV counselling and testing in Botswana

Kroeger

Taylor²,

Marlow

et al. 2011

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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Prevalence of HIV infection in Botswana is among the highest in the world, at 23.9% of 15 -49-year-olds. Most HIV testing is conducted in voluntary counselling and testing centres or medical settings. Improved access to testing is urgently needed. This qualitative study assessed and documented community perceptions about the concept of door-to-door HIV counselling and rapid testing in two of the highest-prevalence districts of Botswana.Community members associated many positive benefits with home-based, door-to-door HIV testing, including convenience, confidentiality, capacity to increase the number of people tested, and opportunities to increase knowledge of HIV transmission, prevention and care through provision of correct information to households. Community members also saw the intervention as increasing opportunities to engage and influence family members and to role model positive behaviours. Participants also perceived social risks and dangers associated with home-based testing including the potential for conflict, coercion, stigma, and psychological distress within households. Community members emphasised the need for individual and community preparation, including procedures to protect confidentiality, provisions for psychological and social support, and links to appropriate services for HIV-positive persons. Keywords: HIV/AIDS, counselling and testing, home-based HIV testing, Botswana, qualitative research. RésuméLa prévalence de l'infection par le VIH au Botswana compte au nombre des plus élevées du monde, à 23.9% dans la catégorie des personnes âgées de 15 à 49 ans. La majorité du dépistage du VIH est réalisé dans des centres de conseil et de dépistage volontaire ou dans des structures médicales. Un meilleur accès au dépistage est urgemment nécessaire. Cette étude qualitative a étudié et documenté les perceptions par la communauté du concept de conseil et dépistage rapide du VIH en porte-à-porte dans deux des districts associés aux prévalences les plus fortes du Botswana.

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“…It is a concept grounded in a rational choice approach to health behavior 30 and applied in a range of health behavior change interventions. 31 The questionnaire also asked about lifetime PrEP use and number of times they used PrEP in the past year. For the most recent episode of PrEP use, medications used and duration of use were assessed.…”

Section: Measures Prep Outcome Measuresmentioning

confidence: 99%