Public and Healthcare Practitioner Attitudes towards HIV Testing: Review of Evidence from the United Kingdom (UK)
C. F. Davies, M. Gompels, M. T. May
International STD Research & Reviews · pp. 91–122 · Published 29 Jun 2015
10.9734/ISRR/2015/18724Abstract
Aims: To explore attitudes towards HIV testing in the United Kingdom (UK) from the public and healthcare practitioners (HCP) to more fully understand the barriers and motivators towards testing. Methodology: Electronic databases Pubmed, Web of Science, OVID Medline and Google were searched. We included studies conducted in the UK that had explored public and HCP attitudes towards HIV testing, published in the combination antiretroviral therapy era (1996-2014). We excluded studies relating to HIV testing or screening of pregnant women. Results: In a total of 64 studies identified, 41 and 23 were on positive and negative attitudes towards HIV testing of the public and HCP, respectively. Common barriers reported by the public were stigma, fear, denial, and low perception of risk. Common barriers reported by HCP were lack of confidence or anxiety around offering a test, privacy and confidentiality, and insufficient knowledge/training in HIV. Public motivators towards testing were: HCP offering/recommending a test, universal testing at practice registration, outreach rapid point-of-care (POC) testing offered as part of a check-up, availability of home testing/sampling, and informing patients about HIV and the benefit of receiving treatment. Conclusions: Recommendations to overcome barriers include making HIV testing routine, easier and more accessible. Outreach POC testing, home testing and sampling offer motivators to testing such as ease of access, privacy and confidentiality. A proactive offer of an HIV test by the HCP is an important factor which could help increase testing rates. This could be facilitated by further education and training of HCP in General Practice.
References (52)
- 1 Prevention of HIV-1 Infection with Early Antiretroviral Therapy [DOI]
- 2 Estimating sexual transmission of HIV from persons aware and unaware that they are infected with the virus in the USA [DOI]
- 3 British HIV Association guidelines for the treatment of HIV‐1‐infected adults with antiretroviral therapy 2008 [DOI]
- 4 Projected life expectancy of people with HIV according to timing of diagnosis [DOI]
- 5 Impact of late diagnosis and treatment on life expectancy in people with HIV-1: UK Collaborative HIV Cohort (UK CHIC) Study [DOI]
- 6 Feasibility and Effectiveness of Indicator Condition-Guided Testing for HIV: Results from HIDES I (HIV Indicator Diseases across Europe Study) [DOI]
- 7 Missed opportunities for earlier HIV diagnosis within primary and secondary healthcare settings in the UK [DOI]
- 8 The Economic Burden of Late Entry Into Medical Care for Patients With HIV Infection [DOI]
- 9 UK National Guidelines on HIV Testing 2006 [DOI]
- 10 HIV Testing in Non-Traditional Settings – The HINTS Study: A Multi-Centre Observational Study of Feasibility and Acceptability [DOI]
- 11 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 [DOI]
- 12 HIV testing and high risk sexual behaviour among London's migrant African communities: a participatory research study [DOI]
- 13 Re-appraising HIV Testing among Scottish Gay Men: The Impact of New HIV Treatments [DOI]
- 14 Low levels of HIV test coverage in clinical settings in the UK: a systematic review of adherence to 2008 guidelines [DOI]
- 15 Feasibility and acceptability of offering rapid HIV tests to patients registering with primary care in London (UK): a pilot study [DOI]
- 16 The potential impact of routine testing of individuals with HIV indicator diseases in order to prevent late HIV diagnosis [DOI]
- 17 Increasing chlamydia screening tests in general practice: a modified Zelen prospective Cluster Randomised Controlled Trial evaluating a complex intervention based on the Theory of Planned Behaviour [DOI]
- 18 Exploring staff attitudes to routine HIV testing in non-traditional settings: a qualitative study in four healthcare facilities [DOI]
- 19 Factors associated with recency of HIV testing amongst men residing in Scotland who have sex with men [DOI]
- 20 Factors that affect HIV testing and counseling services among heterosexuals in Canada and the United Kingdom: An integrated review [DOI]
- 21 Assessing the predictive value of HIV indicator conditions in general practice: a case–control study using the THIN database [DOI]
- 22 Public attitudes towards opt-out testing for HIV in primary care: a qualitative study [DOI]
- 23 Increases in HIV screening in primary care clinics through an electronic reminder: an interrupted time series [DOI]
- 24 Pathways to HIV testing and care by black African and white patients in London [DOI]
- 25 Investigating the relationship between HIV testing and risk behaviour in Britain: National Survey of Sexual Attitudes and Lifestyles 2000 [DOI]
- 26 "There is such a thing as asking for trouble": taking rapid HIV testing to gay venues is fraught with challenges [DOI]
- 27 HIV voluntary counselling and testing for African communities in London: learning from experiences in Kenya [DOI]
- 28 Attitudes to HIV testing in general practice [DOI]
- 29 Feasibility and acceptability of point of care HIV testing in community outreach and GUM drop-in services in the North West of England: A programmatic evaluation [DOI]
- 30 Bass Line 2008-09: assessing the sexual HIV prevention needs of African people in England [DOI]
- 31 The intentions of gay men in taking an HIV test [DOI]
- 32 Patients' attitudes towards increasing the offer of HIV testing in primary and secondary care [DOI]
- 33 HIV testing and management of newly diagnosed HIV [DOI]
- 34 Psychosocial factors associated with hiv testing amongst scottish gay men [DOI]
- 35 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 [DOI]
- 36 HIV testing: the boundaries. A survey of HIV testing practices and barriers to more widespread testing in a British teaching hospital [DOI]
- 37 HIV testing uptake and acceptability in an inner city polyclinic [DOI]
- 38 Feasibility and acceptability of routine human immunodeficiency virus testing in general practice: your views [DOI]
- 39 Barriers to the implementation of the UK HIV testing guidelines in secondary care: how many are medical? [DOI]
- 40 Factors associated with HIV testing among black Africans in Britain [DOI]
- 41 Late diagnosis of HIV: could this be avoided? [DOI]
- 42 Opt-out testing for HIV: perspectives from a high prevalence community in south-east England, UK [DOI]
- 43 Incentives for voluntary HIV testing in NHS staff [DOI]
- 44 Assessment of the implementation and knowledge of the UK National Guidelines for HIV Testing (2008) in key conditions at a UK district general hospital [DOI]
- 45 Which patients attending genitourinary medicine clinics have HIV tests? [DOI]
- 46 Do people attending a same day testing clinic discuss their need for a HIV test with their GP?
- 47 Preoperative testing for HIV: a survey of surgeons' attitudes and practices [DOI]
- 48 Factors affecting GUM clinic attenders decisions and intentions to seek HIV testing [DOI]
- 49 Training Resource Designed to Increase Frequency of HIV Testing in Non-GUM Settings Displays Promising Outcomes
- 50 Why do men who have sex with men and who are at high risk of HIV infection, decline HIV testing? [DOI]
- 51 Ethnic differences in women with HIV infection in Britain and Ireland [DOI]
- 52 Review of life expectancy in people with HIV in settings with optimal ART access: what we know and what we don't [DOI]
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