Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Ngangue, Patrice; Bédard, Emmanuelle; Zomahoun, Hervé Tchala Vignon; Payne-Gagnon, Julie; Fournier, Claudia; Afounde, Jeannette; Gagnon, Marie‐Pierre

doi:10.1155/2016/6304820

Cited by 10 publications

(9 citation statements)

References 63 publications

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“…Between 2004 and 2008, for example, 10% of Chileans who tested HIV positive failed to return to learn their HIV status (Irarrazábal et al, 2013;Mercurio, 2009). Such failures also have been reported in other countries (Ngangue et al, 2016;Wesolowskia et al, 2006). Currently, with the use of HIV rapid testing in primary care, this failure to return for the test results is expected to diminish.…”

Section: Introductionmentioning

confidence: 80%

Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Irarrázabal

Levy

Cianelli

et al. 2020

Hisp Health Care Int

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Objectives: To understand key factors influencing Chilean health care providers’ perceived comfort performing oral rapid HIV testing. Design: One hundred and fifty health care providers completed a self-administered questionnaire that included a five-item scale measuring self-perceived comfort in conducting HIV pretest counseling, oral rapid testing, finger-prick testing, and delivering test results. Results: Most participants (60%) envisioned good overall comfort performing oral rapid HIV testing (mean score of 16.21; range 0-20), including doing at least four of the five steps. They perceived least comfort delivering HIV-positive test results during posttest counseling. HIV stigmatizing attitudes reduced self-perceived comfort. Conclusions: Providing training to counter HIV stigmatization while increasing comfort in performing oral rapid testing would help facilitate its successful implementation.

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Section: Introductionmentioning

confidence: 80%

Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Irarrázabal

Levy

Cianelli

et al. 2020

Hisp Health Care Int

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“…In both countries, participants with low levels of education and literacy were less likely to receive HIV screening. Several studies have shown an association between education level and HIV testing among men in other countries [ 16 , 17 ]. Even though Cameroon is relatively wealthier than Chad, our results show that the participants´ wealth index was similar in both countries, at all levels.…”

Section: Discussionmentioning

confidence: 99%

Social behaviors and HIV risk factors among men in Chad and Cameroon

Dounebaine¹,

Winskell²

2021

Pan Afr Med J

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Introduction the neighboring Republics of Chad and Cameroon have respectively one of the lowest and highest HIV prevalence rates in central Africa at 1.3% and 4.5%, respectively. We conducted a comparative description of social behaviors and HIV risk factors among heterosexual men and explored the baseline of the first UNAIDS target (by 2020, 90% of people living with HIV will know their status) in the two countries. Methods this was a retrospective cross-sectional study using Demographic and Health Survey data. We fitted a separate multilevel logistic model for each country. In total, 5248 men were interviewed in Chad and 7191 men in Cameroon. Results Cameroonian men have a higher level of education, higher HIV testing rate, and are more knowledgeable about HIV than Chadian men. However, Chadian men have a lower number of lifetime sexual partners (2 interquartile range (IQR), 1-4) compared to Cameroonian men (6 IQR 3-15) and 86.96% of Chadian versus 57.30% of Cameroonian men reported fidelity to their domestic partners in the last twelve months. Conclusion there is a crucial need to encourage HIV screening and testing among Chadian men, especially in rural areas. Testing also needs to be increased in Cameroon to meet the first UNAIDS target. Government and partners in Cameroon could support more research and campaigns that aim at reducing multiple sexual partnerships among the communities in Cameroon.

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“…These 2 phenomena might contribute to rendering this preventive strategy practically ineffective in such groups, as societal distinctions based on skin color, sex, social class, and sexual identity have become entrenched. [46] In fact, addressing such inequalities must be a priority in HIV prevention programs, once promoting access to most vulnerable populations has been a key challenge also to PrEP [47] and HIV testing, [48] globally.…”

Section: Discussionmentioning

confidence: 99%

Nonoccupational post-exposure prophylaxis for HIV after sexual intercourse among women in Brazil: Risk profiles and predictors of loss to follow-up

et al. 2019

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Access to antiretroviral-based HIV prevention has been marked by sex asymmetries, and its effectiveness has been compromised by low clinical follow-up rates. We investigated risk profiles of women who received nonoccupational post-exposure prophylaxis (nPEP), as well as the rates and predictive factors of loss to follow-up after nPEP initiation.Retrospective study evaluating 501 women who received nPEP between 2014 and 2015 at 5 HIV centers (testing centers-VCT, outpatient clinics, and infectious diseases hospital). Risk profiles were drawn based on the characteristics of the women and their sexual partners, and then stratified by sociodemographic indicators and previous use of HIV prevention services. Loss to follow-up (LTFU) was defined as not presenting for follow-up visits or for HIV testing after nPEP initiation. Predictors of LTFU were analyzed by calculating adjusted prevalence ratios (aPRs).Approximately 90% of women had sexual encounters that met the criteria established in the Brazilian guidelines for nPEP. Those who declared to be sex workers (26.5%) or drug users (19.2%) had the highest social vulnerability indicators. In contrast, women who had intercourse with casual partners of unknown HIV risk (42.7%) had higher education and less experience with previous HIV testing (89.3%) or nPEP use (98.6%). Of the women who received nPEP after sexual intercourse with stable partners, 75.8% had HIV-infected partners. LTFU rate was 72.8% and predictors included being Black (aPR = 1.15, 95% confidence interval [CI]: 1.03–1.30), using drugs/alcohol (aPR = 1.15, 95% CI: 1.01–1.32) and having received nPEP at an HIV outpatient clinic (aPR = 1.35, 95% CI: 1.20–1.51) or at an infectious diseases hospital (aPR = 1.37, 95% CI: 1.11–1.69) compared with a VCT. The risk of LTFU declined as age increased (aPR 41–59 years = 0.80, 95% CI: 0.68–0.96).Most women who used nPEP had higher socioeconomic status and were not part of populations most affected by HIV. In contrast, factors that contribute to loss to follow-up were: having increased social vulnerability; increased vulnerability to HIV infection; and seeking nPEP at HIV treatment services as opposed to at a VCT.

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Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Cited by 10 publications

References 63 publications

Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Chilean Health Care Providers’ Perceived Comfort in Performing Oral Rapid Testing for HIV: A Cross-Sectional Study

Social behaviors and HIV risk factors among men in Chad and Cameroon

Nonoccupational post-exposure prophylaxis for HIV after sexual intercourse among women in Brazil: Risk profiles and predictors of loss to follow-up

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