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Why some MSM present late for HIV testing: a qualitative analysis.

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Title: Why some MSM present late for HIV testing: a qualitative analysis.
Authors: Dowson, Lucy (AUTHOR), Kober, Catherine (AUTHOR), Perry, Nicky (AUTHOR), Fisher, Martin (AUTHOR), Richardson, Daniel (AUTHOR)
Source: AIDS Care. Feb2012, Vol. 24 Issue 2, p204-209. 6p. 2 Charts.
Subjects: Diagnosis of HIV infections, Blood cell count, Gay men, Health services accessibility, Sexual health, Interviewing, Research methodology, Serodiagnosis, T cells, Time, Qualitative research, Thematic analysis, Attitudes toward AIDS (Disease), Descriptive statistics
Geographic Terms: United Kingdom
Abstract: Although initiatives are under way in the UK to diagnose HIV infection early, late presentation is still a major issue and often results in serious health complications for the individual and has implications for society, including high costs and increased rates of transmission. Intervention strategies in the UK have aimed at increasing testing opportunities but still a significant proportion of those with HIV infection either decline testing or continue to test late. The main objective of this study is to identify ideas and themes as to why testing was not carried out earlier in men who have sex with men (MSM) who presented with late HIV infection. Semi-structured interviews were carried out with MSM presenting late with a CD4 cell count of <200. A structured framework approach was used to analyse the data collected and generate ideas as to why they did not seek testing earlier. Seventeen MSM were interviewed and four main themes were identified: psychological barriers, including fear of illness and dying, stigma surrounding testing for HIV and in living with a positive diagnosis, perceived low risk for contracting HIV despite participants reporting having a good understanding of HIV and its transmission and strong views that a more active approach by healthcare services, including general practice, is necessary if the uptake of HIV testing is to increase. Late presentation with HIV infection continues to be a problem in the UK despite government initiatives to expand opportunities for testing. Recurring themes for late testing were a low perceived risk for HIV infection and a fear of HIV and a positive diagnosis. Population-targeted health promotion alongside a more proactive approach by healthcare professionals and making HIV testing more convenient and accessible may result in earlier testing. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. Feb2012, Vol. 24 Issue 2, p204-209. 6p. 2 Charts.
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  Data: Although initiatives are under way in the UK to diagnose HIV infection early, late presentation is still a major issue and often results in serious health complications for the individual and has implications for society, including high costs and increased rates of transmission. Intervention strategies in the UK have aimed at increasing testing opportunities but still a significant proportion of those with HIV infection either decline testing or continue to test late. The main objective of this study is to identify ideas and themes as to why testing was not carried out earlier in men who have sex with men (MSM) who presented with late HIV infection. Semi-structured interviews were carried out with MSM presenting late with a CD4 cell count of &lt;200. A structured framework approach was used to analyse the data collected and generate ideas as to why they did not seek testing earlier. Seventeen MSM were interviewed and four main themes were identified: psychological barriers, including fear of illness and dying, stigma surrounding testing for HIV and in living with a positive diagnosis, perceived low risk for contracting HIV despite participants reporting having a good understanding of HIV and its transmission and strong views that a more active approach by healthcare services, including general practice, is necessary if the uptake of HIV testing is to increase. Late presentation with HIV infection continues to be a problem in the UK despite government initiatives to expand opportunities for testing. Recurring themes for late testing were a low perceived risk for HIV infection and a fear of HIV and a positive diagnosis. Population-targeted health promotion alongside a more proactive approach by healthcare professionals and making HIV testing more convenient and accessible may result in earlier testing. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=70354207
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2011.597711
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 204
    Subjects:
      – SubjectFull: Diagnosis of HIV infections
        Type: general
      – SubjectFull: Blood cell count
        Type: general
      – SubjectFull: Gay men
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Sexual health
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Serodiagnosis
        Type: general
      – SubjectFull: T cells
        Type: general
      – SubjectFull: Time
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Attitudes toward AIDS (Disease)
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: Why some MSM present late for HIV testing: a qualitative analysis.
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            NameFull: Dowson, Lucy
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            NameFull: Kober, Catherine
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            NameFull: Perry, Nicky
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            NameFull: Fisher, Martin
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            NameFull: Richardson, Daniel
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              M: 02
              Text: Feb2012
              Type: published
              Y: 2012
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              Value: 24
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