Leblanc, N.M., Flores, D.D., and Barroso, J. Qualitative Health Research (February 2016), 26(3):294-306, doi: 10.1177/1049732315616624.
The authors of this study examined barriers to and motivators for HIV screening and receipt of test results by assessing 128 qualitative studies published from 2008 to 2013. They found that several salient factors influenced individuals to seek screening and receive their results: an individual’s general perception of health and disease; individual experiences; and broader contextual dynamics. Among individual attributes, fear was the most prevailing barrier to screening and testing. Dissolution of an intimate relationship or abandonment by family and friends, and lack of awareness about HIV screening, diagnosis, and treatment also discouraged individuals from seeking testing and results. At the interpersonal level, the attributes of both clinical providers and lay health workers were the sole motivator for obtaining HIV screening services. Broader contextual influences centered on the physical location of clinical services: whether service settings were freestanding, within a larger facility, or provided as part of other health services; and their proximity to home or the workplace. The authors concluded that these findings could clarify aspects to consider in the effort to increase HIV screening uptake and clients' knowledge of test results.