HIV testing attitudes and practices amongst 'wealthy men'

Qualitative evidence from Tanzania

Dados Bibliográficos

ID15099247
AutoresKevin Deane (0000-0001-5421-9815, Economics Discipline, Faculty of Arts and Social Sciences, Open University, Milton Keynes, UK, autor correspondente), Joyce Wamoyi (0000-0002-2956-8666, National Institute for Medical Research), Samwel Mgunga (National Institute for Medical Research), John Changalucha (0000-0002-1248-9515, National Institute for Medical Research)
Ano2022
Volume24
Fascículo9
Páginas1215-1229
Data de publicação2022-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCulture Health & Sexuality (JOURNAL)
Identificadores do periódicoISSN: 1369-1058 • E-ISSN: 1464-5351
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2021.1941261
PMID34254898
OpenAlexW3182156050
IdiomaEN
Citações recebidas4
Referências citadas34

Evidence from nationally representative surveys conducted in sub-Saharan Africa shows that significant proportions of men in the wealthiest quintile report never having tested for HIV. Despite high prevalence rates in this quintile, no research has been conducted on the HIV testing attitudes and practices of wealthier men. This article reports findings from qualitative research conducted with 23 wealthy men in Tanzania. Whilst wealthy men reported barriers to and enablers of HIV testing previously reported by the general population, concerns around loss of social status and community standing were amplified for members of this demographic. Furthermore, HIV stigma among members of this group remains high. However, enhanced access to HIV testing through private clinics, regular healthcare appointments, health insurance schemes and the means to travel to other countries enables wealthy men to avoid stigma. In settings such as the workplace, wealthy men were able to test in public in their roles as 'leaders' to encourage others to test. Future interventions to increase testing amongst men should target settings in which these leadership roles can be taken advantage of. HIV services also need integrating into the health system to remove the need for testing and treatment to be accessed at separate clinics

Family medicine · Socioeconomics · Sociology · Tanzania · Adolescent Sexual and Reproductive Health · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology