The influence of antiretroviral treatment on willingness to test

Previous quantitative studies suggest a mutually reinforcing relationship between HIV counselling and testing (HCT) and antiretroviral treatment (ART). HCT is the entry into ART, and access to ART appears to increase HIV-testing uptake in settings with historically low uptake. Adopting a qualitative approach, this study examined the influence of ART on willingness to test for HIV, in a rural community in South Africa. Ninety-six in-depth interviews from a large community-based HIV-prevention trial were analysed. The data provide insight into the community members' views, perceptions and experiences regarding ART, and how they draw on these in making decisions about HIV testing. Several key factors that supported a positive relationship between ART and HIV testing were noted. These included the beliefs that ART brings hope and that it prolongs life; the powerful positive effect of witnessing the recovery of someone on treatment; and that ART encourages early HIV-testing behaviour. A few negative factors that could potentially weaken the effects of this positive relationship between ART and HCT uptake were the disclosure difficulties experienced by those enrolled in treatment, beliefs that ART does not cure HIV disease, and the travel distance to testing and treatment facilities from where people live and work. HIV/AIDS-service providers and programme planners should actively draw on these observations, to encourage increased HIV testing in communities and to ensure that the maximum number of people get the HIV treatment and care services that they require

Antiretroviral therapy · Antiretroviral treatment · Family medicine · Human immunodeficiency virus (HIV · Qualitative property · Qualitative research · Social science · Sociology · Test (biology · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing

• Perception of Vulnerability to Hiv Infection Among Older People in Nairobi, Kenya

  Open Access•Gloria Chepngeno-Langat•Journal of Biosocial Science•2013

  Incluir item

• A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa

  Open Access•Maurice Musheke, Harriet Ntalasha et al.•BMC Public Health•2013

  Incluir item

• “I did not see a need to get tested before, everything was going well with my health”

  Shema Tariq, Hoffman et al.•AIDS Care•2018

  Incluir item

• “There is no fear in me … well, that little fear is there”

  Open Access•Zoe Duby, Kim Jonas et al.•African Journal of AIDS Research•2020

  Incluir item

• Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa

  Open Access•Lucia Knight, Nicky Mcgrath et al.•BMC Public Health•2014

  Incluir item

• Why do marital partners of people living with HIV not test for HIV? A qualitative study in Lusaka, Zambia

  Open Access•Maurice Musheke, Sonja Merten et al.•BMC Public Health•2016

  Incluir item

• Psychosocial beliefs related to intention to use HIV testing and counselling services among suspected tuberculosis patients in Kassala state, Sudan

  Open Access•Almutaz M Idris, Rik Crutzen et al.•BMC Public Health•2021

  Incluir item

• Correlates of HIV Testing Among Men Who have Sex with Men in Three Urban Areas of Mozambique

  Open Access•Roberta Horth, Roberta Z Horth et al.•AIDS and Behavior•2015

  Incluir item

• Gendered differences in Aids and Aids-related cause of death among youth with secondary education in South Africa, 2009-2011

  Open Access•Nicole De Wet•SAHARA-J Journal of Social…•2016

  Incluir item

• Barriers to and acceptability of provider-initiated HIV testing and counselling and adopting HIV-prevention behaviours in rural Uganda

  Open Access•Susan M Kiene, Katelyn Sileo et al.•Journal of Health Psychology•2015

  Incluir item

• Shadow on the continent

  Open Access•Kevin M De Cock, Dorothy Mbori‐Ngacha et al.•The Lancet•2002

  Incluir item

• Scaling up stigma? The effects of antiretroviral roll-out on stigma and HIV testing. Early evidence from rural Tanzania

  Open Access•Maria Roura, Mark Urassa et al.•Sexually Transmitted Infections•2009

  Incluir item

• Qualitative Data Analysis in Health Psychology

  Toby Ro Newton-John, Toby Newton‐john•Qualitative Data Analysis in…•2018

  Incluir item

• Community views about routine HIV testing and antiretroviral treatment in Botswana

  Open Access•Anne Cockcroft, Neil Andersson et al.•BMC International Health and…•2007

  Incluir item

• Structure, (governance) and health

  Open Access•Anatole S Menon-Johansson, Anatole Menon-Johansson•BMC International Health and…•2007

  Incluir item

• Effects of HIV-related stigma among an early sample of patients receiving antiretroviral therapy in Botswana

  William R Wolfe, Sheri D Weiser et al.•AIDS Care•2006

  Incluir item

• Utilization of voluntary counseling and testing services in the Eastern Cape, South Africa

  P Hutchinson, P L Hutchinson et al.•AIDS Care•2006

  Incluir item

• Exploring HIV risk perception and behaviour in the context of antiretroviral treatment

  Andrew Boulle, Katherine Hilderbrand et al.•AIDS Care•2008

  Incluir item

• Attitudes to HIV voluntary counselling and testing among mineworkers in South Africa

  John H Day, Kikuko Miyamura et al.•AIDS Care•2003

  Incluir item

• The role of HIV testing, counselling, and treatment in coping with HIV/Aids in Uganda

  Barbara Nyanzi-Wakholi, Antonieta Medina Lara et al.•AIDS Care•2009

  Incluir item

• Bridging the gap between VCT and HIV/Aids treatment uptake

  Anil Bhagwanjee, Inge Petersen et al.•African Journal of AIDS Research•2008

  Incluir item

• Community-based Voluntary Counseling and Testing Services in Rural Communities of Chiang Mai Province, Northern Thailand

  Open Access•Surinda Kawichai, David D Celentano et al.•AIDS and Behavior•2007

  Incluir item

• Grief and Survival in the Era of HIV Treatment Advances

  Open Access•Craig Demmer•Illness Crisis & Loss•2000

  Incluir item

• A comparison of HIV stigma and discrimination in five international sites

  Open Access•Suzanne Maman, Laurie Abler et al.•Social Science & Medicine•2009

  Incluir item