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2016 ; 20
(4
): 880-918
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Which Psychological Factors are Related to HIV Testing? A Quantitative Systematic
Review of Global Studies
#MMPMID26566783
Evangeli M
; Pady K
; Wroe AL
AIDS Behav
2016[Apr]; 20
(4
): 880-918
PMID26566783
show ga
Deciding to test for HIV is necessary for receiving HIV treatment and care among
those who are HIV-positive. This article presents a systematic review of
quantitative studies on relationships between psychological (cognitive and
affective) variables and HIV testing. Sixty two studies were included (fifty six
cross sectional). Most measured lifetime testing. HIV knowledge, risk perception
and stigma were the most commonly measured psychological variables. Meta-analysis
was carried out on the relationships between HIV knowledge and testing, and HIV
risk perception and testing. Both relationships were positive and significant,
representing small effects (HIV knowledge, d = 0.22, 95 % CI 0.14-0.31,
p < 0.001; HIV risk perception, OR 1.47, 95 % CI 1.26-1.67, p < 0.001). Other
variables with a majority of studies showing a relationship with HIV testing
included: perceived testing benefits, testing fear, perceived behavioural
control/self-efficacy, knowledge of testing sites, prejudiced attitudes towards
people living with HIV, and knowing someone with HIV. Research and practice
implications are outlined.
|*Fear
[MESH]
|*Health Knowledge, Attitudes, Practice
[MESH]
|*Social Stigma
[MESH]
|AIDS Serodiagnosis/statistics & numerical data
[MESH]