Why I Can't, Won't or Don't Test for HIV: Insights from Australian Migrants Born in Sub-Saharan Africa, Southeast Asia and Northeast Asia.
Adolescent
Adult
Africa South of the Sahara
/ ethnology
Asia
/ ethnology
Australia
/ epidemiology
Female
Focus Groups
HIV Infections
/ diagnosis
Health Knowledge, Attitudes, Practice
Homosexuality, Male
/ psychology
Humans
Male
Mass Screening
Middle Aged
Social Stigma
Transients and Migrants
/ psychology
Young Adult
HIV
HIV testing
migrants
sexual health
Journal
International journal of environmental research and public health
ISSN: 1660-4601
Titre abrégé: Int J Environ Res Public Health
Pays: Switzerland
ID NLM: 101238455
Informations de publication
Date de publication:
21 03 2019
21 03 2019
Historique:
received:
20
02
2019
revised:
10
03
2019
accepted:
15
03
2019
entrez:
24
3
2019
pubmed:
25
3
2019
medline:
30
7
2019
Statut:
epublish
Résumé
People born in sub-Saharan Africa and Southeast Asia are overrepresented in HIV notifications in Australia. Just under half of all notifications among people from sub-Saharan Africa and Southeast Asia are diagnosed late. Increased HIV testing among these communities is necessary to ensure early diagnosis, better care and reduce likelihood of HIV onward transmission. Recently, Australia has made new HIV testing methods available: rapid HIV testing and self-testing kits. We conducted 11 focus groups with 77 participants with people from sub-Saharan Africa, Southeast Asia and Northeast Asia in four jurisdictions in Australia. Focus groups discussed barriers to HIV testing and the acceptability of new testing methods. Barriers to HIV testing included: cost and eligibility of health services, low visibility of HIV in Australia, HIV-related stigma, and missed opportunities by general practitioners (GPs) for early diagnosis of HIV and linkage into care. Participants had low levels of knowledge on where to test for HIV and the different methods available. Diverse opportunities for testing were considered important. Interventions to increase HIV testing rates among sub-Saharan African, Southeast Asia and Northeast Asian migrants in Australia need to be multi-strategic and aimed at individual, community and policy levels. New methods of HIV testing, including rapid HIV testing and self-testing, present an opportunity to engage with migrants outside of traditional health care settings.
Identifiants
pubmed: 30901957
pii: ijerph16061034
doi: 10.3390/ijerph16061034
pmc: PMC6466030
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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