Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Ngangue, Patrice; Bedard, Emmanuelle; Zomahoun, Hervé Tchala Vignon; Payne-Gagnon, Julie; Fournier, Claudia; Afounde, Jeannette; Gagnon, Marie-Pierre

doi:https://doi.org/10.1155/2016/6304820

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Review Article | Open Access

Volume 2016 | Article ID 6304820 | https://doi.org/10.1155/2016/6304820

Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators

Patrice Ngangue,^1,2Emmanuelle Bedard,³Hervé Tchala Vignon Zomahoun,⁴Julie Payne-Gagnon,⁴Claudia Fournier,¹Jeannette Afounde,⁵and Marie-Pierre Gagnon^1,2

Academic Editor: Li-Yin Chien

Received11 Jul 2016

Revised11 Oct 2016

Accepted19 Oct 2016

Published15 Dec 2016

Abstract

This systematic review aims to identify factors that facilitate or hinder the return for HIV test results. Four electronic databases were searched. Two independent reviewers selected eligible publications based on inclusion/exclusion criteria. Quantitative studies published since 1985 were included. Thirty-six studies were included in the final review. Individual level barriers included sociodemographic characteristics, such as being a male, of young age and low education level, risk behaviours such as injecting drugs, having multiple sexual partners, and psychosocial factors. Older age, higher education level, being a woman, having high self-esteem, having coping skills, and holding insurance coverage were identified as facilitators. Interpersonal barriers and facilitators were linked to risk behaviours of sexual partners. Contextual barriers included essentially the HIV testing center and its characteristics. This review identified the most important factors that need to be addressed to ensure that people return for their HIV test results.

1. Introduction

HIV testing and counselling (HTC) is the cornerstone of treatment, care, and prevention [1, 2]. It is particularly through HTC that the ambitious goal of 90, 90, 90 (90% of all people living with HIV will know their HIV status; 90% of all people with diagnosed HIV infection will receive sustained antiretroviral therapy; 90% of all people receiving antiretroviral therapy will have viral suppression), by 2020 [3] can be reached. Previously, most efforts were focused on voluntary counselling and testing (VCT) as the primary means of providing testing and encouraging people to become aware of their HIV status [2]. However, coverage remains low and many infected persons in both developed and developing countries remain undiagnosed. Despite the availability of rapid test with the possibility to have the results approximately in 20 to 30 minutes, in some contexts particularly, there are many who get tested but fail to return for their results [4–6]. For example, in the USA, data from HIV testing performed at publicly funded counselling and testing sites using conventional HIV enzyme immunoassay (EIA) testing from 1999 through 2002 found that 19% to 22% of people with positive preliminary HIV tests did not return for their test results [6]. In 2009, a survey conducted in 12 Sub-Saharan Africa countries with high HIV prevalence showed that only 10% of women and 12% of men were tested and received their test results [7]. In an evaluation of five years of routine program data in Vietnam, Hong et al. found a failure to return (FTR) rate of 3.5% [8]. In a study of female sex workers in China, Xu et al. found a FTR rate of 47.1% [9]. More recently, in France, Laanani et al. (2015) and Pahlavan et al. (2015), respectively, found a FTR rate of 6.5% in a study conducted in a free and anonymous screening center [10] and 14.5% in an HIV-positive population [11].

Identifying and targeting these people may improve the return rate for VCT and the proportion of individuals who are aware of their status. Therefore, the objective of this systematic review is to identify the factors that prevent people who are tested for HIV from returning for their results or facilitate their doing so.

2. Methods

This systematic review examines barriers and facilitators associated with returning for HIV test results in various types of populations and settings. The outcome variable, returning for HIV testing results, is dichotomous. From this point of view, some studies concerned factors associated with returning for HIV test results, while others focused on failure to return (FTR). This review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement guidelines [44].

2.1. Search Strategy

A comprehensive search strategy was developed to identify studies published between January 1985 (introduction of HIV tests) and June 2015. Four electronic databases were searched (PubMed/Biomed Central/Medline, Embase, PsycINFO, and Web of Science), combining terms related to HIV, counselling/testing, and return/failure to return. Retrieved references were imported into Endnote X7, and then duplicates were removed. The detailed search strategy is available upon request.

2.2. Study Selection

All identified records (,019) were initially screened by two independent investigators and verified by a third researcher. Eligible studies had to meet the following criteria: (1) be an original research study; (2) be written in English or in French; (3) report adolescents, adults, pregnant women, men who have sex with men (MSM), injecting drug users (IDUs), or female sex workers (FSWs); (4) include participants undergoing HIV tests; (5) use a quantitative method to assess return or failure to return for HIV test results; and (6) report a statistical association between a potential predictor/correlate and return or FTR. Study designs of interest were cross-sectional and longitudinal. No geographical restrictions were applied. The reference lists of the relevant articles were also reviewed for additional publications.

A short list of records was prepared and the full text reviewed independently by two authors. Citations that were clearly irrelevant were excluded. Uncertainties and disagreements about inclusion were resolved through discussion involving both investigators (see Figure 1 for flowchart of systematic review).

2.3. Data Extraction

Two authors independently extracted data from each study that fulfilled the inclusion criteria using a standard form. Study characteristics (name of the first author, year of publication, country in which the study was conducted, study design, sampling approach, participating characteristics, and HIV testing procedure) as well as key findings related to factors associated with return or failure to return for HIV test results were extracted. Any factors analyzed associated with FTR or return for HIV test results were listed, and the results of multivariate statistical tests for association (odds ratio) were noted. For studies where a multivariate statistical test was not done, the results of bivariate analyses were noted. When the result of the measure of association in multivariate analysis was not significant and not reported by authors, the factor was not considered in the synthesis.

2.4. Quality Assessment

The Newcastle-Ottawa Scale (NOS) for cohort studies and an adapted form of the Newcastle-Ottawa cohort scale for cross-sectional studies were used to assess methodological quality. NOS is a tool for assessing the quality of nonrandomized studies to be used in a systematic review [45]. Each study is judged with a “star system” on three points: the selection of study groups, the comparability of the groups, and the ascertaining of exposure or outcome. Studies for which at least five out of nine items on the NOS were deemed satisfactory and in which appropriate statistical analysis (e.g., multivariate controlling for confounders) was conducted were considered to be of sufficient methodological quality and included in the review (maximum score of 10 for cross-sectional studies and 9 for cohort studies). At each stage of the quality assessment, the reviewers discussed among themselves until a consensus was reached on which studies to include.

2.5. Data Synthesis and Combined Effect Sizes Associated with Return

Factors associated with either return or failure to return may be arranged into barriers and facilitators inspired by the Socioecological Model (SEM), which is a framework to examine the multiple effects and interrelatedness of environmental, contextual, and social factors on individual behaviour [46, 47]. Recognizing that most public health challenges are too complex to be adequately understood and addressed from single level analyses, the SEM includes a more comprehensive approach that integrates multiple levels of influence to impact health behaviour and ultimately health outcomes. These levels of influence include intrapersonal and interpersonal factors, organizational factors, and structural factors. In this review, due to their small number, organizational and structural factors were grouped as contextual factors.

Since we anticipate a potential variability of the methodology (e.g., measures of studied factors) across the included studies, we used a random-effects model based on the inverse variance method to estimate the pooled odds ratio (OR) for each factor potentially associated with returning for HIV test results and its 95% confidence interval (CI) [48, 49]. The Higgins’s statistic was used to quantify the percentage of the variability in individual effect size estimates which is attributable to the heterogeneity [50, 51]. This heterogeneity was tested using a chi-squared test [50, 51]. Moreover, we performed sensitivity analysis by removing the included studies from the pooled size estimation one at a time. These analyses allowed us to explore the individual contribution of each study to the heterogeneity in the meta-analysis. When we could not explain the heterogeneity, we have interpreted the pooled effect size estimates with caution because these effect sizes would be explained by other factors, which were not taken into account in our analyses. A value of less than 0.05 was considered statistically significant. Analyses were performed in Review Manager (version 5.3).

3. Results

3.1. Study Selection

The primary search strategy identified 3,019 potentially relevant citations. After the removal of duplicates and the initial title and abstracts screening, 60 citations were kept for the full-text review. Studies were excluded if they did not report quantitative results () or just reported the rate of return or failure to return (FTR) without assessment of associated factors (). The remaining 36 studies were appraised for their methodological quality and included in the analysis. No study was excluded on the basis of quality assessment. A flow chart illustrating the selection process is shown in Figure 1.

3.2. Study Characteristics

Table 1 provides a brief overview of the key characteristics of the included studies. Of the 36 included studies, 10 were longitudinal cohort studies and 26 were cross-sectional studies. Seven of the studies were carried out in Sub-Saharan Africa; seventeen in the USA; three in Australia; six in Asia; and one in Brazil. Populations under study were diverse, including general population (), pregnant women (), injecting drug users (), men who have sex with men (), high-risk heterosexual individuals (), HIV-positive individuals (), factory workers (), individuals with psychiatric problems (), adolescents (), HIV-negative individuals (), and female sex workers (). The outcome of interest was dichotomous, with 20 studies focused on failure to return and 16 on return for HIV test results.

3.3. Quality Appraisal Results

Studies were generally of high quality (see Table 2). A total of 3 cohort studies scored 9/9, one study scored 8/9, and 6 studies scored 7/10. For the cross-sectional studies, one study scored 9/10, 11 studies scored 8/10, 4 studies scored 7/10, 4 studies scored 6/10, one study scored 5/10, and one study scored 4/10.

3.4. Barriers and Facilitators of Returning for HIV Test Results

In total, 236 factors associated with returning for HIV test results were identified. Among these, 123 factors were reported as barriers and 70 as facilitators. The association was not statistically significant for 72 factors. At the individual level, factors were classified into sociodemographic characteristics (), risk behaviours (), perceived risk (), HIV knowledge (), reasons for visit/testing (), HIV test results (), history of testing (), psychosocial factors (), and other individual factors (). Factors grouped at the interpersonal level were risk partner behaviours (), social support (), knowledge of person with HIV (), domestic violence (), and other interpersonal factors such as partner age (), years in couple (), and communication within the couple (). Contextual factors comprised the type of clinic attended (), year of testing (), and characteristics of the testing center, such as availability of counselling (), condom distribution (), clinic visit (), confidential testing (), and location of the testing center in the same city as treatment center () (see Table 3).

3.5. Individual Level

3.5.1. Sociodemographic Characteristics

Age was the most reported factor (). This factor has been reported as a barrier to returning for results in 7 studies [12, 19, 27, 28, 30, 36, 37] and as a facilitator in 5 studies [13, 22, 35, 36, 39]. The association between age and returning for HIV test results was insignificant in 10 studies [10, 12–14, 26, 28–30, 35, 41]. In these studies, being 30 years of age or over was reported as a facilitator in 4 studies [13, 22, 35, 36] and as a barrier in just a single study [27]. On the other hand, having less than 30 years of age was reported as barrier in 6 studies [12, 19, 27, 28, 30, 36] and as facilitator in 2 studies [22, 36].

Level of education was reported in nine studies. In 4 studies [15, 17, 26, 30], it was reported as a barrier to returning for HIV test results, especially for people with no education or a low level of education. In 3 studies [9, 34, 39], it was reported as a facilitator for those with a medium or high level of education.

In studies with a mixed population (women and men) when sexual orientation was reported (), being heterosexual or bisexual appeared as a barrier to returning for HIV test results [11, 36, 37].

Marital status was reported in six studies. In these studies, being married or living in a couple [8] and being a widower [8] emerged as facilitators of a return for results.

3.5.2. Risk Behaviours

Several risk behaviours were positively or negatively associated with a return for results. The number of sexual partners during the last 6 to 12 months was reported in 8 studies. In 5 of these studies [8, 10, 26, 27, 37], having more than 5 sexual partners was reported as a barrier to returning for HIV test results. Otherwise, having a single sexual partner during the last 6 to 12 months [22, 37] was not significantly associated with a return for results. Using a condom has been reported as both a barrier [30] and as a facilitator [26, 41], but in most cases, the association was not significant [14, 37, 39]. Having a history of STIs was reported in nine studies. However, it was reported equally as a barrier [16, 19, 29, 41] or a facilitator [13, 22, 25, 31] as regards a return for HIV test results.

3.5.3. Perceived Risk

Perceived risk has been reported in nine studies. In those studies, having low perceived risk [26] () and not seeing oneself at risk [10, 27] () was reported as a barrier to a returning for test results. However, this result is somewhat controversial because one of these two studies showed that having high-perceived risk [10] was a barrier to a return for results, and having a medium perceived risk was reported at the same time as a barrier in one study [14] and as a facilitator in another [33]. In addition, the association was insignificant for 4 studies [10, 35, 38, 39].

3.5.4. Psychosocial Factors

The association between the return for HIV test results and psychosocial factors showed divergent results (). For instance, not believing in self-prevention from HIV [26], believing that HIV can be cured [29], and thinking that a medical follow-up can improve the course of HIV [29] were reported as barriers to a return for test results. However, having high self-esteem [33] and positive coping skills [33] appeared as a facilitator for a return for results. Feeling anxious about HIV was reported as a barrier [15, 42] to a return for HIV test results.

3.5.5. Health Coverage

The association between the existence of health coverage and a return for results was studied in two articles. Having health coverage [24] appeared as a facilitator and not having health coverage as a barrier [31].

3.6. Interpersonal Level

Interpersonal factors were reported in 18 studies. The most common factors were risk behaviours of the sexual partner. The association of these factors with a return for results was investigated in seven publications. The HIV status of the sexual partner [8, 19, 41] () or being a client of a sex worker [8] () was identified as a facilitator for a return for HIV test results in three studies. Having a sexual partner who is a sex worker [8, 41] (), having a partner who drinks alcohol [28] () or consumes drugs [41] (), having a partner who is always travelling [28] (), and having a partner who did not test [28] () were all reported as a barrier to returning for results. Domestic violence (abused by a partner) [28] and rape [16, 29] were reported as barriers to a return for test results in three studies.

The association between a return for results and the availability of a social network has been studied in six studies. On the one hand, it appears that having one or more gay friends [37], having a counsellor [40], or knowing someone infected with HIV [35] are barriers to a return for results. On the other hand, having social support [40] (friends) and lacking a family confidant [38] were reported as facilitators of a return for test results.

3.7. Contextual Level

A negative association was found between the return for HIV test results and having a confidential test in one study [12]. The same negative association was found when the testing was done in facilities such as family planning clinics [27, 36] (), a detention facility [27] (), a primary care clinic [27] (), an HIV testing clinic [27] (), a mobile clinic [27] (), a prenatal/obstetric clinic [36] (), a drug treatment center [36] (), a health department [27, 36] (), an outpatient medical service [16] (), and a sexual health clinic [20] (). However, the association was positive in the case of a physician clinic [36] () and a college [36] (). Other organizational factors, such as the year of testing [22] (), condom distribution during the visit [46] (), or having tested in a center located in the same city as the treatment center [46] () and not having pretest counselling, emerged as facilitators of a return for results.

3.8. Combined Effect Sizes of Factors Associated with a Return for HIV Test Results

The pool estimates and sensitivity analysis of the association of the return for HIV test results with certain factors, including gender (men versus women) and race (black versus white) for studies conducted in the USA, injection drug use (no versus yes), HIV test results (positive versus negative), and HIV testing history (no versus yes), are shown in Table 3. The combined analysis showed that being female [8, 18–20, 22, 30, 34, 35] is significantly associated with a return for results (OR = 0.86, 95% CI = 0.77–0.96) when studies with specific population (MSM, HIV negative, pregnant women) are excluded. In the studies from the USA, black people tend to return less frequently for their results than white people (OR = 0.76, 95% CI = 0.64–0.90) [12, 18, 22, 27, 34–36, 38, 39]. There is no significant association between returning for test results and HIV test results or HIV testing history. Finally, the association between injection drug use and returning for test results was significant (OR = 0.85, 95% CI = 0.75–0.96) [8, 12, 14, 22, 41] when only the general population was considered. Thus, being an IUD appears as a barrier for returning for HIV test results.

4. Discussion

The objective of this review was to report the factors that were statistically associated with the return for HIV test results in different studies, regardless of the target population, the HIV test method used (standard or rapid tests), the waiting time for results, or the country. Despite these different contexts, periods, and populations, the majority of studies considered the same factors. The vast majority of reported factors are found at the individual level (sociodemographic characteristics, risk behaviours, individual risk perception, and test results). Very few studies have reported contextual factors, such as organizational factors, policies, economic factors, or social factors.

The differences in statistical analysis (classification, categorization, and reference group) introduced a great deal of heterogeneity with respect to the studies. Thus, it was not possible to combine effect sizes for all factors. The factors not included in the meta-analysis were grouped into barriers and facilitators based on their statistical association with the dependent variable (return for HIV test results).

Although the factors have been grouped into categories according to the ecological model, it is important to specify, in accordance with the socioecological approach, that the categories are not exclusive but rather influence each other.

4.1. Sociodemographic Factors

Age and level of education acted both as barriers and facilitators. However, the trend indicates firstly that young people and individuals with a low level of education were less likely to return for their results. Indeed, there is evidence that young people are often less informed about HIV and also exhibited a lower rate of HIV testing than adults [45, 46, 52]. They are unaware of their risk behaviours and are less likely to return for their test results. Conversely, individuals with higher levels of education can better understand the importance of screening [44, 53] and are more likely to return for their results.

4.2. Risk Behaviours

The literature has shown an association between the return for test results and risk behaviours [52, 54]. In fact, people who display risk behaviours can also develop fear and anxiety with respect to knowing their test results. In these circumstances, they are less likely to return for their results even if they had the courage to get tested. Thus, in this review, the positive test result, injection drug use, a high number of sexual partners, getting paid to have sex, and having symptoms of sexually transmitted infections (STIs) at a testing visit were reported as barriers to returning for test results.

4.3. Perceived Risk

Studies that have examined the association between perceived risk and a return for test results are sometimes contradictory. Indeed, some studies have shown that people who have a high-perceived risk of contracting HIV were more likely to return for their results [33, 55]. Other studies have shown that people with a low perceived risk do not return for their results [10, 14, 26, 27]. This second situation might be explained by the fact that many people at high risk of contracting HIV do not perceive themselves as at risk [56–58]. Therefore, they do not see the importance of returning for their results and knowing their status. This is why it is recommended that the education of individuals be intensified in order to foster a high and precise perception of risk.

4.4. Interpersonal Factors

The sexual partner’s risk behaviours were the most frequent group of factors influencing a return for test results. Furthermore, having social support, having an HIV infected partner, or being a client of a sex worker have been reported as factors that encourage people to return for their results. In fact, having sex with a high-risk person might increase the perceived risk, which leads the exposed person to learn his or her HIV status [59]. On the other hand, the family and social network provide social support and reinforce social norms [60] that might encourage a return for results. In contrast, being a member of a social network of people at risk, such as a partner of a sex worker, of an alcoholic, or of a drug user, having gay friends, or knowing someone infected by HIV tend to hinder a return for results. These risk groups often experience discrimination and stigmatization [1, 61]. Therefore, they are less likely to get tested, to return for their results, to disclose their HIV status to others, to adopt preventive behaviours, or to access treatment services, care, and support. Finally, domestic violence (intimate partner violence) and sexual assault also hinder a return for results. Despite the implementation of strategies that enable women to get tested at opportune moments such as during pregnancy or childbirth, domestic violence remains a barrier for the entire testing process [62–64]. First, the female victim of sexual violence is afraid to return for her results and know her HIV status because she is afraid of being rejected by her partner who can blame her for having tested without his consent and for being responsible for his contamination in the case of a positive result [62, 64, 65]. Second, the feeling of guilt and fear of victimization and stigmatization experienced by a raped woman can hinder her return for results even if she could be tested [62, 66, 67].

4.5. Contextual Factors

The HIV testing center and its characteristics were the most frequent contextual factors reported in different studies. Getting tested in most of the sites appeared as a barrier to returning for test results. One reason may be the type of screening test offered at these sites. Many of the studies in this review were conducted before the use of rapid tests. Recently, several HIV testing centers in developed countries and in developing countries have reported an increase in the demand for testing, the proportion of people who received posttest counselling, and the knowledge of status following the introduction of rapid tests [68–72]. Other studies also showed that clients prefer the centers where they can receive their results without delay on the same day [73–75]. However, it is also reported that when the testing center is linked with the treatment, the pretest counselling is done well, and there is distribution of condoms, this set of factors encourages people to return for their results [1, 7, 32, 53].

This literature review has some limitations. Firstly, the differences in the measurement of factors and the specificity of certain populations (injection drug users, pregnant women, female sex workers, and men who have sex with men) introduce heterogeneity and do not allow meta-analyses for all factors. Secondly, most of the studies were conducted before the advent of rapid testing, but nowadays HIV testing is performed by rapid tests. Therefore, the issue of failure to return for HIV test results is only important in very specific contexts. The use of rapid tests might change the distribution and frequency of certain factors.

A majority of the studies were conducted in the USA The countries of Sub-Saharan Africa, which represent 2/3 of infected people worldwide, do not often publish their results, or only publish their results in local journal articles, which are not indexed in most databases.

Our search strategy was limited to publications in English and French. Only articles published in peer-reviewed journals were considered; grey literature and conference proceedings were not. This may have some implications for the external validity of our results. However, the review included a large number of studies, covering different regions, a broad range of populations, and barriers and facilitators with respect to returning for HIV test results. Furthermore, to the best of our knowledge, this is the first review to focus on factors associated with returning for HIV test results.

5. Conclusion

Helping more people learn their HIV status requires the strengthening of counselling and testing services. Returning for HIV test results is the gateway for knowledge and acceptance of HIV status. Various recently implemented strategies, such as provider-initiated testing and counselling, community-based testing and counselling, home-based testing and counselling, and the use of rapid tests, might not be effective if the people tested are not well advised and do not accept their results.

This review identified important factors that need to be addressed to ensure that people return for their HIV test results. Most barriers and facilitators identified were found at the individual level. These results highlight the fundamental role of counselling. Individuals most likely to fail to return for their results must be identified and targeted by the counsellor and delivered a specific message.

Competing Interests

The authors declare that there is no conflict of interests regarding the publication of this paper.

Supplementary Materials

The supplementary file presents the number factors associated with failure to return (FTR) and the return for HIV test results per studies. The factors are classified in barriers and facilitators.

Supplementary Material

References

C. M. Obermeyer and M. Osborn, “The utilization of testing and counseling for HIV: a review of the social and behavioral evidence,” American Journal of Public Health, vol. 97, no. 10, pp. 1762–1774, 2007.
View at: Publisher Site | Google Scholar
UNAIDS, The Impact of Voluntary Counselling and Testing—A Global Review of the Benefits and Challenges, UNAIDS, Geneva, Switzerland, 2001.
UNAIDS, 90-90-90 An ambitious treatment target to help end the AIDS epidemic, Joint United Nations Programme on HIV/AIDS (UNAIDS): Geneva, Switzerland, 2014.
S. Helleringer, H.-P. Kohler, J. A. Frimpong, and J. Mkandawire, “Increasing uptake of HIV testing and counseling among the poorest in sub-saharan countries through home-based service provision,” Journal of Acquired Immune Deficiency Syndromes, vol. 51, no. 2, pp. 185–193, 2009.
View at: Publisher Site | Google Scholar
European Centre for Disease Prevention and Control (ECDC), HIV Testing: Increasing Uptake and Effectiveness in the European Union, ECDC, Stockholm, Sweden, 2010.
CDC, CDC Fact Sheet: HIV Testing in the United States, Centers for Disease Control and Prevention, Atlanta, Ga, USA, 2014.
OMS, Vers un Accès Universel: Étendre les Interventions Prioritaires Liées au VIH/SIDA Dans le Secteur de la Santé: Rapport de Situation 2009, OMS, Geneva, Switzerland, 2009.
N. T. T. Hong, M. I. Wolfe, T. T. Dat et al., “Utilization of HIV voluntary counseling and testing in Vietnam: an evaluation of 5 years of routine program data for national response,” AIDS Education and Prevention, vol. 23, no. 3, supplement, pp. 30–48, 2011.
View at: Publisher Site | Google Scholar
J. Xu, K. Brown, G. Ding et al., “Factors associated with HIV testing history and HIV-test result follow-up among female sex workers in two cities in Yunnan, China,” Sexually Transmitted Diseases, vol. 38, no. 2, pp. 89–95, 2011.
View at: Publisher Site | Google Scholar
M. Laanani, A. Dozol, L. Meyer et al., “Factors associated with failure to return for HIV test results in a free and anonymous screening centre,” International Journal of STD & AIDS, vol. 26, no. 8, pp. 549–555, 2015.
View at: Publisher Site | Google Scholar
G. Pahlavan, C. Burdet, C. Laouénan et al., “Predictors of return rate for an HIV-positive result in a French Voluntary Counseling and Testing centre,” International Journal of STD and AIDS, vol. 26, no. 1, pp. 33–36, 2015.
View at: Publisher Site | Google Scholar
I. Slutsker, R. Klockner, and D. Fleming, “Factors associated with failure to return for HIV post-test counseling,” AIDS, vol. 6, no. 10, pp. 1226–1228, 1992.
View at: Publisher Site | Google Scholar
W. Wimonsate, S. Naorat, A. Varangrat et al., “Factors associated with HIV testing history and returning for HIV test results among men who have sex with men in Thailand,” AIDS and Behavior, vol. 15, no. 4, pp. 693–701, 2011.
View at: Publisher Site | Google Scholar
A. Bergenstrom, V. Go, L. V. Nam et al., “Return to post-test counselling by out-of-treatment injecting drug users participating in a cross-sectional survey in north Vietnam,” AIDS Care, vol. 19, no. 7, pp. 935–939, 2007.
View at: Publisher Site | Google Scholar
J. A. Catania, S. M. Kegeles, and T. J. Coates, “Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM),” Health Education Quarterly, vol. 17, no. 1, pp. 53–72, 1990.
View at: Publisher Site | Google Scholar
M. M. Desai and R. A. Rosenheck, “HIV testing and receipt of test results among homeless persons with serious mental illness,” The American Journal of Psychiatry, vol. 161, no. 12, pp. 2287–2294, 2004.
View at: Publisher Site | Google Scholar
T.-H. Dinh, R. Detels, and M. A. Nguyen, “Factors associated with declining HIV testing and failure to return for results among pregnant women in Vietnam,” AIDS, vol. 19, no. 11, pp. 1234–1236, 2005.
View at: Publisher Site | Google Scholar
J. M. Ellen, T. S. Liang, C. A. Jacob, E. Erbelding, and C. Christmyer, “Post-HIV test counselling of clients of a mobile STD/HIV clinic,” International Journal of STD & AIDS, vol. 15, no. 11, pp. 728–731, 2004.
View at: Publisher Site | Google Scholar
E. J. Erbelding, S. Chung, and J. M. Zenilman, “Following-up for HIV test results: what limits return in an STD clinic population?” International Journal of STD and AIDS, vol. 15, no. 1, pp. 29–32, 2004.
View at: Publisher Site | Google Scholar
L. M. Healey, C. C. O'Connor, and D. J. Templeton, “HIV result giving. Is it time to change our thinking?” Sexual Health, vol. 7, no. 1, pp. 8–10, 2010.
View at: Publisher Site | Google Scholar
L. B. Hightow, W. C. Miller, P. A. Leone, D. Wohl, M. Smurzynski, and A. H. Kaplan, “Failure to return for HIV posttest counseling in an STD clinic population,” AIDS Education and Prevention, vol. 15, no. 3, pp. 282–290, 2003.
View at: Publisher Site | Google Scholar
J. J. Kinsler, W. E. Cunningham, C. Davis, and M. D. Wong, “Time trends in failure to return for HIV test results,” Sexually Transmitted Diseases, vol. 34, no. 6, pp. 397–400, 2007.
View at: Publisher Site | Google Scholar
J. Ladner, V. Leroy, P. Msellati et al., “A cohort study of factors associated with failure to return for HIV post-test counselling in pregnant women: Kigali, Rwanda, 1992-1993,” AIDS, vol. 10, no. 1, pp. 69–75, 1996.
View at: Publisher Site | Google Scholar
R. Lazebnik, T. Hermida, R. Szubski, S. Dieterich-Colón, and S. F. Grey, “The proportion and characteristics of adolescents who return for anonymous HIV test results,” Sexually Transmitted Diseases, vol. 28, no. 7, pp. 401–404, 2001.
View at: Publisher Site | Google Scholar
R. Machekano, W. McFarland, E. S. Hudes, M. T. Bassett, M. T. Mbizvo, and D. Katzenstein, “Correlates of HIV test results seeking and utilization of partner counseling services in a cohort of male factory workers in Zimbabwe,” AIDS and Behavior, vol. 4, no. 1, pp. 63–70, 2000.
View at: Publisher Site | Google Scholar
E. J. Mmbaga, G. H. Leyna, K. S. Mnyika, A. Hussain, and K.-I. Klepp, “Prevalence and predictors of failure to return for HIV-1 post-test counseling in the era of antiretroviral therapy in rural Kilimanjaro, Tanzania: challenges and opportunities,” AIDS Care, vol. 21, no. 2, pp. 160–167, 2009.
View at: Publisher Site | Google Scholar
F. Molitor, R. A. Bell, S. R. Truax, J. D. Ruiz, and R. K. Sun, “Predictors of failure to return for HIV test result and counseling by test site type,” AIDS Education and Prevention, vol. 11, no. 1, pp. 1–13, 1999.
View at: Google Scholar
S. E. Msuya, E. Mbizvo, J. Uriyo, B. Stray-Pedersen, N. E. Sam, and A. Hussain, “Predictors of failure to return for HIV test results among pregnant women in Moshi, Tanzania,” Journal of Acquired Immune Deficiency Syndromes, vol. 43, no. 1, pp. 85–90, 2006.
View at: Publisher Site | Google Scholar
T. Sahlu, E. Kassa, T. Agonafer et al., “Sexual behaviours, perception of risk of HIV infection, and factors associated with attending HIV post-test counselling in Ethiopia,” AIDS, vol. 13, no. 10, pp. 1263–1272, 1999.
View at: Publisher Site | Google Scholar
C. Sesay and L.-Y. Chien, “Analysis of factors associated with failure to return for an HIV-test result in The Gambia,” African Journal of AIDS Research, vol. 11, no. 2, pp. 83–89, 2012.
View at: Publisher Site | Google Scholar
M. D. Sorin, J. M. Tesoriero, and M. L. LaChance-McCullough, “Correlates of acceptance of HIV testing and post-test counseling in the obstetrical setting,” AIDS Education and Prevention, vol. 8, no. 1, pp. 72–85, 1996.
View at: Google Scholar
A. P. S. Melo, K. McKinnon, M. L. Wainberg, C. C. César, and M. D. C. Guimarães, “Psychiatric patients' return for HIV/STI test results in mental health centers,” Revista de Saude Publica, vol. 46, no. 2, pp. 290–299, 2012.
View at: Publisher Site | Google Scholar
J. A. Stein and A. Nyamathi, “Gender differences in behavioural and psychosocial predictors of HIV testing and return for test results in a high-risk population,” AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, vol. 12, no. 3, pp. 343–356, 2000.
View at: Publisher Site | Google Scholar
P. S. Sullivan, A. Lansky, and A. Drake, “Failure to return for HIV test results among persons at high risk for HIV infection: results from a multistate interview project,” Journal of Acquired Immune Deficiency Syndromes, vol. 35, no. 5, pp. 511–518, 2004.
View at: Publisher Site | Google Scholar
G. Y. Tao, B. M. Branson, W. J. Kassler, and R. A. Cohen, “Rates of receiving HIV test results: data from the U.S. National Health Interview Survey for 1994 and 1995,” Journal of Acquired Immune Deficiency Syndromes, vol. 22, no. 4, pp. 395–400, 1999.
View at: Publisher Site | Google Scholar
R. O. Valdiserri, M. Moore, A. R. Gerber, C. H. Campbell Jr., B. A. Dillon, and G. R. West, “A study of clients returning for counseling after HIV testing: implications for improving rates of return,” Public Health Reports, vol. 108, no. 1, pp. 12–18, 1993.
View at: Google Scholar
P. Van De Ven, G. Prestage, S. Knox, and S. Kippax, “Gay men in Australia who do not have HIV test results,” International Journal of STD and AIDS, vol. 11, no. 7, pp. 456–460, 2000.
View at: Publisher Site | Google Scholar
D. J. Wiley, R. R. Frerichs, W. L. Ford, and P. A. Simon, “Failure to learn human immunodeficiency virus test results in Los Angeles public sexually transmitted disease clinics,” Sexually Transmitted Diseases, vol. 25, no. 7, pp. 342–345, 1998.
View at: Publisher Site | Google Scholar
K. Ziek, M. F. Goldstein, M. Beardsley, S. Deren, and S. Tortu, “Factors associated with HIV testing and returning for test results in a sample of out-of-treatment drug users,” Journal of Drug Issues, vol. 30, no. 3, pp. 675–686, 2000.
View at: Publisher Site | Google Scholar
M. Cartoux, P. Msellati, N. Meda et al., “Attitude of pregnant women towards HIV testing in Abidjan, Cote d'Ivoire and Bobo-Dioulasso, Burkina Faso,” AIDS, vol. 12, no. 17, pp. 2337–2344, 1998.
View at: Publisher Site | Google Scholar
E. Chan, A. McNulty, and K. Tribe, “Who returns for HIV screening test results?” International Journal of STD and AIDS, vol. 18, no. 3, pp. 171–174, 2007.
View at: Publisher Site | Google Scholar
R. A. Bell, F. Molitor, and N. Flynn, “On returning for one's HIV test result: demographic, behavioral and psychological predictors,” AIDS, vol. 11, no. 2, pp. 263–264, 1997.
View at: Google Scholar
S. Kawichai, D. D. Celentano, T. Vongchak et al., “HIV voluntary counseling and testing and HIV incidence in male injecting drug users in northern Thailand: evidence of an urgent need for HIV prevention,” Journal of Acquired Immune Deficiency Syndromes, vol. 41, no. 2, pp. 186–193, 2006.
View at: Publisher Site | Google Scholar
D. Moher, L. Shamseer, M. Clarke et al., “Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement,” Systematic Reviews, vol. 4, article 1, 2015.
View at: Publisher Site | Google Scholar
G. A. Wells, B. Shea, D. O'Connell et al., The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses, 2008.
L. Shamseer, D. Moher, M. Clarke et al., “Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation,” British Medical Journal, vol. 349, article g7647, 2015.
View at: Google Scholar
K. R. McLeroy, D. Bibeau, A. Steckler, and K. Glanz, “An ecological perspective on health promotion programs,” Health Education Quarterly, vol. 15, no. 4, pp. 351–377, 1988.
View at: Publisher Site | Google Scholar
R. DerSimonian and N. Laird, “Meta-analysis in clinical trials,” Controlled Clinical Trials, vol. 7, no. 3, pp. 177–188, 1986.
View at: Publisher Site | Google Scholar
M. Borenstein, L. V. Hedges, J. P. T. Higgins, and H. R. Rothstein, Introduction to Meta-Analysis, John Wiley & Sons, Chichester, UK, 2009.
J. P. T. Higgins and S. G. Thompson, “Quantifying heterogeneity in a meta-analysis,” Statistics in Medicine, vol. 21, no. 11, pp. 1539–1558, 2002.
View at: Publisher Site | Google Scholar
J. P. T. Higgins, S. G. Thompson, J. J. Deeks, and D. G. Altman, “Measuring inconsistency in meta-analyses,” British Medical Journal, vol. 327, no. 7414, pp. 557–560, 2003.
View at: Publisher Site | Google Scholar
C. L. MacPhail, A. Pettifor, T. Coates, and H. Rees, “‘You must do the test to know your status’: attitudes to HIV voluntary counseling and testing for adolescents among South African youth and parents,” Health Education and Behavior, vol. 35, no. 1, pp. 87–104, 2008.
View at: Publisher Site | Google Scholar
O. D. Ayoola, G.-O. C. Victoria, O. Bamidele et al., “Pattern, challenges and correlates of condom use among Nigerians living with HIV infection,” Asian Pacific Journal of Tropical Biomedicine, vol. 4, pp. S198–S203, 2014.
View at: Publisher Site | Google Scholar
G. L. Reynolds, D. G. Fisher, L. E. Napper, K. A. Marsh, C. Willey, and R. Brooks, “Results from a multiple morbidities testing program offering rapid HIV testing bundled with hepatitis and sexually transmitted infection testing,” Public Health Reports, vol. 123, supplement 3, pp. 63–69, 2008.
View at: Google Scholar
R. R. Fichtner, R. J. Wolitski, W. D. Johnson, C. B. Rabins, and M. Fishbein, “Influence of perceived and assessed risk on STD clinic clients' acceptance of HIV testing, return for test results, and HIV serostatus,” Psychology, Health and Medicine, vol. 1, no. 1, pp. 83–98, 1996.
View at: Publisher Site | Google Scholar
A. Nunn, N. Zaller, A. Cornwall et al., “Low perceived risk and high HIV prevalence among a predominantly African American population participating in Philadelphia's rapid HIV testing program,” AIDS Patient Care and STDs, vol. 25, no. 4, pp. 229–235, 2011.
View at: Publisher Site | Google Scholar
K. C. Koh and L. S. Yong, “HIV risk perception, sexual behavior, and HIV prevalence among men-who-have-sex-with-men at a community-based voluntary counseling and testing center in Kuala Lumpur, Malaysia,” Interdisciplinary Perspectives on Infectious Diseases, vol. 2014, Article ID 236240, 6 pages, 2014.
View at: Publisher Site | Google Scholar
Y. Shiferaw, A. Alemu, A. Assefa, B. Tesfaye, E. Gibermedhin, and M. Amare, “Perception of risk of HIV and sexual risk behaviors among university students: implication for planning interventions,” BMC Research Notes, vol. 7, article 162, 2014.
View at: Publisher Site | Google Scholar
R. Stephenson, D. White, L. Darbes, C. Hoff, and P. Sullivan, “HIV Testing Behaviors and Perceptions of Risk of HIV Infection Among MSM with Main Partners,” AIDS and Behavior, vol. 19, no. 3, pp. 553–560, 2015.
View at: Publisher Site | Google Scholar
N. G. Kigozi, J. C. Heunis, E. Wouters, and H. S. Van Den Berg, “Tuberculosis patients' reasons for, and suggestions to address non-uptake of HIV testing: a cross-sectional study in the Free State Province, South Africa,” BMC Health Services Research, vol. 11, article 110, 2011.
View at: Publisher Site | Google Scholar
A. B. Hutchinson, B. M. Branson, A. Kim, and P. G. Farnham, “A meta-analysis of the effectiveness of alternative HIV counseling and testing methods to increase knowledge of HIV status,” AIDS, vol. 20, no. 12, pp. 1597–1604, 2006.
View at: Publisher Site | Google Scholar
WHO, Addressing Violence against Women in HIV Testing and Counselling: A Meeting Report, World Health Organization, Geneva, Switzerland, 2006.
J. N. Kiarie, C. Farquhar, B. A. Richardson et al., “Domestic violence and prevention of mother-to-child transmission of HIV-1,” AIDS, vol. 20, no. 13, pp. 1763–1769, 2006.
View at: Publisher Site | Google Scholar
J. M. Turan, E. A. Bukusi, M. Onono, W. L. Holzemer, S. Miller, and C. R. Cohen, “HIV/AIDS stigma and refusal of HIV testing among pregnant women in rural Kenya: results from the MAMAS study,” AIDS and Behavior, vol. 15, no. 6, pp. 1111–1120, 2011.
View at: Publisher Site | Google Scholar
A. Medley, C. Garcia-Moreno, S. McGill, and S. Maman, “Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes,” Bulletin of the World Health Organization, vol. 82, no. 4, pp. 299–307, 2004.
View at: Google Scholar
J. N. Sayles, G. W. Ryan, J. S. Silver, C. A. Sarkisian, and W. E. Cunningham, “Experiences of social stigma and implications for healthcare among a diverse population of HIV positive adults,” Journal of Urban Health, vol. 84, no. 6, pp. 814–828, 2007.
View at: Publisher Site | Google Scholar
T. S. H. Beattie, P. Bhattacharjee, M. Suresh, S. Isac, B. M. Ramesh, and S. Moses, “Personal, interpersonal and structural challenges to accessing HIV testing, treatment and care services among female sex workers, men who have sex with men and transgenders in Karnataka state, South India.,” Journal of epidemiology and community health, vol. 66, pp. ii42–48, 2012.
View at: Publisher Site | Google Scholar
K. E. Bowles, H. A. Clark, E. Tai et al., “Implementing rapid HIV testing in outreach and community settings: results from an advancing HIV prevention demonstration project conducted in seven U.S. cities,” Public Health Reports, vol. 123, supplement 3, pp. 78–85, 2008.
View at: Google Scholar
L. Fernàndez-Lopez, B. Rifà, F. Pujol et al., “Impact of the introduction of rapid HIV testing in the voluntary counselling and testing sites network of Catalonia, Spain,” International Journal of STD and AIDS, vol. 21, no. 6, pp. 388–391, 2010.
View at: Publisher Site | Google Scholar
A. Liu, P. H. Kilmarx, S. Supawitkul et al., “Rapid whole-blood finger-stick test for HIV antibody: performance and acceptability among women in Northern Thailand,” Journal of Acquired Immune Deficiency Syndromes, vol. 33, no. 2, pp. 194–198, 2003.
View at: Publisher Site | Google Scholar
I. M. Malonza, B. A. Richardson, J. K. Kreiss, J. J. Bwayo, and G. C. J. Stewart, “The effect of rapid HIV-1 testing on uptake of perinatal HIV-1 interventions: a randomized clinical trial,” AIDS, vol. 17, no. 1, pp. 113–118, 2003.
View at: Publisher Site | Google Scholar
P. R. Telles-Dias, S. Westman, A. E. Fernandez et al., “Perceptions of HIV rapid testing among injecting drug users in Brazil,” Revista de Saude Publica, vol. 41, no. 2, pp. 94–100, 2007.
View at: Publisher Site | Google Scholar
W. J. Kassler, M. G. Alwano-Edyegu, E. Marum, B. Biryahwaho, P. Kataaha, and B. Dillon, “Rapid HIV testing with same-day results: a field trial in Uganda,” International Journal of STD and AIDS, vol. 9, no. 3, pp. 134–138, 1998.
View at: Publisher Site | Google Scholar
S. F. Morin, G. Khumalo-Sakutukwa, E. D. Charlebois et al., “Removing barriers to knowing HIV status: same-day mobile HIV testing in Zimbabwe,” Journal of Acquired Immune Deficiency Syndromes, vol. 41, no. 2, pp. 218–224, 2006.
View at: Publisher Site | Google Scholar
F. Spielberg, B. M. Branson, G. M. Goldbaum et al., “Overcoming barriers to HIV testing: preferences for new strategies among clients of a needle exchange, a sexually transmitted disease clinic, and sex venues for men who have sex with men,” Journal of Acquired Immune Deficiency Syndromes, vol. 32, no. 3, pp. 318–327, 2003.
View at: Publisher Site | Google Scholar

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Copyright © 2016 Patrice Ngangue et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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