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AIDS Behav. 2018 Feb;22(2):616-628. doi: 10.1007/s10461-017-1691-z.

Actual Versus Perceived HIV Testing Norms, and Personal HIV Testing Uptake: A Cross-Sectional, Population-Based Study in Rural Uganda.

Author information

1
Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA. jessica.perkins@post.harvard.edu.
2
Harvard Center for Population and Development Studies, Cambridge, MA, USA. jessica.perkins@post.harvard.edu.
3
Mbarara University of Science and Technology, Mbarara, Uganda.
4
Uganda National Council for Science & Technology, Kampala, Uganda.
5
Hobart and William Smith Colleges, Geneva, NY, USA.
6
Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
7
Harvard Center for Population and Development Studies, Cambridge, MA, USA.
8
Harvard T.H. Chan School of Public Health, Boston, MA, USA.
9
Yale University, New Haven, CT, USA.
10
Oregon Health & Science University-Portland State University School of Public Health, Portland, OR, USA.

Abstract

HIV testing is an essential part of treatment and prevention. Using population-based data from 1664 adults across eight villages in rural Uganda, we assessed individuals' perception of the norm for HIV testing uptake in their village and compared it to the actual uptake norm. In addition, we examined how perception of the norm was associated with personal testing while adjusting for other factors. Although the majority of people had been tested for HIV across all villages, slightly more than half of men and women erroneously thought that the majority in their village had never been tested. They underestimated the prevalence of HIV testing uptake by 42 percentage points (s.d. = 17 percentage points), on average. Among men, perceiving that HIV testing was not normative was associated with never testing for HIV (AOR = 2.6; 95% CI 1.7-4.0, p < 0.001). Results suggest an opportunity for interventions to emphasize the commonness of HIV testing uptake.

KEYWORDS:

HIV testing; Perception; Social norms; Stigma; Uganda

PMID:
28233075
PMCID:
PMC5568980
DOI:
10.1007/s10461-017-1691-z
[Indexed for MEDLINE]
Free PMC Article

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