Barriers and facilitators to HIV testing in people age 50 and above: a systematic review

Youssef, Elaney, Wright, Juliet and Davies, Kevin (2017) Barriers and facilitators to HIV testing in people age 50 and above: a systematic review. Clinical Medicine, 17 (6). pp. 508-520. ISSN 1470-2118

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Approximately 13% of people living with HIV in the UK are unaware of their infection. New diagnoses among people ≥50 years is increasing. Unique factors may be associated with testing in this group. This review aims to identify patient and clinician-related barriers/facilitators to HIV testing in people aged ≥50 years.
A systematic electronic search was conducted. Papers were assessed for eligibility and data from eligible studies were extracted. Barriers/facilitators were grouped, and number of times reported was noted. Due to considerable heterogeneity, a narrative approach has been undertaken to synthesise data.
17 studies were included. Main barriers to testing were low perceived risk, and clinicians’ preconceptions about older people. Main facilitators were regular use of healthcare services or being offered/encouraged to test by a healthcare provider.
Although being encouraged to test was a common facilitator, clinicians’ preconceptions about older people was the biggest barrier, showing a divide between clinicians’ preconceptions and patient’s expectations, which may impact on testing rates. This review is an important first step to identify potential barriers/facilitators for further study or to be addressed in the design of future interventions.

Item Type: Article
Keywords: HIV testing Barriers Facilitators Older age Systematic Review
Schools and Departments: Brighton and Sussex Medical School > Clinical and Experimental Medicine
Brighton and Sussex Medical School > Division of Medical Education
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Depositing User: Marie Shelton
Date Deposited: 26 Sep 2017 15:14
Last Modified: 19 Jan 2018 16:14

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