Abstract
In India, increasing uptake of voluntary HIV testing among 'core risk groups' is a national public health priority. While HIV testing uptake has been studied among key populations in India, limited information is available on multi-level barriers and facilitators to HIV testing, and experiences with free, publicly available testing services, among key populations. We conducted 12 focus groups (n = 84) and 12 key informant interviews to explore these topics among men who have sex with men, transgender women, cisgender female sex workers, and injecting drug users in the city of Chennai. We identified inter-related barriers at social-structural, health-care system, interpersonal, and individual levels. Barriers included HIV stigma, marginalised-group stigma, discrimination in health-care settings, including government testing centres, and fears of adverse social consequences of testing HIV positive. Facilitators included outreach programmes operated by community-based/non-governmental organisations, accurate HIV knowledge and risk perception for HIV, and access to drug dependence treatment for injecting drug users. Promoting HIV testing among these key populations requires interventions at several levels: reducing HIV-related and ...Continue Reading
References
Sep 12, 2000·AIDS·E Sumartojo
May 22, 2001·AIDS Patient Care and STDs·C A O'ConnorJ L Steinberg
Aug 10, 2007·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Venkatesan ChakrapaniFredrick Melwin
Sep 1, 2007·American Journal of Public Health·Carla Makhlouf Obermeyer, Michelle Osborn
May 20, 2008·Culture, Health & Sexuality·Venkatesan ChakrapaniMurali Shunmugam
Jul 5, 2008·Social Science & Medicine·Wayne T StewardMaria L Ekstrand
Nov 26, 2008·Sexually Transmitted Infections·P A NewmanL Kakinami
Jan 28, 2009·Indian Journal of Dermatology, Venereology and Leprology·Santosh ShindeHemangi Jerajani
Jun 13, 2009·American Journal of Community Psychology·Flora Cornish, Catherine Campbell
Aug 8, 2009·Journal of the International AIDS Society·Laura NybladeKim Ashburn
Oct 14, 2009·AIDS Patient Care and STDs·Venkatesan ChakrapaniRobert Dubrow
Oct 28, 2010·Current Opinion in HIV and AIDS·Supachai Rerks-NgarmYiming Shao
Jun 2, 2011·AIDS and Behavior·Michael R WoodfordLisa Kakinami
Nov 26, 2011·AIDS Care·Venkatesan ChakrapaniRobert Dubrow
Dec 2, 2011·PLoS Medicine·Carmen H LogieMona R Loutfy
Apr 13, 2012·Journal of Epidemiology and Community Health·Tara S H BeattieStephen Moses
Dec 12, 2012·PloS One·Venkatesan ChakrapaniMurali Shunmugam
Citations
Jun 22, 2016·Harm Reduction Journal·Deepika GanjuNiranjan Saggurti
Apr 12, 2018·PloS One·Laio MagnoSarah MacCarthy
Apr 13, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Viraj V PatelKenneth H Mayer
Jul 7, 2018·PloS One·Jan W de Lind van WijngaardenPeter A Newman
Jan 5, 2018·AIDS and Behavior·Angelo Brandelli CostaSilvia Helena Koller
Aug 15, 2019·Health Communication·Shamshad Khan
Jul 7, 2017·Current Opinion in HIV and AIDS·Tarandeep AnandNittaya Phanuphak
Apr 16, 2020·PloS One·Jerry OkalAvina Sarna
Nov 20, 2016·BMC International Health and Human Rights·Deepika GanjuRajatashurva Adhikary
Jan 7, 2019·BMC Public Health·Soori NnkoJohn Changalucha
Apr 18, 2019·Cadernos de saúde pública·Laio MagnoInes Dourado
Jun 6, 2020·AIDS and Behavior·Peter A Newman, Adrian Guta
Jun 10, 2020·BMC Infectious Diseases·Margrethe StormGaetano Marrone
Dec 5, 2020·Journal of Global Health·Brian T ChanAlexander C Tsai
Oct 29, 2020·Infectious Diseases·Amrita RaoSamiran Panda
Dec 12, 2020·BMC Public Health·Laing de VilliersUNKNOWN HPTN 071 (PopART) study team
Feb 23, 2021·AIDS Care·Venkatesan ChakrapaniSuchon Tepjan
Mar 27, 2021·AIDS Research and Therapy·Yuxi LinWei Ma
Apr 6, 2021·AIDS and Behavior·Venkatesan ChakrapaniRiccardo Scarpa
May 5, 2021·PloS One·Eliana Miura ZucchiLaio Magno
May 7, 2021·Systematic Reviews·Lydia AtuhairePeter S Nyasulu
Sep 8, 2021·International Journal for Equity in Health·Beo Oliveira LeiteInês Dourado
Nov 4, 2021·BMC Public Health·Richard MuhindoJuliet Kiguli