Beyond Social Desirability Bias: Investigating Inconsistencies in Self-Reported HIV Testing and Treatment Behaviors Among HIV-Positive Adults in North West Province, South Africa.

AIDS and Behavior
Alyssa C MooneySheri A Lippman

Abstract

This mixed-methods study used qualitative interviews to explore discrepancies between self-reported HIV care and treatment-related behaviors and the presence of antiretroviral medications (ARVs) in a population-based survey in South Africa. ARV analytes were identified among 18% of those reporting HIV-negative status and 18% of those reporting not being on ART. Among participants reporting diagnosis over a year prior, 19% reported multiple HIV tests in the past year. Qualitative results indicated that participant misunderstandings about their care and treatment played a substantial role in reporting inaccuracies. Participants conflated the term HIV test with CD4 and viral load testing, and confusion with terminology was compounded by recall difficulties. Data entry errors likely also played a role. Frequent discrepancies between biomarkers and self-reported data were more likely due to poor understanding of care and treatment and biomedical terminology than intentional misreporting. Results indicate a need for improving patient-provider communication, in addition to incorporating objective measures of treatment and care behaviors such as ARV analytes, to reduce inaccuracies.

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Citations

Feb 15, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna L BowringStefan Baral
May 22, 2021·PloS One·Agnes N KiraggaKara K Wools-Kaloustian
Jul 29, 2021·Chiropractic & Manual Therapies·Danielle A BaxterMeaghan E Coyle
Feb 27, 2021·Sexually Transmitted Diseases·Laurianne MorinMichel Alary
Aug 27, 2021·PLoS Computational Biology·Luc BlasselUNKNOWN UK HIV Drug Resistance Database

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