Evidence map›Paper›PMID 19375208›Full record

ArticleSocial science & medicine (1982)2009

Increasing the acceptability of HIV counseling and testing with three C's: convenience, confidentiality and credibility.

Nicole Angotti, Agatha Bula, Lauren Gaydosh, Eitan Zeev Kimchi, Rebecca L Thornton, Sara E Yeatman

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  13. An Evidence-Based Approach to Facilitating PrEP Initiation Among YMSM: The MyPEEPS Plus mHealth and E-Peer Navigation Intervention.AIDS education and prevention : official publication of the International Society for AIDS Education · 2026
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nicole AngottiUniversity of Texas at Austin, TX, USA. nangotti@mail.utexas.edu
Agatha Bula
Lauren Gaydosh
Eitan Zeev Kimchi
Rebecca L Thornton
Sara E Yeatman

Funding

STATISTICAL DATA ENCLAVE COREP30AG012836 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 1999 to 2024
$14.0M
Population Science Research Center Development CoreR24HD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI SMITH, HERBERT L. · 2003 to 2017
$9.8M
Sci-Tech Core-Population Dynamics Research CenterP2CHD044964 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI Xi Song · 2018 to 2026
$5.3M
Consequences of High Morbidity and Mortality in a Low-Income CountryR01HD053781 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2007 to 2011
$2.9M
Gender, Conversationsal Networks and Dealing with STD'sR01HD041713 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI WATKINS, SUSAN C · 2001 to 2005
$2.1M
AIDS/HIV RISK, Marriage and Sexual Relations in MalawiR01HD044228 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2003 to 2006
$1.6M
Incentives, Information and Relations in MalawiR21HD050653 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI KOHLER, HANS-PETER · 2005 to 2006
$349k
NIA NIH HHS P30 AG012836NIA NIH HHS P30 AG12836NICHD NIH HHS P2C HD044964NICHD NIH HHS R01 HD044228NICHD NIH HHS R01 HD053781NICHD NIH HHS R01 HD/MH41713NICHD NIH HHS R21 HD050653NICHD NIH HHS R24 HD-044964NICHD NIH HHS R24 HD044964
6 · The paper itself

Abstract

Agencies engaged in humanitarian efforts to prevent the further spread of HIV have emphasized the importance of voluntary counseling and testing (VCT), and most high-prevalence countries now have facilities that offer testing free of charge. The utilization of these services is disappointingly low, however, despite high numbers reporting that they would like to be tested. Explanations of this discrepancy typically rely on responses to hypothetical questions posed in terms of psychological or social barriers; often, the explanation is that people fear learning that they are infected with a disease that they understand to be fatal and stigmatizing. Yet when we offered door-to-door rapid blood testing for HIV as part of a longitudinal study in rural Malawi, the overwhelming majority agreed to be tested and to receive their results immediately. Thus, in this paper, we ask: why are more people not getting tested? Using an explanatory research design, we find that rural Malawians are responsive to door-to-door HIV testing for the following reasons: it is convenient, confidential, and the rapid blood test is credible. Our study suggests that attention to these factors in VCT strategies may mitigate the fear of HIV testing, and ultimately increase uptake in rural African settings.

Indexed as

ConfidentialityCounselingHealth Services AccessibilityPatient Acceptance of Health CareTrustAdolescentAdultFemaleHealth SurveysHIV InfectionsHIV SeropositivityHumansMalawiMaleMiddle AgedYoung Adult

Identifiers

PMID19375208
PMCPMC2785859

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.