SynthesisClinical medicine (London, England)2017
Barriers and facilitators to HIV testing in people age 50 and above: a systematic review.
Synthesis in Clinical medicine (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Identifying factors influencing HIV testing behavior among high-risk elderly men: a mixed-methods study incorporating structural equation modeling and thematic framework.BMC infectious diseases · 2026Article
- Tell or Not to Tell: Changes in Ukrainian Older Adults' HIV Status Disclosure Practices During Intersecting Covid-19 and War Crises.AIDS and behavior · 2026Article
- Qualitatively exploring opportunities and challenges for sexually transmitted infection prevention aimed at Canadian international retirement migrants wintering in the United States.BMC public health · 2026Article
- Risk factors for late HIV diagnosis in England, 2015-2023.HIV medicine · 2026Article
- Factors influencing late HIV presentation in China: results from logistic regression and Bayesian network analyses.BMC infectious diseases · 2026Article
- HIV testing in primary care in the West of Ireland: a mixed-method survey between 2013 and 2023.BJGP open · 2025Article
- Innovation and implementation determinants of HIV testing and linkage-to-care in the U.S.: a systematic review.Implementation science communications · 2024Review
- The Association Between HIV-Related Stigma and the Uptake of HIV Testing and ART Among Older Adults in Rural South Africa: Findings from the HAALSI Cohort Study.AIDS and behavior · 2024Article
- Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study.Revista brasileira de enfermagem · 2024Article
- The roles of the general practitioner and sexual health centre in HIV testing: comparative insights and impact on HIV incidence rates in the Rotterdam area, the Netherlands - a cross-sectional population-based study.BMC public health · 2023Article
- Increasing HIV early diagnosis by implementing an automated screening strategy in emergency departments.HIV medicine · 2022Observational
- Opt-in HIV testing in construction workplaces: an exploration of its suitability, using the socioecological framework.BMC public health · 2022Article
- The challenges of chronic pain and fatigue.Clinical medicine (London, England) · 2021Review
- Test@Work Texts: Mobile Phone Messaging to Increase Awareness of HIV and HIV Testing in UK Construction Employees during the COVID-19 Pandemic.International journal of environmental research and public health · 2020Article
- Evaluating a pilot process for reviewing late HIV diagnoses in England and Wales.Clinical medicine (London, England) · 2020Article
- Understanding the Role of Voluntary Counseling and Testing (VCT) in HIV Prevention in Nantong, China.BioMed research international · 2020Article
- Newly diagnosed cases of HIV in those aged 50 years and older and those less than 50: 2008-2017.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2019Article
- Missed opportunities for earlier diagnosis of HIV in British Columbia, Canada: A retrospective cohort study.PloS one · 2019Article
- Factors associated with testing for HIV in people aged ≥50 years: a qualitative study.BMC public health · 2018Article
- Current Challenges and Solutions in Research and Clinical Care of Older Persons Living with HIV: Findings Presented at the 9th International Workshop on HIV and Aging.AIDS research and human retrovirusesArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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 systematic 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 the number of times they were reported was noted. Because of considerable heterogeneity, a narrative approach has been undertaken to synthesise data. In total, 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. This shows a divide between clinicians' preconceptions and patients' expectations, which may impact on testing rates. This review is an important first step in identifying potential barriers/facilitators for further study or to be addressed in the design of future interventions.
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