Evidence map›Paper›PMID 30367609›Full record

ArticleBMC public health2018

Factors associated with testing for HIV in people aged ≥50 years: a qualitative study.

Elaney Youssef, Juliet Wright, Valerie Delpech, Kevin Davies, Alison Brown, Vanessa Cooper, Memory Sachikonye, Richard de Visser

Abstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Characterisation of new HIV diagnoses achieved in emergency departments using an opt-in strategy, Catalonia, Spain, July 2021 to March 2024.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Older persons' knowledge of HIV and AIDS prevention in a province of South Africa.African journal of primary health care & family medicine · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Sexual partnership concurrency and age disparities associated with sexually transmitted infection and risk behavior in rural communities in Kenya and Uganda.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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 · 2019
    Article
  20. Article
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

8 authors.

Elaney YoussefBrighton and Sussex Medical School, Brighton, UK. e.k.youssef@bsms.ac.uk.ORCID http://orcid.org/0000-0001-6897-2015
Juliet WrightBrighton and Sussex Medical School, Brighton, UK.
Valerie DelpechPublic Health England, London, UK.
Kevin DaviesBrighton and Sussex Medical School, Brighton, UK.
Alison BrownPublic Health England, London, UK.
Vanessa CooperUniversity College London, London, UK.
Memory SachikonyeUK Community Advisory Board (UK-CAB), London, UK.
Richard de VisserUniversity of Sussex, Brighton, UK.

Funding

National Institute for Health Research Ref: DRF-2015-08-086
6 · The paper itself

Abstract

backgroundDespite a decline in the number of new HIV infections in the UK overall, the number and proportion of new HIV diagnoses in people aged ≥50 years continues to increase. People aged ≥50 years are disproportionately affected by late diagnosis, which is associated with poorer health outcomes, increased treatment complexity and increased healthcare costs. Late HIV diagnosis also has significant public health implications in terms of onward HIV transmission. It is not fully understood what factors affect the decision of an older person to test for HIV. The aim of this study was to identify factors associated with testing for HIV in people aged ≥50 years who tested late for HIV.

methodsWe interviewed 20 people aged ≥50 years diagnosed late with HIV to identify factors associated with HIV testing. Interviews were audio recorded, transcribed verbatim and thematically analysed.

resultsSeven themes associated with HIV testing in people aged ≥50 years were identified: experience of early HIV/AIDS campaigns, HIV knowledge, presence of symptoms and symptom attribution, risk and risk perception, generational approaches to health and sexual health, stigma, and type of testing and testing venue.

conclusionSome factors associated with testing identified in this study were unique to older individuals. People aged ≥50 years often do not perceive themselves to be at risk of HIV. Further, stigma and a lack of knowledge of how to access HIV testing suggest a need for health promotion and suggest current sexual health services may need to adapt to better meet their needs.

Indexed as

AgedAged, 80 and overDelayed DiagnosisFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMass ScreeningMiddle AgedQualitative ResearchSocial StigmaAgeingHealth careHIVOlder peopleTesting

Identifiers

PMID30367609
PMCPMC6204048

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Registered trials

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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.