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June 4, 2026AIDS Care0 citations

Reasons for HIV testing and testing experiences among men testing for HIV in Cape Town, South Africa

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TTTsidiso TollaEWEdwin WoutersCMCaroline Masquillier

Key Points

  • This study aims to explore the motivations and experiences of men undergoing HIV testing in Cape Town.
  • Qualitative study using purposive sampling to select participants.
  • Thematic analysis guided by a framework of healthcare access.
  • Focus group discussions with 5-7 participants per group.
  • Testing motivations included healthcare worker initiatives, preference for male-friendly clinics, and self-reflection on sexual behavior.
  • Participants experienced emotional distress, anxiety, and fear related to testing.
  • Lack of emotional support services was noted as a critical gap impacting men's healthcare experiences.

Abstract

= 6) (5-7 participants per group). Participants were purposively selected. Thematic analysis, guided by the conceptual framework of access to healthcare, was applied. Testing was influenced by (a) healthcare workers initiating HIV testing, which men generally accepted, (b) the availability of male-friendly and men's clinics, which were limited, but approachable and preferred over general facilities, and (c) men's engagement in sexual behaviours that increased their exposure to HIV, which motivated testing after self-reflection. While men would access services, they nonetheless experienced emotional distress, including anxiety and fear. However, support services to cope with these emotions were unavailable. The findings highlight the need to integrate psychological support services with HIV testing and treatment and to stimulate and encourage social support to help men manage testing-related anxiety, cope with HIV-positive diagnoses, and improve linkage to care.

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Cite This Study

Tolla et al. (2026) studied this question.

synapsesocial.com/papers/6a211549d499ed480b16e829https://doi.org/10.1080/09540121.2026.2674244
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