High perceived (or actual) risk | Low perceived risk | Regular use of healthcare services | Having tested for HIV previously |
HIV-related knowledge or awareness | No symptoms or symptoms not associated with HIV | Offered or encouraged to test by a healthcare provider | HIV test not suggested by a healthcare provider |
To protect partner or because of partner’s status/risk | Stigma | Physical symptoms | Dislike of needles |
Curiosity | Fear of a positive result | Having health insurance or the financial means to pay for healthcare | |
Symptoms attributed to HIV | Hopelessness regarding lack of treatment | | |
Perceived poor health status | Government mistrust | | |
Belief in AIDS-related conspiracy theories | | | |
Clinician |
| Preconceptions about older people (including older people lack understanding of HIV, older people are less at risk and older people would feel uncomfortable) | Patient presenting with symptoms or disclosing risk factors | Lack of HIV information and failure to identify a clinical indicator disease |
| Clinician uncomfortable addressing risk factor questioning/sexuality of older patients | Testing as part of a routine check-up | Lack of time |