Table 4.

Factors associated with test and non-test

Patient
Perceptual factors associated with testPerceptual factors associated with non-testPractical factors associated with testPractical factors associated with non-test
High perceived (or actual) riskLow perceived riskRegular use of healthcare servicesHaving tested for HIV previously
HIV-related knowledge or awarenessNo symptoms or symptoms not associated with HIVOffered or encouraged to test by a healthcare providerHIV test not suggested by a healthcare provider
To protect partner or because of partner’s status/riskStigmaPhysical symptomsDislike of needles
CuriosityFear of a positive resultHaving health insurance or the financial means to pay for healthcare
Symptoms attributed to HIVHopelessness regarding lack of treatment
Perceived poor health statusGovernment 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 factorsLack of HIV information and failure to identify a clinical indicator disease
Clinician uncomfortable addressing risk factor questioning/sexuality of older patientsTesting as part of a routine check-upLack of time