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Deane, Kevin; Wamoyi, Joyce; Mgunga, Samwel and Changalucha, John
(2022).
DOI: https://doi.org/10.1080/13691058.2021.1941261
Abstract
Evidence from nationally representative surveys conducted in sub-Saharan Africa shows that significant proportions of men in the wealthiest quintile report never having tested for HIV. Despite high prevalence rates in this quintile, no research has been conducted on the HIV testing attitudes and practices of wealthier men. This article reports findings from qualitative research conducted with 23 wealthy men in Tanzania. Whilst wealthy men reported barriers to and enablers of HIV testing previously reported by the general population, concerns around loss of social status and community standing were amplified for members of this demographic. Furthermore, HIV stigma among members of this group remains high. However, enhanced access to HIV testing through private clinics, regular healthcare appointments, health insurance schemes and the means to travel to other countries enables wealthy men to avoid stigma. In settings such as the workplace, wealthy men were able to test in public in their roles as ‘leaders’ to encourage others to test. Future interventions to increase testing amongst men should target settings in which these leadership roles can be taken advantage of. HIV services also need integrating into the health system to remove the need for testing and treatment to be accessed at separate clinics.
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About
- Item ORO ID
- 78119
- Item Type
- Journal Item
- ISSN
- 1369-1058
- Project Funding Details
-
Funded Project Name Project ID Funding Body Exploring attitudes towards HIV testing amongst wealthy men in Tanzania SG153365. British Academy/Leverhulme Trust Small Grant - Keywords
- HIV testing; socioeconomic status; HIV stigma
- Academic Unit or School
-
Faculty of Arts and Social Sciences (FASS) > Social Sciences and Global Studies > Economics
Faculty of Arts and Social Sciences (FASS) > Social Sciences and Global Studies
Faculty of Arts and Social Sciences (FASS) - Research Group
-
Global Challenges and Social Justice
International Development & Inclusive Innovation
Innovation, Knowledge & Development research centre (IKD) - Copyright Holders
- © 2021 Kevin Deane et al.
- Depositing User
- Kevin Deane