‘Men usually say that HIV testing is for women’: gender dynamics and perceptions of HIV testing in Lesotho

DiCarlo, Abby L.; Mantell, Joanne E.; Remien, Robert H.; Zerbe, Allison; Morris, Danielle; Pitt, Blanche; Abrams, Elaine J.; El-Sadr, Wafaa M.

doi:10.1080/13691058.2014.913812

Cited by 95HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHIV/AIDS Impact and Responses

‘Men usually say that HIV testing is for women’: gender dynamics and perceptions of HIV testing in Lesotho

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DiCarlo, Abby L., Mantell, Joanne E., Remien, Robert H., Zerbe, Allison, Morris, Danielle, Pitt, Blanche, Abrams, Elaine J., El-Sadr, Wafaa M.·2014·Culture, Health & Sexuality

DOI 10.1080/13691058.2014.913812PMC PMC4116609

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Abstract

In Lesotho, men have lower HIV testing rates, less contact with HIV clinical settings and less knowledge of HIV prevention than women. However, women's HIV prevalence has consistently remained higher than men's. This paper explores gender norms, sexual decision-making and perceptions of HIV among a sample of Basotho men and women in order to understand how these factors influence HIV testing and prevention. A total of 200 women and 30 men were interviewed in Lesotho between April and July 2011. Participants reported reluctance among women to share information about HIV prevention and testing with men, and resistance of men to engage with testing and/or prevention services. Findings demonstrate a critical need for educational initiatives for men, among other strategies, to engage men with HIV testing and prevention. This study highlights how gender issues shape perceptions of HIV and sexual decision-making and underlines the importance of engaging men along with women in HIV prevention efforts. More studies are needed to determine the most effective strategies to inform and engage men.

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This association discourages men from getting tested for HIV.
“This association discourages men from getting tested for HIV [38].”
From Echoes of old HIV paradigms: reassessing the problem of engaging men in HIV testing and treatment through women’s perspectives (2017) · cites this paper as [38]
Many men exhibit a lack of knowledge regarding HIV and ART.
“Many men exhibit a lack of knowledge regarding HIV and ART [38].”
From Echoes of old HIV paradigms: reassessing the problem of engaging men in HIV testing and treatment through women’s perspectives (2017) · cites this paper as [38]

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Factors Associated with an Human Immunodeficiency Virus (HIV) Testing Uptake and Differences by Sex in Lesotho
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Authors: DiCarlo, A. L., Mantell, J. E., Remien, R. H., Zerbe, A., Morris, D., Pitt, B., Abrams, E. J., & El-Sadr, W. M.
Affiliations: New York State Psychiatric Institute (US)
Columbia University (US)
ICAP Global Health (US)
Corresponding author: DiCarlo, Abby L.
ORCID: Mantell, Joanne E.
Remien, Robert H.
Zerbe, Allison
Abrams, Elaine J.
El-Sadr, Wafaa M.
Venue: Culture, Health & Sexuality
Publisher: Informa UK Limited
Published: 2014-05-22
Volume: 16
Issue: 8
Pages: 867-882
ISSN: 1369-1058 (ISSN-L)
1464-5351
DOI: 10.1080/13691058.2014.913812
PMC: PMC4116609
OpenAlex: W2164362094
Cited by: 95
References: 33
Citations by year: 2026: 4 · 2025: 7 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 17 · 2020: 10 · 2019: 14 · 2018: 9 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 2
FWCI: 4.22
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Culture Health & Sexuality (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: U.S. Public Health Service (5R01A1083038)
National Institute of Mental Health (P30-MH43520, P30MH043520)
National Institute of Allergy and Infectious Diseases (R01AI083038)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
Keywords: HIV testing, gender norms, sexual decision-making, HIV prevention, Basotho, Lesotho, HIV/AIDS knowledge
MeSH terms: Adolescent, Adult, Attitude to Health, Female, Humans, Lesotho, Male, Men, Middle Aged, Sexual Behavior, Sex Factors, Women, HIV Infections, Focus Groups, Diagnostic Techniques and Procedures, Young Adult

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‘Men usually say that HIV testing is for women’: gender dynamics and perceptions of HIV testing in Lesotho

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