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Could you have said no? A mixed-methods investigation of consent to HIV tests in four African countries

Show simple item record Obermeyer C.M. Verhulst C. Asmar K.
dc.contributor.editor 2014 2017-10-18T13:33:57Z 2017-10-18T13:33:57Z 2014
dc.identifier 10.7448/IAS.17.1.18898
dc.identifier.issn 17582652
dc.description.abstract Introduction: Although most studies report high frequencies of consent to HIV tests, critics argue that clients are subject to pressure, that acceptors later indicate they could not have refused, and that provider-initiated HIV testing raises serious ethical issues. We examine the meaning of consent and why clients think they could not have refused. Methods: Clients in Burkina Faso, Kenya, Malawi and Uganda were asked about consenting to HIV tests, whether they thought they could have refused and why. Textual responses were analyzed using qualitative and statistical methods. Results: Among 926 respondents, 77percent reported they could not have said no, but in fact, 60percent actively consented to test, 24percent had no objection and only 7percent tested without consent. There were few significant associations between categories of consent and their covariates. Conclusions: Retrospectively asking clients if they could have refused to test for HIV overestimates coercion. Triangulating qualitative and quantitative data suggests a considerable degree of agency. © 2014 Obermeyer CM et al; licensee International AIDS Society.
dc.language English
dc.publisher BioMed Central Ltd.; GENEVA
dc.relation.ispartof Publication Name: Journal of the International AIDS Society; Publication Year: 2014; Volume: 17;
dc.source Scopus
dc.title Could you have said no? A mixed-methods investigation of consent to HIV tests in four African countries
dc.type Article
dc.contributor.affiliation Obermeyer, C.M., Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.affiliation Verhulst, C., Independent Consultant, Dakar, Senegal
dc.contributor.affiliation Asmar, K., Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
dc.contributor.authorAddress Obermeyer, C.M.; Center for Research on Population and Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon; email:
dc.contributor.authorCorporate University: American University of Beirut; Faculty: Faculty of Health Sciences; Department: Epidemiology and Population Health;
dc.contributor.authorDepartment Epidemiology and Population Health
dc.contributor.authorFaculty Faculty of Health Sciences
dc.contributor.authorInitials Obermeyer, CM
dc.contributor.authorInitials Verhulst, C
dc.contributor.authorInitials Asmar, K
dc.contributor.authorReprintAddress Obermeyer, CM (reprint author), Amer Univ Beirut, Fac Hlth Sci, Ctr Res Populat and Hlth, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut
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dc.description.citedCount 1
dc.description.citedTotWOSCount 0
dc.description.citedWOSCount 0
dc.format.extentCount 1
dc.identifier.articleNo 18898
dc.identifier.pubmedID 24647205
dc.identifier.scopusID 84899877745
dc.publisher.address AVENUE DE FRANCE 23, GENEVA, 1202, SWITZERLAND
dc.relation.ispartofFundingAgency R01 HD053268-05, NIH, National Institutes of Health
dc.relation.ispartOfISOAbbr J. Int. AIDS Soc.
dc.relation.ispartofPubTitle Journal of the International AIDS Society
dc.relation.ispartofPubTitleAbbr J. Int. AIDS Soc.
dc.relation.ispartOfVolume 17
dc.source.ID WOS:000333196400001
dc.type.publication Journal
dc.subject.otherAuthKeyword Consent
dc.subject.otherAuthKeyword Ethics
dc.subject.otherAuthKeyword HIV
dc.subject.otherAuthKeyword Qualitative
dc.subject.otherAuthKeyword Sub-Saharan africa
dc.subject.otherAuthKeyword Testing
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex Burkina Faso
dc.subject.otherIndex counseling
dc.subject.otherIndex female
dc.subject.otherIndex health care facility
dc.subject.otherIndex health care personnel
dc.subject.otherIndex HIV test
dc.subject.otherIndex human
dc.subject.otherIndex Human immunodeficiency virus infection
dc.subject.otherIndex informed consent
dc.subject.otherIndex Kenya
dc.subject.otherIndex major clinical study
dc.subject.otherIndex Malawi
dc.subject.otherIndex male
dc.subject.otherIndex pregnant woman
dc.subject.otherIndex prenatal care
dc.subject.otherIndex priority journal
dc.subject.otherIndex Uganda
dc.subject.otherIndex Consent
dc.subject.otherIndex ethics
dc.subject.otherIndex HIV
dc.subject.otherIndex qualitative
dc.subject.otherIndex sub-Saharan Africa
dc.subject.otherIndex testing
dc.subject.otherIndex Adolescent
dc.subject.otherIndex Adult
dc.subject.otherIndex AIDS Serodiagnosis
dc.subject.otherIndex Burkina Faso
dc.subject.otherIndex Cross-Sectional Studies
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Informed Consent
dc.subject.otherIndex Kenya
dc.subject.otherIndex Malawi
dc.subject.otherIndex Male
dc.subject.otherIndex Middle Aged
dc.subject.otherIndex Patient Acceptance of Health Care
dc.subject.otherIndex Socioeconomic Factors
dc.subject.otherIndex Uganda
dc.subject.otherIndex Young Adult
dc.subject.otherKeywordPlus INFORMED-CONSENT
dc.subject.otherKeywordPlus PREGNANT-WOMEN
dc.subject.otherKeywordPlus HUMAN-RIGHTS
dc.subject.otherKeywordPlus UGANDA
dc.subject.otherKeywordPlus CARE
dc.subject.otherKeywordPlus EXPERIENCES
dc.subject.otherKeywordPlus VOLUNTARY
dc.subject.otherKeywordPlus SETTINGS
dc.subject.otherKeywordPlus HEALTH
dc.subject.otherKeywordPlus MALAWI
dc.subject.otherWOS Immunology
dc.subject.otherWOS Infectious Diseases

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