title: Returning for HIV Test Results: A Systematic Review of Barriers and Facilitators.
abstract: This systematic review aims to identify factors that facilitate or hinder the return for HIV test results. Four electronic databases were searched. Two independent reviewers selected eligible publications based on inclusion/exclusion criteria. Quantitative studies published since 1985 were included. Thirty-six studies were included in the final review. Individual level barriers included sociodemographic characteristics, such as being a male, of young age and low education level, risk behaviours such as injecting drugs, having multiple sexual partners, and psychosocial factors. Older age, higher education level, being a woman, having high self-esteem, having coping skills, and holding insurance coverage were identified as facilitators. Interpersonal barriers and facilitators were linked to risk behaviours of sexual partners. Contextual barriers included essentially the HIV testing center and its characteristics. This review identified the most important factors that need to be addressed to ensure that people return for their HIV test results.
authors.affiliation: Faculté des Sciences Infirmières, Université Laval, 1050 avenue de la Médecine, Pavillon Vandry, Ville de Québec, QC, Canada G1V 0A6; Population Health and Optimal Health Practices, CHU de Québec Research Center, 10 rue de l'Espinay, D6, Quebec City, QC, Canada G1L 3L5.
authors.forename: Patrice
authors.identifier: 0000-0002-5204-7420
authors.initials: P
authors.lastname: Ngangue
authors.affiliation: Université du Québec à Rimouski (UQAR), 1595 boul. Alphonse-Desjardins, UQAR, Campus de Lévis, Lévis, QC, Canada G6V 0A6.
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Bedard
authors.affiliation: Quebec SPOR-SUPPORT Unit, 10 rue de l'Espinay, D6, Quebec City, QC, Canada G1L 3L5.
authors.forename: Hervé Tchala Vignon
authors.initials: HT
authors.lastname: Zomahoun
authors.affiliation: Quebec SPOR-SUPPORT Unit, 10 rue de l'Espinay, D6, Quebec City, QC, Canada G1L 3L5.
authors.forename: Julie
authors.identifier: 0000-0002-3116-4978
authors.initials: J
authors.lastname: Payne-Gagnon
authors.affiliation: Faculté des Sciences Infirmières, Université Laval, 1050 avenue de la Médecine, Pavillon Vandry, Ville de Québec, QC, Canada G1V 0A6.
authors.forename: Claudia
authors.initials: C
authors.lastname: Fournier
authors.affiliation: Department of Family Health, Ministry of Public Health, Yaoundé, Cameroon.
authors.forename: Jeannette
authors.initials: J
authors.lastname: Afounde
authors.affiliation: Faculté des Sciences Infirmières, Université Laval, 1050 avenue de la Médecine, Pavillon Vandry, Ville de Québec, QC, Canada G1V 0A6; Population Health and Optimal Health Practices, CHU de Québec Research Center, 10 rue de l'Espinay, D6, Quebec City, QC, Canada G1L 3L5.
authors.forename: Marie-Pierre
authors.initials: MP
authors.lastname: Gagnon