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The aim of this study is to investigate what prevents people from getting a COVID\u201019 test when they are experiencing respiratory symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured, qualitative interviews were conducted with 14 purposively sampled adults between 20 November 2020 and 3 March 2021 in two capital cities of Australia and analysed thematically. The analysis included people who reported having respiratory symptoms but who did not undergo a COVID\u201019 test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants appraised risks of having COVID\u201019, of infecting others or being infected whilst attending a testing site. They often weighed these appraisals against practical considerations of knowing where and how to get tested, inconvenience or financial loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Clear public health messages communicating the importance of testing, even when symptoms are minor, may improve testing rates. Increasing the accessibility of testing centres, such as having them at transport hubs is important, as is providing adequate information about testing locations and queue lengths.<\/jats:p><\/jats:sec><jats:sec><jats:title>So what?<\/jats:title><jats:p>The findings of our study suggest that more needs to be done to encourage people to get tested for COVID\u201019, especially when symptoms are minor. Clear communication about the importance of testing, along with easily accessible testing clinics, and financial support for those concerned about financial impacts may improve testing rates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.599","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T07:42:40Z","timestamp":1648194160000},"page":"587-594","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["COVID\u201019 testing decisions and behaviours in two Australian cities"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8628-837X","authenticated-orcid":false,"given":"Penelope A.","family":"Robinson","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Susan Wakil School of Nursing and Midwifery University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2490-8318","authenticated-orcid":false,"given":"David C.","family":"Levy","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sydney School of Public Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2347-6602","authenticated-orcid":false,"given":"Claire","family":"Hooker","sequence":"additional","affiliation":[{"name":"Sydney Institute for Infectious Diseases University of Sydney  Sydney New South Wales Australia"},{"name":"Sydney Health Ethics University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5203-0557","authenticated-orcid":false,"given":"Ramon Z.","family":"Shaban","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Susan Wakil School of Nursing and Midwifery University of Sydney  Sydney New South Wales Australia"},{"name":"Sydney Institute for Infectious Diseases University of Sydney  Sydney New South Wales Australia"},{"name":"Department of Infection Prevention and Control Division of Infectious Diseases and Sexual Health Westmead Hospital and Western Sydney Local Health District  Sydney New South Wales Australia"},{"name":"New South Wales Biocontainment Centre Western Sydney Local Health District NSW Ministry of Health  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0443-4626","authenticated-orcid":false,"given":"Shizar","family":"Nahidi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Susan Wakil School of Nursing and Midwifery University of Sydney  Sydney New South Wales Australia"},{"name":"Emergency Department Latrobe Regional Hospital  Traralgon Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5095-1443","authenticated-orcid":false,"given":"Julie","family":"Leask","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Susan Wakil School of Nursing and Midwifery University of Sydney  Sydney New South Wales Australia"},{"name":"Sydney Institute for Infectious Diseases University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9699-7754","authenticated-orcid":false,"given":"Kerrie E.","family":"Wiley","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sydney School of Public Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1101\/2020.09.24.20201236"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3132112"},{"key":"e_1_2_12_4_1","unstructured":"NSW Department of Health.COVID\u201019 symptoms and how it spreads. 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