{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:57:32Z","timestamp":1791385052135,"version":"4.3.3"},"reference-count":21,"publisher":"Guilford Publications","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AIDS Education and Prevention"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>Tanzanian adolescents are vulnerable to HIV and national policy supports HIV testing services (HTS), yet HTS is underutilized by adolescents. This qualitative study explores factors that influence the attitudes and decision-making of Tanzanian adolescents regarding HTS uptake. The VITAA clinical trial tested a school-clinic partnership that offered health check-ups for Tanzanian adolescents with optional HTS. Semistructured interviews (n = 35) were conducted with adolescents (mean age 16) from the VITAA cohort. Thematic qualitative analysis was informed by the Health Belief Model. Most adolescents reported having experienced HTS and the majority of those who tested received HTS at a preventative health care visit. Reasons for testing included wanting to know their health status. Motivations to test outside of routine health care included perceived behavioral risk of infection or close exposure to someone living with HIV. The main reason for not testing was low perceived risk. Many adolescents would test if their risk changed.<\/jats:p>","DOI":"10.1521\/aeap.2026.38.5.403","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:24:11Z","timestamp":1791383051000},"page":"403-419","source":"Crossref","is-referenced-by-count":0,"title":["\u201cI Just Tested So That I Know My Health Status\u201d: HIV Testing Motivations and Decision-Making Among Adolescents in Tanzania"],"prefix":"10.1521","volume":"38","author":[{"given":"Katalia","family":"Alexander","sequence":"first","affiliation":[{"name":"The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gitagno","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health & Allied Sciences, Dar es Salaam, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Minja","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health & Allied Sciences, Dar es Salaam, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Lema","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health & Allied Sciences, Dar es Salaam, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel Jared","family":"Mtei","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health & Allied Sciences, Dar es Salaam, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Martinez","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric van","family":"Praag","sequence":"additional","affiliation":[{"name":"An Independent Consultant, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Kaaya","sequence":"additional","affiliation":[{"name":"Muhimbili University of Health & Allied Sciences, Dar es Salaam, Tanzania."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy Noel","family":"Baumgartner","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2025.2569975"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25886"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200407"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0272405"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1136\/sti.79.6.442"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1035-9"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05731-3"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Mbonu, N. C., van den Borne, B. & De Vries, N. K. (2009). Stigma of people with HIV\/AIDS in Sub-Saharan Africa: A literature review. Journal of Tropical Medicine, 2009,145891. https:\/\/doi.org\/10.1155\/2009\/145891","DOI":"10.1155\/2009\/145891"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/7925052"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.2196\/66739"},{"key":"ref11","volume-title":"AIDS and Behavior.","author":"Ntanguligwa C. A.","year":"2026"},{"key":"ref12","unstructured":"National AIDS Control Program & Tanzania Ministry of Health, Community Development Gender Elderly and Children. (2019). National Comprehensive Guidelines on HIV Testing Services: Third Edition."},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2016.28"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2025.2581203"},{"key":"ref15","first-page":"75","volume-title":"Health behavior: Theory, research, and practice","author":"Skinner C. S.","year":"2015"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000449"},{"key":"ref17","unstructured":"Tanzania Prime Minister's Office, & Tanzania Commission for AIDS. (2024). National HIV Prevention Road Map 2023\/24-2026\/27. https:\/\/www.tacaids.go.tz\/uploads\/documents\/en-1735984508-Approved%20HIV_prevention_road_map_1.pdf"},{"key":"ref18","unstructured":"Tanzania Commission for AIDS. (2024). Tanzania HIV Impact Survey 2022-2023 (THIS 2022-2023): Final report. https:\/\/phia.icap.columbia.edu\/wp-content\/uploads\/2024\/12\/240924-THIS_RR2_V2_digital_FINAL_9.3.B-correction.pdf"},{"key":"ref19","unstructured":"Tanzania Ministry of Health, Community Development, Gender, Elderly and Children. (2018). National Adolescent Health and Development Strategy 2018-2022."},{"key":"ref20","unstructured":"UNICEF. (2025). Adolescent HIV prevention. UNICEF Data. https:\/\/data.unicef.org\/topic\/hivaids\/adolescents-young-people\/#status"},{"key":"ref21","volume-title":"Adolescent-friendly health services in Tanzinia: Healthcare workers\u2019 perspectives on barriers and services offered.","author":"Van Oirshoct J.","year":"2023"}],"container-title":["AIDS Education and Prevention"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:24:25Z","timestamp":1791383065000},"score":1,"resource":{"primary":{"URL":"https:\/\/guilfordjournals.com\/doi\/10.1521\/aeap.2026.38.5.403"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1521\/aeap.2026.38.5.403"],"URL":"https:\/\/doi.org\/10.1521\/aeap.2026.38.5.403","relation":{},"ISSN":["0899-9546"],"issn-type":[{"value":"0899-9546","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]}}}