{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T08:10:28Z","timestamp":1776499828300,"version":"3.51.2"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,18]],"date-time":"2014-09-18T00:00:00Z","timestamp":1410998400000},"content-version":"vor","delay-in-days":260,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["087540"],"award-info":[{"award-number":["087540"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of the International AIDS Society"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Uptake of couples\u2019 HIV counselling and testing (couples\u2019 HCT) can positively influence sexual risk behaviours and improve linkage to HIV care among HIV\u2010positive couples. However, less than 30% of married couples have ever tested for HIV together with their partners. We explored the motivations for and barriers to couples\u2019 HCT among married couples in Rakai, Uganda.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a qualitative study conducted among married individuals and selected key informants between August and October 2013. Married individuals were categorized by prior HCT status as: 1) both partners never tested; 2) only one or both partners ever tested separately; and 3) both partners ever tested together. Data were collected on the motivations for and barriers to couples\u2019 HCT, decision\u2010making processes from tested couples and suggestions for improving couples\u2019 HCT uptake. Eighteen focus group discussions with married individuals, nine key informant interviews with selected key informants and six in\u2010depth interviews with married individuals that had ever tested together were conducted. All interviews were audio\u2010recorded, translated and transcribed verbatim and analyzed using Nvivo (version 9), following a thematic framework approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Motivations for couples\u2019 HCT included the need to know each other's HIV status, to get a treatment companion or seek HIV treatment together \u2013 if one or both partners were HIV\u2010positive \u2013 and to reduce mistrust between partners. Barriers to couples\u2019 HCT included fears of the negative consequences associated with couples\u2019 HCT (e.g. fear of marital dissolution), mistrust between partners and conflicting work schedules. Couples\u2019 HCT was negotiated through a process that started off with one of the partners testing alone initially and then convincing the other partner to test together. Suggestions for improving couples\u2019 HCT uptake included the need for couple\u2010 and male\u2010partner\u2010specific sensitization, and the use of testimonies from tested couples.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Couples\u2019 HCT is largely driven by individual and relationship\u2010based factors while fear of the negative consequences associated with couples\u2019 HCT appears to be the main barrier to couples\u2019 HCT uptake in this setting. Interventions to increase the uptake of couples\u2019 HCT should build on the motivations for couples\u2019 HCT while dealing with the negative consequences associated with couples\u2019 HCT.<\/jats:p><\/jats:sec>","DOI":"10.7448\/ias.17.1.19160","type":"journal-article","created":{"date-parts":[[2014,9,18]],"date-time":"2014-09-18T05:18:38Z","timestamp":1411017518000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["\u201cMen are always scared to test with their partners \u2026 it is like taking them to the Police\u201d: Motivations for and barriers to couples\u2019 HIV counselling and testing in Rakai, Uganda: a qualitative study"],"prefix":"10.1002","volume":"17","author":[{"given":"Joseph KB","family":"Matovu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhoda K","family":"Wanyenze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred","family":"Wabwire\u2010Mangen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosette","family":"Nakubulwa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Sekamwa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annet","family":"Masika","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jim","family":"Todd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Serwadda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,18]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"UNAIDS Report on the global AIDS epidemic","author":"UNAIDS","year":"2012"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.7448\/IAS.17.1.18765"},{"key":"e_1_2_9_4_1","volume-title":"Uganda: HIV modes of transmission and prevention response analysis. 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