Worry: women's experience of HIV testing

Although HIV infection is increasing among all women, pregnant women are primarily targeted for testing. The authors explore the experience of nonpregnant women seeking HIV testing, particularly factors that influenced testing, waiting for results, and the testing process. They interviewed 26 first-time testers, analyzed transcripts independently, then compared and consensually validated. Phenomenological reflection guided thematic analysis. A pattern of Worry emerged from relational themes evident in three phases of the experience: (a) Deciding, (b) Testing, and (c) What Next? Participants identified HIV testing as stressful, even when they regarded the process positively. Findings can sensitize providers to women's perceptions, decision making, and barriers to testing. Providers are challenged to provide accessible testing that protects confidentiality in conjunction with supportive discussion of concerns.