@article{fdi:010063379,
  title = {{C}ould you have said no ? {A} mixed-methods investigation of consent to {HIV} tests in four {A}frican countries},
  author = {{M}akhlouf {O}bermeyer, {C}. and {V}erhulst, {C}. and {A}smar, {K}. and {D}esclaux, {A}lice and et al.},
  editor = {},
  language = {{ENG}},
  abstract = {{I}ntroduction: {A}lthough most studies report high frequencies of consent to {HIV} tests, critics argue that clients are subject to pressure, that acceptors later indicate they could not have refused, and that provider-initiated {HIV} testing raises serious ethical issues. {W}e examine the meaning of consent and why clients think they could not have refused. {M}ethods: {C}lients in {B}urkina {F}aso, {K}enya, {M}alawi and {U}ganda were asked about consenting to {HIV} tests, whether they thought they could have refused and why. {T}extual responses were analyzed using qualitative and statistical methods. {R}esults: {A}mong 926 respondents, 77% reported they could not have said no, but in fact, 60% actively consented to test, 24% had no objection and only 7% tested without consent. {T}here were few significant associations between categories of consent and their covariates. {C}onclusions: {R}etrospectively asking clients if they could have refused to test for {HIV} overestimates coercion. {T}riangulating qualitative and quantitative data suggests a considerable degree of agency.},
  keywords = {{SIDA} ; {DEPISTAGE} ; {TEST} ; {ETHIQUE} ; {ANTHROPOLOGIE} {DE} {LA} {SANTE} ; {SYSTEME} {DE} {REPRESENTATIONS} ; {ENQUETE} ; {ENTRETIEN} ; {AFRIQUE} {SUBSAHARIENNE} ; {BURKINA} {FASO} ; {KENYA} ; {MALAWI} ; {OUGANDA}},
  booktitle = {},
  journal = {{J}ournal of the {I}nternational {A}ids {S}ociety},
  volume = {17},
  numero = {},
  pages = {no 18898 [9  en ligne]},
  ISSN = {1758-2652},
  year = {2014},
  DOI = {10.7448/{IAS}.17.1.18898},
  URL = {https://www.documentation.ird.fr/hor/fdi:010063379},
}