AIMS: A study was undertaken to examine patterns of voluntary HIV testing among heterosexuals across Europe. METHODS: Cross-sectional surveys on sexual behaviour and HIV were performed including probability samples of the general population ages 18-49 years in Greece (n = 2,000), Italy (n = 2,603), Switzerland (n = 2,777), and Norway (n = 3,704). RESULTS: Prevalence of lifetime voluntary HIV testing among heterosexuals is 10.1%, 15.5%, 17.4%, and 40.9%, in Greece, Italy, Norway, and Switzerland, respectively. Between 49.0%, and 89.3% of individuals reporting risk behaviours never sought voluntary testing. Multivariate analysis shows that in some countries the likelihood of HIV testing is significantly higher for individuals aged 24-29 and 30-39 years, compared with younger respondents with the same risky behaviour. Among Swiss men and women higher educational level also significantly increases the probability of testing. CONCLUSIONS: The prevalence of voluntary HIV testing among heterosexuals with histories of risk is low. The needs of specific groups should be considered to improve HIV prevention and access to care.
AIMS: A study was undertaken to examine patterns of voluntary HIV testing among heterosexuals across Europe. METHODS: Cross-sectional surveys on sexual behaviour and HIV were performed including probability samples of the general population ages 18-49 years in Greece (n = 2,000), Italy (n = 2,603), Switzerland (n = 2,777), and Norway (n = 3,704). RESULTS: Prevalence of lifetime voluntary HIV testing among heterosexuals is 10.1%, 15.5%, 17.4%, and 40.9%, in Greece, Italy, Norway, and Switzerland, respectively. Between 49.0%, and 89.3% of individuals reporting risk behaviours never sought voluntary testing. Multivariate analysis shows that in some countries the likelihood of HIV testing is significantly higher for individuals aged 24-29 and 30-39 years, compared with younger respondents with the same risky behaviour. Among Swiss men and women higher educational level also significantly increases the probability of testing. CONCLUSIONS: The prevalence of voluntary HIV testing among heterosexuals with histories of risk is low. The needs of specific groups should be considered to improve HIV prevention and access to care.