The risk of coercion in the context of HIV self-testing


Key take-home messages
  • While studies to date indicate that there are many benefits of HIV self-testing (also known as home-testing) and the risk of harm through coerced self-testing is minimal, the risk of coercion still exists.
  • HIV home testing in high-income settings is seen as less problematic because it is assumed that individuals would be able to pay for the test, do the test, and experience the testing process in a context free from coercion or abuse. In high-income settings, HIV self-testing may be less challenging because existing systems ensure proper regulation, access to health care, and protection from abuse.
  • More research is needed on unintended consequences of self-testing in situations where testing is coercive and puts individuals at risk for violence if they refuse.


The Ontario HIV Treatment Network: Rapid Response Service




  • Determinants of Health
    • Abuse
  • Population(s)
    • General HIV+ population
    • General HIV- population
  • Testing
    • Testing
  • Health Systems
    • Delivery arrangements


Abstract/Full paper

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