Table 3.

Late-presenters and their combination of reasons for late diagnosis

	No symptoms prior to diagnosis	Symptoms experienced prior to diagnosis
Unaware of the fact that they have been at risk of HIV infection	There was no reason to be tested (n = 7)  – In a stable relationship and therefore unaware of a possible risk of HIV transmission through their partner  – Lack of knowledge about the possible transmission routes of HIV  – Feeling healthy	People saw no reason to be tested, despite symptoms (n = 5)  – In a stable relationship and therefore unaware of a possible risk of HIV transmission through their partner  – Lack of knowledge about the possible transmission routes of HIV  – The symptoms were not experienced as severe  – The symptoms were not linked to HIV by the respondent  – The symptoms were not recognized by professionals as HIV-related  – A previous negative test
Aware of the fact that they have been at risk of HIV infection	People were aware of a reason to be tested, but no or little need was experienced (n = 8)  – Perception of low risk behavior for HIV  – Feeling healthy  – Fear for the possible consequences of the diagnosis  – Being unfamiliar with the Dutch healthcare system	People were aware of a reason to be tested, but did not take any action (n = 14)  – Perception of low risk behavior for HIV  – The symptoms were not experienced as severe  – The symptoms were not linked to HIV by the respondent  – The symptoms were not recognized by professionals as HIV-related  – A previous negative test  – Fear for the possible consequences of the diagnosis  – Being unfamiliar with the Dutch healthcare system