One of the things that is helping to lessen the stigma about getting tested is U=U. Undetectability, with the use of either an internal or external condom, where you don't have to disclose...to a possible partner, has helped to eliminate some of that stigma, although stigma is still there. But definitely in our area—and I speak for Simcoe and Muskoka—many men still do not consider HIV testing to be part of their health regime in the same way they see eyes, dental, prostate, heart, cholesterol, etc....
In many cases as well, confidentiality still plays a big part in rural communities, because in many health care centres in rural communities, you recognize the car, or your wife may work there or a relative may work there in a smaller community, so you hesitate to get tested for HIV because of the fear of having that information divulged to either your employer or someone within the community.