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The Effect of HIV Self-Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda

HIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator an... Full description

Journal Title: AIDS and Behavior 2019, Vol.23(5), pp.1225-1239
Main Author: Ortblad, Katrina
Other Authors: Kibuuka Musoke, Daniel , Ngabirano, Thomson , Nakitende, Aidah , Harling, Guy , Haberer, Jessica , McConnell, Margaret , Salomon, Joshua , Oldenburg, Catherine , Bärnighausen, Till
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 1090-7165 ; E-ISSN: 1573-3254 ; DOI: 10.1007/s10461-019-02393-z
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recordid: springer_jour10.1007/s10461-019-02393-z
title: The Effect of HIV Self-Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda
format: Article
creator:
  • Ortblad, Katrina
  • Kibuuka Musoke, Daniel
  • Ngabirano, Thomson
  • Nakitende, Aidah
  • Harling, Guy
  • Haberer, Jessica
  • McConnell, Margaret
  • Salomon, Joshua
  • Oldenburg, Catherine
  • Bärnighausen, Till
subjects:
  • HIV self-testing
  • Sexual behaviors
  • Condom use
  • Female sex workers
  • Uganda
ispartof: AIDS and Behavior, 2019, Vol.23(5), pp.1225-1239
description: HIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants’ sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.
language: eng
source:
identifier: ISSN: 1090-7165 ; E-ISSN: 1573-3254 ; DOI: 10.1007/s10461-019-02393-z
fulltext: fulltext_linktorsrc
issn:
  • 1573-3254
  • 15733254
  • 1090-7165
  • 10907165
url: Link


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titleThe Effect of HIV Self-Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda
creatorOrtblad, Katrina ; Kibuuka Musoke, Daniel ; Ngabirano, Thomson ; Nakitende, Aidah ; Harling, Guy ; Haberer, Jessica ; McConnell, Margaret ; Salomon, Joshua ; Oldenburg, Catherine ; Bärnighausen, Till
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subjectHIV self-testing ; Sexual behaviors ; Condom use ; Female sex workers ; Uganda
descriptionHIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants’ sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.
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titleThe Effect of HIV Self-Testing Delivery Models on Female Sex Workers’ Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda
descriptionHIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants’ sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.
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abstractHIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs’ sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants’ sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.
copNew York
pubSpringer US
doi10.1007/s10461-019-02393-z
pages1225-1239
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date2019-05-15