Cargando…
High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy
Oral HIV self-testing (HIVST) may expand access to testing among hard-to-reach reach adolescents and young adults (AYA). We evaluated community-based HIVST services for AYA in an urban settlement in Kenya. Peer-mobilizers recruited AYA ages 15–24 through homes, bars/clubs, and pharmacies. Participan...
Autores principales: | , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409270/ https://www.ncbi.nlm.nih.gov/pubmed/34468968 http://dx.doi.org/10.1007/s10461-021-03451-1 |
_version_ | 1783746965169766400 |
---|---|
author | Wilson, Kate S. Mugo, Cyrus Katz, David A. Manyeki, Vivianne Mungwala, Carol Otiso, Lilian Bukusi, David McClelland, R. Scott Simoni, Jane M. Driver, Matt Masyuko, Sarah Inwani, Irene Kohler, Pamela K. |
author_facet | Wilson, Kate S. Mugo, Cyrus Katz, David A. Manyeki, Vivianne Mungwala, Carol Otiso, Lilian Bukusi, David McClelland, R. Scott Simoni, Jane M. Driver, Matt Masyuko, Sarah Inwani, Irene Kohler, Pamela K. |
author_sort | Wilson, Kate S. |
collection | PubMed |
description | Oral HIV self-testing (HIVST) may expand access to testing among hard-to-reach reach adolescents and young adults (AYA). We evaluated community-based HIVST services for AYA in an urban settlement in Kenya. Peer-mobilizers recruited AYA ages 15–24 through homes, bars/clubs, and pharmacies. Participants were offered oral HIVST, optional assistance and post-test counseling. Outcomes were HIVST acceptance and completion (self-report and returned kits). Surveys were given at enrollment, post-testing, and 4 months. Log-binomial regression evaluated HIVST preferences by venue. Among 315 reached, 87% enrolled. HIVST acceptance was higher in bars/clubs (94%) than homes (86%) or pharmacies (75%). HIVST completion was 97%, with one confirmed positive result. Participants wanted future HIVST at multiple locations, include PrEP, and cost ≤ $5USD. Participants from bars/clubs and pharmacies were more likely to prefer unassisted testing and peer-distributers compared to participants from homes. This differentiated community-based HIVST strategy could facilitate engagement in HIV testing and prevention among AYA. |
format | Online Article Text |
id | pubmed-8409270 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-84092702021-09-01 High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy Wilson, Kate S. Mugo, Cyrus Katz, David A. Manyeki, Vivianne Mungwala, Carol Otiso, Lilian Bukusi, David McClelland, R. Scott Simoni, Jane M. Driver, Matt Masyuko, Sarah Inwani, Irene Kohler, Pamela K. AIDS Behav Original Paper Oral HIV self-testing (HIVST) may expand access to testing among hard-to-reach reach adolescents and young adults (AYA). We evaluated community-based HIVST services for AYA in an urban settlement in Kenya. Peer-mobilizers recruited AYA ages 15–24 through homes, bars/clubs, and pharmacies. Participants were offered oral HIVST, optional assistance and post-test counseling. Outcomes were HIVST acceptance and completion (self-report and returned kits). Surveys were given at enrollment, post-testing, and 4 months. Log-binomial regression evaluated HIVST preferences by venue. Among 315 reached, 87% enrolled. HIVST acceptance was higher in bars/clubs (94%) than homes (86%) or pharmacies (75%). HIVST completion was 97%, with one confirmed positive result. Participants wanted future HIVST at multiple locations, include PrEP, and cost ≤ $5USD. Participants from bars/clubs and pharmacies were more likely to prefer unassisted testing and peer-distributers compared to participants from homes. This differentiated community-based HIVST strategy could facilitate engagement in HIV testing and prevention among AYA. Springer US 2021-09-01 2022 /pmc/articles/PMC8409270/ /pubmed/34468968 http://dx.doi.org/10.1007/s10461-021-03451-1 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Wilson, Kate S. Mugo, Cyrus Katz, David A. Manyeki, Vivianne Mungwala, Carol Otiso, Lilian Bukusi, David McClelland, R. Scott Simoni, Jane M. Driver, Matt Masyuko, Sarah Inwani, Irene Kohler, Pamela K. High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title | High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title_full | High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title_fullStr | High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title_full_unstemmed | High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title_short | High Acceptance and Completion of HIV Self-testing Among Diverse Populations of Young People in Kenya Using a Community-Based Distribution Strategy |
title_sort | high acceptance and completion of hiv self-testing among diverse populations of young people in kenya using a community-based distribution strategy |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8409270/ https://www.ncbi.nlm.nih.gov/pubmed/34468968 http://dx.doi.org/10.1007/s10461-021-03451-1 |
work_keys_str_mv | AT wilsonkates highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT mugocyrus highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT katzdavida highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT manyekivivianne highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT mungwalacarol highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT otisolilian highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT bukusidavid highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT mcclellandrscott highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT simonijanem highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT drivermatt highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT masyukosarah highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT inwaniirene highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy AT kohlerpamelak highacceptanceandcompletionofhivselftestingamongdiversepopulationsofyoungpeopleinkenyausingacommunitybaseddistributionstrategy |