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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...

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Autores principales: 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.
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
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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.
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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
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