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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...

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Bibliographic Details
Main Authors: Ortblad, Katrina (Author) , Bärnighausen, Till (Author)
Format: Article (Journal)
Language:English
Published: 16 January 2019
In: Aids and behavior
Year: 2019, Volume: 23, Issue: 5, Pages: 1225-1239
ISSN:1573-3254
DOI:10.1007/s10461-019-02393-z
Online Access:Verlag, Pay-per-use, Volltext: https://doi.org/10.1007/s10461-019-02393-z
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Author Notes:Katrina F. Ortblad, Daniel Kibuuka Musoke, Thomson Ngabirano, Aidah Nakitende, Guy Harling, Jessica E. Haberer, Margaret McConnell, Joshua A. Salomon, Catherine E. Oldenburg, Till Bärnighausen
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Summary: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.
Item Description:Gesehen am 09.10.2019
Physical Description:Online Resource
ISSN:1573-3254
DOI:10.1007/s10461-019-02393-z

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