Effect of HIV self-testing on the number of sexual partners among female sex workers in Zambia

AIDS
Catherine E OldenburgTill Bärnighausen

Abstract

To assess the effect of two health system approaches to distribute HIV self-tests on the number of female sex workers' client and nonclient sexual partners. Cluster randomized controlled trial. Peer educators recruited 965 participants. Peer educator-participant groups were randomized 1 : 1 : 1 to one of three arms: delivery of HIV self-tests directly from a peer educator, free facility-based delivery of HIV self-tests in exchange for coupons, or referral to standard-of-care HIV testing. Participants in all three arms completed four peer educator intervention sessions, which included counseling and condom distribution. Participants were asked the average number of client partners they had per night at baseline, 1 and 4 months, and the number of nonclient partners they had in the past 12 months (at baseline) and in the past month (at 1 month and 4 months). At 4 months, participants reported significantly fewer clients per night in the direct delivery arm (mean difference -0.78 clients, 95% CI -1.28 to -0.28, P = 0.002) and the coupon arm (-0.71, 95% CI -1.21 to -0.21, P = 0.005) compared with standard of care. Similarly, they reported fewer nonclient partners in the direct delivery arm (-3.19, 95% CI -5.18 to -1.21, P = 0.002) a...Continue Reading

Associated Clinical Trials

References

Feb 3, 2006·The New England Journal of Medicine·Alexi A Wright, Ingrid T Katz
Sep 20, 2006·Annals of Internal Medicine·Rochelle P Walensky, A David Paltiel
Jul 31, 2012·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Thulile Mathenjwa, Pranitha Maharaj
Aug 16, 2012·AIDS and Behavior·Alex Carballo-DiéguezCurtis Dolezal
Aug 9, 2013·BMC Public Health·Janne KrauseRobert Colebunders
Jan 17, 2017·Journal of the International Association of Providers of AIDS Care·Somya Gupta, Reuben Granich
Nov 22, 2017·PLoS Medicine·Michael M ChandaCatherine E Oldenburg

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Citations

Nov 30, 2018·Clinical Microbiology Reviews·Bharat S ParekhJohn N Nkengasong
Sep 15, 2020·Transgender Health·Roman ShresthaJeffrey A Wickersham
Oct 20, 2020·Open Forum Infectious Diseases·Eneyi E KpokiriJoseph D Tucker
Mar 26, 2019·Journal of the International AIDS Society·Valentina CambianoUNKNOWN for Working Group on Cost Effectiveness of HIV self-testing in Southern Africa

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Clinical Trials Mentioned

NCT02827240

Software Mentioned

Stata
OraQuick
R

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