Effect of HIV self-testing on the number of sexual partners among female sex workers in Zambia.
AIDS
; 32(5): 645-652, 2018 03 13.
Article
em En
| MEDLINE
| ID: mdl-29494424
ABSTRACT
OBJECTIVES:
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.DESIGN:
Cluster randomized controlled trial.METHODS:
Peer educators recruited 965 participants. Peer educator-participant groups were randomized 1ââ1ââ1 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).RESULTS:
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, Pâ=â0.002) and the coupon arm (-0.71, 95% CI -1.21 to -0.21, Pâ=â0.005) 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, Pâ=â0.002) and in the coupon arm (-1.84, 95% CI -3.81 to 0.14, Pâ=â0.07) arm compared with standard of care.CONCLUSION:
Expansion of HIV self-testing may have positive behavioral effects enhancing other HIV prevention efforts among female sex workers in Zambia. TRIAL REGISTRATION ClinicalTrials.gov NCT02827240.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Autoadministração
/
Infecções por HIV
/
Testes Diagnósticos de Rotina
/
Profissionais do Sexo
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Female
/
Humans
País/Região como assunto:
Africa
Idioma:
En
Revista:
AIDS
Assunto da revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Ano de publicação:
2018
Tipo de documento:
Article