ArticleAIDS (London, England)2017
'I will choose when to test, where I want to test': investigating young people's preferences for HIV self-testing in Malawi and Zimbabwe.
Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 107 papers, 8 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Acceptability and Performance of HIV Self-Testing in a Youth Population in Nigeria
Innovative Tools to Expand HIV Self-Testing
Who cites it
107 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Stated preferences of adolescents and young adults for sexual and reproductive health services in Africa: a systematic review.Sexual and reproductive health matters · 2025Pooled it
- Acceptability and use of HIV self-testing among young people in sub-Saharan Africa: a mixed methods systematic review.BMC primary care · 2024Pooled it
- Costs of HIV testing services in sub-Saharan Africa: a systematic literature review.BMC infectious diseases · 2024Pooled it
- The application of discrete choice experiments eliciting young peoples' preferences for healthcare: a systematic literature review.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Pooled it
- Modelling Methods of Economic Evaluations of HIV Testing Strategies in Sub-Saharan Africa: A Systematic Review.Applied health economics and health policy · 2023Pooled it
- Pooled it
- Men's perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis.BMC public health · 2020Pooled it
- A systematic review of qualitative evidence on factors enabling and deterring uptake of HIV self-testing in Africa.BMC public health · 2019Pooled it
- Reaching Adolescent Girls and Young Women With HIV Self-Testing and Contraception at Girl-Friendly Drug Shops: A Randomized Trial in Tanzania.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023Trial
- Did you hear about HIV self-testing? HIV self-testing awareness after community-based HIVST distribution in rural Zimbabwe.BMC infectious diseases · 2022Trial
- Preferences, beliefs, and attitudes about oral fluid and blood-based HIV self-testing among truck drivers in Kenya choosing not to test for HIV.Frontiers in public health · 2022Trial
- When healthcare providers are supportive, 'I'd rather not test alone': Exploring uptake and acceptability of HIV self-testing for youth in Zimbabwe - A mixed method study.Journal of the International AIDS Society · 2021Trial
- Community-based HIV self-testing: a cluster-randomised trial of supply-side financial incentives and time-trend analysis of linkage to antiretroviral therapy in Zimbabwe.BMJ global health · 2021Trial
- Effect of door-to-door distribution of HIV self-testing kits on HIV testing and antiretroviral therapy initiation: a cluster randomised trial in Malawi.BMJ global health · 2021Trial
- Does community-based distribution of HIV self-tests increase uptake of HIV testing? Results of pair-matched cluster randomised trial in Zambia.BMJ global health · 2021Trial
- Comparison of community-led distribution of HIV self-tests kits with distribution by paid distributors: a cluster randomised trial in rural Zimbabwean communities.BMJ global health · 2021Trial
- Overcoming cultural barriers to implementing oral HIV self-testing with high fidelity among Tanzanian youth.Translational behavioral medicine · 2021Trial
- Economic evaluation of facility-based HIV self-testing among adult outpatients in Malawi.Journal of the International AIDS Society · 2020Trial
- "If it is left, it becomes easy for me to get tested": Use of oral self-tests and community health workers to maximize the potential of home-based HIV testing among adolescents in Lesotho.Journal of the International AIDS Society · 2020Trial
- Social response to the delivery of HIV self-testing in households: experiences from four Zambian HPTN 071 (PopART) urban communities.AIDS research and therapy · 2020Trial
47 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
objectivesThe current study identifies young people's preferences for HIV self-testing (HIVST) delivery, determines the relative strength of preferences and explores underlying behaviors and perceptions to inform youth-friendly services in southern Africa.
designA mixed methods design was adopted in Malawi and Zimbabwe and includes focus group discussions, in-depth interviews and discrete choice experiments.
methodsThe current study was conducted during the formative phase of cluster-randomized trials of oral-fluid HIVST distribution. Young people aged 16-25 years were purposively selected for in-depth interviews (n = 15) in Malawi and 12 focus group discussions (n = 107) across countries. Representative samples of young people in both countries (n = 341) were administered discrete choice experiments on HIVST delivery, with data analyzed to estimate relative preferences. The qualitative results provided additional depth and were triangulated with the quantitative findings.
resultsThere was strong concordance across methods and countries based on the three triangulation parameters: product, provider and service characteristics. HIVST was highly accepted by young people, if provided at no or very low cost. Young people expressed mixed views on oral-fluid tests, weighing perceived benefits with accuracy concerns. There was an expressed lack of trust in health providers and preference for lay community distributors. HIVST addressed youth-specific barriers to standard HIV testing, with home-based distribution considered convenient. Issues of autonomy, control, respect and confidentiality emerged as key qualitative themes.
conclusionHIVST services can be optimized to reach young people if products are provided through home-based distribution and at low prices, with respect for them as autonomous individuals.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.