Trial reportAIDS (London, England)2018
Effect of HIV self-testing on the number of sexual partners among female sex workers in Zambia.
Trial report in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02827240 (A Peer Educator-delivered HIV Self-testing Intervention for Female Sex Workers in Zambian Border Towns), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
A Peer Educator-delivered HIV Self-testing Intervention for Female Sex Workers in Zambian Border Towns
Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Effectiveness of Linkage to Care and Prevention Interventions Following HIV Self-Testing: A Global Systematic Review and Meta-analysis.AIDS and behavior · 2024Pooled it
- A Systematic Review of HIV Testing Implementation Strategies in Sub-Saharan African Countries.AIDS and behavior · 2022Pooled it
- Few Aggressive or Violent Incidents are Associated with the Use of HIV Self-tests to Screen Sexual Partners Among Key Populations.AIDS and behavior · 2020Trial
- The Effect of HIV Self-Testing Delivery Models on Female Sex Workers' Sexual Behaviors: A Randomized Controlled Trial in Urban Uganda.AIDS and behavior · 2019Trial
- Changes in Sexual Risk-taking Behaviours Among Men After Participating in the PEST4MEN HIV Self-Testing Intervention in Two Fishing Communities in Central Uganda.The East African health research journal · 2025Article
- Experience of social harms among female sex workers following HIV self-test distribution in Malawi: results of a cohort study.BMC infectious diseases · 2024Article
- Formalized peer referral to HIV pre-exposure prophylaxis supported with self-testing: a mixed-methods pilot study among young Kenyan women.Frontiers in public health · 2024Article
- Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low- and middle-income countries (LMICs).Campbell systematic reviews · 2023Article
- Drivers of HIV self-testing among female sex workers: Findings from a multi-state study in Malaysia.Frontiers in medicine · 2023Article
- HIV Self-testing and Risk Behaviors Among Men Who Have Sex With Men in 23 US Cities, 2017.JAMA network open · 2022Article
- Article
- Article
- Diagnostic Infectious Diseases Testing Outside Clinics: A Global Systematic Review and Meta-analysis.Open forum infectious diseases · 2020Review
- Willingness to Use HIV Self-Testing and Associated Factors Among Transgender Women in Malaysia.Transgender health · 2020Article
- The impact and cost-effectiveness of community-based HIV self-testing in sub-Saharan Africa: a health economic and modelling analysis.Journal of the International AIDS Society · 2019Article
- Sources of social support and sexual behaviour advice for young adults in rural South Africa.BMJ global health · 2018Article
- Willingness to use and distribute HIV self-test kits to clients and partners: A qualitative analysis of female sex workers' collective opinion and attitude in Côte d'Ivoire, Mali, and Senegal.Women's health (London, England)Article
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
objectivesTo 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.
designCluster randomized controlled trial.
methodsPeer 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).
resultsAt 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) and in the coupon arm (-1.84, 95% CI -3.81 to 0.14, P = 0.07) arm compared with standard of care.
conclusionExpansion of HIV self-testing may have positive behavioral effects enhancing other HIV prevention efforts among female sex workers in Zambia.
trial registrationClinicalTrials.gov NCT02827240.
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