Evidence map›Paper›PMID 30033680›Full record

ArticleJournal of the International AIDS Society2018

Uptake of HIV self-testing and linkage to treatment among men who have sex with men (MSM) in Nigeria: A pilot programme using key opinion leaders to reach MSM.

Waimar Tun, Lung Vu, Osasuyi Dirisu, Adekemi Sekoni, Elizabeth Shoyemi, Jean Njab, Sade Ogunsola, Sylvia Adebajo

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2018. 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 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03874663 completednot on this map

Acceptability and Performance of HIV Self-Testing in a Youth Population in Nigeria

TypeobservationalSponsorWashington University School of MedicineRan2018 to 2020Enrolled652ConditionsHIV PreventionArmsDirectly assisted oral HIV self-testing (HIVST)
NCT04578145 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Randomized Community Trial Community Based Screening for HIV Self Testing in Female Sex Workers in 23 Priority Districts in Indonesia (CBS HIVST in FSW)

TypeinterventionalSponsorKerti Praja FoundationRan2020 to 2020Enrolled1,522ConditionsHuman Immunodeficiency Virus (HIV)ArmsHIV self-testing among female sex workers
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 5 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Waimar TunHIV and AIDS Program, Population Council, Washington, DC, USA.
Lung VuHIV and AIDS Program, Population Council, Washington, DC, USA.
Osasuyi DirisuHIV and AIDS Program, Population Council, Abuja, Nigeria.
Adekemi SekoniCollege of Medicine, University of Lagos, Lagos, Nigeria.
Elizabeth ShoyemiHIV and AIDS Program, Population Council, Lagos, Nigeria.
Jean NjabHIV and AIDS Program, Population Council, Abuja, Nigeria.
Sade OgunsolaCollege of Medicine, University of Lagos, Lagos, Nigeria.
Sylvia AdebajoHIV and AIDS Program, Population Council, Abuja, Nigeria.
Medical Laboratory Science Council of Nigeria · NGPopulation Council · USUniversity of Lagos · NG

Funding

Assessing the acceptability, feasibility, and a potential distribution model of HIV oral self-testing (HST) among men who have sex with men (MSM) in Lagos, NigeriaR21AI124409 · NIAID · POPULATION COUNCIL · PI SEKONI, ADEKEMI, TUN, WAIMAR · 2016 to 2017
$376k
NIAID NIH HHS R21 AI124409
6 · The paper itself

Abstract

introductionHIV self-testing (HIVST) offers an alternative to facility-based HIV testing services, particularly for populations such as men who have sex with men (MSM) who may fear accessing testing due to stigma, discrimination and criminalization. Innovative HIV testing approaches are needed to meet the goal of 90% of people living with HIV being diagnosed. This study piloted an intervention to distribute oral HIVST kits to MSM through key opinion leaders (KOLs) in Lagos, Nigeria and assessed the feasibility, acceptability, uptake of HIVST and linkage to HIV treatment.

methodsA cohort study was conducted (May through September 2017) with 319 participants who were recruited by 12 KOLs through their networks. A baseline survey was conducted at the time of the oral HIVST kit (OraQuick

resultsThe median age of the participants was 25 years, 88.7% were literate and 17.9% were first-time testers. Of the 257 participants (80.7% retention) who completed the three-month follow-up interview, 97.7% reported using the HIVST kit and 14 (5.6%) self-reported an HIV positive result. A quarter (22.7%) tested themselves the same day they received the kit, and 49.4% tested within one week. Almost all participants reported that the HIVST kit instructions were easy or somewhat easy to understand (99.6%) and perform the test (98.0%). The most common reasons they liked the test were ease of use (87.3%), confidentiality/privacy (82.1%), convenience (74.1%) and absence of needle pricks (64.9%). All 14 participants who tested positive had sought confirmatory testing and initiated HIV treatment by the time of the three-month survey.

conclusionsHIVST distribution through KOLs was feasible and oral self-testing was highly acceptable among this urban MSM population. Despite concerns about linkage to treatment when implementing self-testing, this study showed that linkage to treatment can be achieved with active follow-up and access to a trusted MSM-friendly community clinic that offers HIV treatment. HIVST should be considered as an additional option to standard HIV testing models for MSM.

Indexed as

Homosexuality, MaleSelf CareAdolescentAdultCohort StudiesHIV InfectionsHumansMaleMiddle AgedNigeriaPilot ProjectsReagent Kits, DiagnosticSexual and Gender MinoritiesSocial StigmaYoung AdultReagent Kits, DiagnosticfeasibilityHIVHIV positivity ratelinkage to treatmentMSMNigeriaself-testing

Identifiers

PMID30033680
PMCPMC6055125
OpenAlexW2883341713

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.