ArticleJournal of acquired immune deficiency syndromes (1999)2020
Who is Reached by HIV Self-Testing? Individual Factors Associated With Self-Testing Within a Community-Based Program in Rural Malawi.
Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence of HIV Self-Testing Among Men Who Have Sex With Men: Evidence Synthesis by Systematic Review and Meta-Analysis.American journal of men's healthPooled it
- Did you hear about HIV self-testing? HIV self-testing awareness after community-based HIVST distribution in rural Zimbabwe.BMC infectious diseases · 2022Trial
- Effect of peer-distributed HIV self-test kits on demand for biomedical HIV prevention in rural KwaZulu-Natal, South Africa: a three-armed cluster-randomised trial comparing social networks versus direct delivery.BMJ global health · 2021Trial
- Article
- Empowering Vulnerable Communities Through HIV Self-Testing: Post-COVID-19 Strategies for Health Promotion in Sub-Saharan Africa.International journal of environmental research and public health · 2025Article
- Prevalence and factors associated with knowledge of HIV Self-Test kit and HIV-Self Testing among Ghanaian women: multi-level analyses using the 2022 Ghana demographic and health survey.BMC public health · 2025Article
- Exploring HIV self-testing as an early detection strategy among female sex workers in Waliso town, Ethiopia: a community based cross sectional study.AIDS research and therapy · 2025Article
- Drivers of HIV self-test kit among Tanzanian men aged 15-49: findings from the 2022 TDHS-MIS cross-sectional study.AIDS research and therapy · 2025Article
- Drivers of Utilization of HIV Self-Test Among Males in Malawi: A Multilevel Analysis of the Multiple Indicator Cluster Survey 2019-2020.AIDS research and treatment · 2025Article
- Uptake and factors associated with HIV self-testing among women in South Africa.Journal of the colleges of medicine of South Africa · 2024Article
- Can HIV self-testing reach first-time testers? A telephone survey among self-test end users in Côte d'Ivoire, Mali, and Senegal.BMC infectious diseases · 2023Article
- Article
- Factors associated with HIV self-testing among female university students in Uganda: a cross-sectional study.AIDS research and therapy · 2022Article
- Characteristics of users of HIV self-testing in Kenya, outcomes, and factors associated with use: results from a population-based HIV impact assessment, 2018.BMC public health · 2022Article
- Understanding socio-sexual networks: critical consideration for HIVST intervention planning among men who have sex with men in Kenya.BMC public health · 2022Article
- Association between socio-economic factors and HIV self-testing knowledge amongst South African women.Southern African journal of HIV medicine · 2022Article
- Implementation outcomes of HIV self-testing in low- and middle- income countries: A scoping review.PloS one · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
introductionHIV self-testing (HIVST) is an alternative strategy for reaching population subgroups underserved by available HIV testing services. We assessed individual factors associated with ever HIVST within a community-based program.
settingMalawi.
methodsWe conducted secondary analysis of an end line survey administered under a cluster-randomized trial of community-based distribution of HIVST kits. We estimated prevalence differences and prevalence ratios (PRs) stratified by sex for the outcome: self-reported ever HIVST.
resultsPrevalence of ever HIVST was 45.0% (475/1055) among men and 40.1% (584/1456) among women. Age was associated with ever HIVST in both men and women, with evidence of a strong declining trend across categories of age. Compared with adults aged 25-39 years, HIVST was lowest among adults aged 40 years and older for both men [34.4%, 121/352; PR 0.74, 95% confidence interval (CI): 0.62 to 0.88] and women (30.0%, 136/454; PR 0.71, 95% CI: 0.6 to 0.84). Women who were married, had children, had higher levels of education, or were wealthier were more likely to self-test. Men who had condomless sex in the past 3 months (47.9%, 279/582) reported a higher HIVST prevalence compared with men who did not have recent condomless sex (43.1%, 94/218; adjusted PR 1.37, 95% CI: 1.06 to 1.76). Among men and women, the level of previous exposure to HIV testing and household HIVST uptake was associated with HIVST.
conclusionsCommunity-based HIVST reached men, younger age groups, and some at-risk individuals. HIVST was lowest among older adults and individuals with less previous exposure to HIV testing, suggesting the presence of ongoing barriers to HIV testing.
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