Evidence map›Paper›PMID 33305199›Full record

ArticleEClinicalMedicine2020

Heterogeneity in individual preferences for HIV testing: A systematic literature review of discrete choice experiments.

Monisha Sharma, Jason J Ong, Connie Celum, Fern Terris-Prestholt

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In one paragraph

Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  12. Application progress of latent class growth models in dynamic prevention and control strategies for acquired immunodeficiency syndrome.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
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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

4 authors.

Monisha SharmaDepartment of Global Health, University of Washington, School of Public Health, 908 Jefferson St, Seattle, WA 98104, United States.
Jason J OngDepartment of Clinical Research and Development, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Connie CelumDepartment of Global Health, University of Washington, School of Public Health, 908 Jefferson St, Seattle, WA 98104, United States.
Fern Terris-PrestholtDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Funding

HIV self-testing and PrEP to increase testing and prevention uptake among male partners and improve postpartum ART use in PMTCT B+ programs in UgandaR01MH113434 · NIMH · UNIVERSITY OF WASHINGTON · PI CELUM, CONNIE L · 2017 to 2021
$3.4M
Designing an Intervention to Increase Men's Linkage to Care and Prevention after HIV Self-Testing in UgandaK01MH115789 · NIMH · UNIVERSITY OF WASHINGTON · PI SHARMA, MONISHA · 2018 to 2022
$876k
NIMH NIH HHS K01 MH115789NIMH NIH HHS R01 MH113434
6 · The paper itself

Abstract

backgroundUnderstanding variations in HIV testing preferences can help inform optimal combinations of testing services to maximize coverage. We conducted a systematic review of Discrete Choice Experiments (DCEs) eliciting HIV testing preference.

methodsWe searched the published literature for papers that conducted DCEs to assess user preferences for HIV testing.

findingsWe identified 237 publications; 14 studies conducted in 10 countries met inclusion criteria. Overall, test cost was one of the strongest drivers of preference, with participants preferring free or very low-cost testing. Confidentiality was a salient concern, particularly among key populations and persons who never tested. Participants in resource-limited settings preferred short travel distance and integration of HIV testing with other services. There was substantial heterogeneity across participant characteristics. For example, while women preferred home testing, high-risk groups (e.g. male porters, female bar workers) and men who had not tested in the last year preferred traveling a short distance for testing. HIV self-testing (HIVST) had high acceptability, particularly among those who had never HIV tested, although most users preferred blood-based sample collection over oral swabs. Participants highly valued post-test counselling availability after HIVST.

interpretationOverall, participants value low-cost, confidential testing with short travel distance. HIVST is a promising strategy to increase testing coverage but post-test counseling and support should be made available. Educational campaigns to increase familiarity and build confidence in results of oral testing can improve the success of HIVST. DCEs conducted within clinic settings likely have limited generalizability to those not seeking care, particularly for key populations.

Indexed as

Discrete choice experimentHIVHIV testingPreferencesSub-Saharan AfricaSystematic review

Identifiers

PMID33305199
PMCPMC7710637

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.