Evidence map›Paper›PMID 33413246›Full record

ArticleBMC public health2021

Young people's preferences for HIV self-testing services in Nigeria: a qualitative analysis.

Chisom Obiezu-Umeh, Titilola Gbajabiamila, Oliver Ezechi, Ucheoma Nwaozuru, Jason J Ong, Ifeoma Idigbe, David Oladele, Adesola Z Musa, Florida Uzoaru, Collins Airhihenbuwa and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04710784 (The 4 Youth by Youth Project), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 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.

NCT04710784 nacompletednot on this map

The 4 Youth by Youth Project: a Pragmatic Stepped-wedge Cluster Randomized Controlled Trial to Expand Youth-friendly HIV Self-testing Services in Nigeria

TypeinterventionalSponsorWashington University School of MedicineRan2021 to 2023Enrolled1,500ConditionsHIV/AIDS, Sexually Transmitted InfectionsArmsSexual health information, I-TEST branded HIVST package, Follow-up testing and clinic assessments
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Chisom Obiezu-UmehCollege for public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA. Chisom.obiezuumeh@slu.edu.ORCID 0000-0003-3881-9313
Titilola GbajabiamilaDepartment of Clinical Sciences National Institute of Medical Research, Yaba, Lagos, Nigeria.
Oliver EzechiDepartment of Clinical Sciences National Institute of Medical Research, Yaba, Lagos, Nigeria.
Ucheoma NwaozuruCollege for public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Jason J OngDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
Ifeoma IdigbeDepartment of Clinical Sciences National Institute of Medical Research, Yaba, Lagos, Nigeria.
David OladeleDepartment of Clinical Sciences National Institute of Medical Research, Yaba, Lagos, Nigeria.
Adesola Z MusaDepartment of Clinical Sciences National Institute of Medical Research, Yaba, Lagos, Nigeria.
Florida UzoaruCollege for public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.
Collins AirhihenbuwaSchool of Public Health, Georgia State University, Atlanta, GA, USA.
Joseph D TuckerDepartment of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.
Juliet IwelunmorCollege for public Health and Social Justice, Saint Louis University, Saint Louis, MO, USA.

Funding

ITEST: Innovative Tools to Expand Youth-Friendly HIV Self-TestingUG3HD096929 · NICHD · SAINT LOUIS UNIVERSITY · PI EZECHI, OLIVER CHUKWUJEKWU, IWELUNMOR, JULIET · 2018 to 2019
$2.3M
Mentoring Multidisciplinary Global HIV Patient-Oriented ResearchK24AI143471 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph David Tucker · 2019 to 2026
$1.4M
NIAID NIH HHS K24 AI143471NICHD NIH HHS UG3 HD096929
6 · The paper itself

Abstract

backgroundHIV self-testing (HIVST) provides young people with a convenient, discreet, and empowering way to know their HIV status. However, there is limited knowledge of young people's preferences for HIVST services and potential factors that may influence the uptake of HIVST among this population. The purpose of this research was to use qualitative methods to examine HIVST preferences among Nigerian youth.

methodsSemi-structured in-depth interviews with a purposive sample of young people 14-24 years old were conducted in Lagos, Nigeria. Data were analyzed thematically to identify themes and domains related to preferences and factors influencing the use of HIV self-testing.

resultsA total of 65 youth with mean age of 21 years, were interviewed, and the majority were females (56%). Four themes emerged as the most important characteristics that may influence young people's preferences for HIV self-testing: 1) Cost (i.e. majority of participants noted that they would pay between NGN500 to NGN1,500 naira (USD1.38-USD4.16) for oral HIV self-testing kits); 2) Testing method (i.e. although blood-based sample kits were more popular than oral-based self-testing kits, most preferred the oral-based option due to its perceived benefits and for some, phobia of needles); 3) Access location (i.e. participants suggested they preferred to obtain the HIVST kits from youth-friendly centers, pharmacies, private health facilities, and online stores); and 4) Continuing care and support (i.e. participants highlighted the importance of linkage to care with trained youth health workers for positive or negative test results or toll-free helpline).

conclusionHIV self-testing preferences among Nigerian youth appear to be influenced by several factors including lower cost, less invasive testing method, location of testing, and linkage to care and support post testing. Findings underscore the need to address young people's HIV self-testing preferences as a foundation for implementing programs and research to increase the uptake of HIVST.

Indexed as

HIV InfectionsSelf-TestingAdolescentAdultDiagnostic Tests, RoutineFemaleHealth FacilitiesHumansMaleMass ScreeningNigeriaYoung AdultHIVHIV self-testingLMICsNigeriaYouth

Identifiers

PMID33413246
PMCPMC7792110

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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.