ArticleBMC public health2022
Understanding how social support influences peer-delivered HIV prevention interventions among Ugandan female sex workers: a case study from HIV self-testing.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Social network strategies to distribute HIV self-testing kits: a global systematic review and network meta-analysis.Journal of the International AIDS Society · 2024Pooled it
- Findings from the Tushirikiane mobile health (mHealth) HIV self-testing pragmatic trial with refugee adolescents and youth living in informal settlements in Kampala, Uganda.Journal of the International AIDS Society · 2023Trial
- Findings From the Todurujo na Kadurok (Empowering Youth) HIV Self-Testing and Edutainment Comic Randomized Controlled Trial With Refugee Youth in a Humanitarian Setting in Uganda.Journal of the International Association of Providers of AIDS CareTrial
- Perceived Social Support, Contact Violence Experience, and Sexually Transmitted Infection Risk among Gambian Female Sex Workers: A LASSO-Guided, Causal Inference, and Multilevel Analysis.Journal of epidemiology and global health · 2026Article
- Digital health promotion strategies to increase HIV testing uptake among key populations: a scoping review.Cadernos de saude publica · 2026Article
- Feasibility and acceptability of peer-led assessment of HIV risk among female sex workers in Zimbabwe.BMJ global health · 2025Article
- Stakeholder Perspectives on a Community-Based Peer-Led Biomedical HIV Prevention Intervention for Women Who Engage in Sex Work in Southwestern Uganda: Results from a Qualitative Study.AIDS and behavior · 2025Article
- The influence of social networks in adoption of integrated health interventions: A qualitative study of fishermen in Malawi.PLOS global public health · 2025Article
- Willingness of female sex workers to use HIV self-testing in Burkina Faso: analysis of cross-sectional respondent-driven sampling data.Frontiers in public health · 2025Article
- Perspectives of female sex workers on HIV pre-exposure prophylaxis delivery in Uganda: A qualitative study.Research square · 2024Article
- Social Network Strategies to Distribute HIV Self-testing Kits: A Global Systematic Review and Network Meta-analysis.medRxiv : the preprint server for health sciences · 2023Article
- Characteristics of Individuals Seen as Sources of Social Support in Populations at Increased Risk for HIV.AIDS and behavior · 2023Article
- Assessing young Kenyan women's willingness to engage in a peer-delivered HIV self-testing and referral model for PrEP initiation: A qualitative formative research study.Frontiers in public health · 2022Article
- Enrollment and retention of female sex workers in HIV care in health facilities in Mbarara city.Frontiers in reproductive health · 2022Article
- Perceived Enablers and Barriers to HIV Testing Service Uptake Among Adolescent Girls and Young Women in Kilimanjaro, Tanzania: A Contextual Analysis.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
Abstract
backgroundFemale sex workers (FSWs) have tightly connected peer networks and remain at high risk of HIV acquisition. Peer delivery of HIV prevention interventions, such as HIV self-testing (HIVST), is a recommended implementation strategy for increasing intervention uptake and continuation among FSWs. We analyzed qualitative data from a peer-delivered HIVST intervention among FSWs in urban Uganda to understand the ways social support within this peer network can motivate or discourage the uptake of peer-delivered HIVST.
methodsBetween February and April 2017, we conducted in-depth interviews (IDIs) with FSWs (n = 30) and focus group discussions (FGDs) with FSW peer educators (PEs, n = 5) finishing participation in a four-month randomized implementation trial testing models of peer-delivered HIVST in Kampala. FSW participants were ≥ 18 years old, self-reported exchanging sex for money or goods (past month) and had not recently tested for HIV (past 3 months). FSW PEs either directly distributed HIVST kits to participants or provided coupons exchangeable for HIVST kits from specified healthcare facilities. In the IDIs and FGDs, we asked participants to share their experiences receiving or delivering peer-delivered HIVST, respectively. Using a hybrid deductive and inductive coding approach, we arranged findings along the dimensions of an established social support theory: informational, instrumental, and emotional support.
resultsThe median age of participants was 30 years (IQR: 27-33) and PEs was 33 years (IQR: 29-37). We found that social support within FSW peer networks both motivated and discouraged uptake of peer-delivered HIVST. For example, sharing positive HIVST experiences (informational support), directly delivering HIVST kits (instrumental support), and encouraging linkage to care (emotional support) motivated HIVST uptake among FSWs. Conversely, the spread of misinformation (informational support), limited HIVST kit availability fostering mistrust of PEs (instrumental support), and fear of social exclusion following HIV status disclosure (emotional support) discouraged HIVST uptake among FSWs.
conclusionsIn Uganda, social support (e.g., informational, instrumental, and emotional support) among FSW peers can work in ways that both motivate and discourage peer-delivered intervention uptake. Future FSW peer-delivered HIV prevention interventions should be designed around the dimensions of social support within FSW peer networks to maximize initial and repeat intervention delivery and uptake.
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