Evidence map›Paper›PMID 36243558›Full record

ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023

On Campus HIV Self-Testing Distribution at Tertiary Level Colleges in Zimbabwe Increases Access to HIV Testing for Youth.

Grace McHugh, Andrea Koris, Victoria Simms, Tsitsi Bandason, Lovemore Sigwadhi, Getrude Ncube, Shungu Munyati, Katharina Kranzer, Rashida A Ferrand

Abstract read
In one paragraph

Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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

9 authors.

Grace McHughBiomedical Research and Training Institute, Harare, Zimbabwe.
Andrea KorisDuke Global Health Institute, Duke University, Durham, North Carolina.
Victoria SimmsBiomedical Research and Training Institute, Harare, Zimbabwe; MRC International Statistics and Epidemiology Group, London School of Hygiene & Tropical Medicine, London, UK.
Tsitsi BandasonBiomedical Research and Training Institute, Harare, Zimbabwe.
Lovemore SigwadhiBiomedical Research and Training Institute, Harare, Zimbabwe.
Getrude NcubeAIDS and TB Unit, Ministry of Health and Child Care, Harare, Zimbabwe.
Shungu MunyatiBiomedical Research and Training Institute, Harare, Zimbabwe.
Katharina KranzerBiomedical Research and Training Institute, Harare, Zimbabwe; Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK; Division of Infectious Diseases and Tropical Medicine, University Hospital, LMU Munich, Munich, Germany.
Rashida A FerrandBiomedical Research and Training Institute, Harare, Zimbabwe; Department of Clinical Research, London School of Hygiene & Tropical Medicine, London, UK. Electronic address: rashida.ferrand@lshtm.ac.uk.

Funding

Medical Research Council MR/R010161/1Wellcome Trust 206316/Z/17/ZWellcome Trust 206316_Z_17_Z
6 · The paper itself

Abstract

purposeHIV self-testing allows youth to access testing outside of healthcare facilities. We investigated the feasibility of peer distribution of HIV self-testing (HIVST) kits to youth aged 16-24 years and examined the factors associated with testing off-site rather than at distribution points.

methodsFrom July 2019 to March 2020, HIVST kits were distributed on 12 tertiary education campuses throughout Zimbabwe. Participants chose to test at the HIVST distribution point or off-site. Factors associated with choosing to test off-site and factors associated with reporting a self-test result for those who tested off-site were investigated using logistic regression.

resultsIn total, 5,351 participants received an HIVST kit, over 129 days, of whom 3,319 (62%) tested off-site. The median age of recipients was 21 years (interquartile range 20-23); 64% were female. Overall, 2,933 (55%) returned results, 23 (1%) of which were reactive. Being female (adjusted odds ratio [aOR] 1.16, 95% confidence interval [CI] 1.03-1.31), living on campus (aOR 1.24, 95% CI 1.09-1.40), used a condom at last sex (aOR 1.44, 95% CI 1.26-1.65), and previous knowledge of HIVST (aOR 1.22, 95% CI 1.09-1.37) were associated with off-site testing. Attending a vocational college and teachers training college compared to a university was associated with choosing to return results for those who tested off-site (OR 2.40, 95% CI 1.65-3.48, p < .001). DISCUSSION: HIVST distribution is an effective method of reaching a large number of youth over a short period of time. Efforts to increase awareness and roll out of HIVST on campuses should be coupled with support for linkage to HIV prevention and treatment services.

Indexed as

HIV InfectionsSelf-TestingAdolescentAdultFemaleHIVHIV TestingHumansMaleMass ScreeningSelf CareUniversitiesYoung AdultZimbabweHIV self-testTertiary educational institutionsYouth

Identifiers

PMID36243558
PMCPMC7614942

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Registered trials

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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.