Evidence map›Paper›PMID 36457098›Full record

ArticleAIDS research and therapy2022

Factors associated with HIV self-testing among female university students in Uganda: a cross-sectional study.

Ivan Segawa, Sabrina Bakeera-Kitaka, Kenneth Ssebambulidde, Timothy R Muwonge, Lorraine Oriokot, Kevin Ouma Ojiambo, Andrew Mujugira

Open access · goldAbstract read
In one paragraph

Article in AIDS research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% of its field
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, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Ivan SegawaClinical Epidemiology Unit, College of Health Sciences, Makerere University, P.O.Box 7072, Kampala, Uganda. ivansegy@gmail.com.
Sabrina Bakeera-KitakaDepartment of Paediatrics, College of Health Sciences, Makerere University, Kampala, Uganda.
Kenneth SsebambuliddeInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Timothy R MuwongeInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Lorraine OriokotDepartment of Paediatrics, College of Health Sciences, Makerere University, Kampala, Uganda.
Kevin Ouma OjiamboClinical Epidemiology Unit, College of Health Sciences, Makerere University, P.O.Box 7072, Kampala, Uganda.
Andrew MujugiraInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Makerere University · UGInfectious Diseases Institute · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescent girls and young women (AGYW) at institutions of higher learning are at high risk of HIV, and conventional HIV testing services may not reach them sufficiently. HIV self-testing (HIVST) scalability can be informed by identifying AGYW who have used or are interested in using HIVST. We aimed to determine factors associated with use and willingness to use HIVST among female university students.

methodsAn online cross-sectional survey was conducted among 483 female students at Makerere University, Uganda. Proportions of students who have used or are willing to use HIVST and their associated factors were determined. Modified Poisson regression models were used to estimate prevalence ratios (PR) and their 95% confidence intervals (CI).

resultsThe median age of the participants was 22 (Interquartile range [IQR] 21-23) years, and 21% had never tested for HIV. Over 93% were willing to utilize HIVST, and 19% had ever used HIV self-test kits. Increasing age (adjusted prevalence ratio [aPR] 1.23 per year, 95% CI 1.07-1.43) was significantly associated with HIVST use. Predictors of willingness to self-test for HIV were college type (arts vs. science-based, aPR 0.92, 95% CI 0.88-0.97), number of sexual partners (one, aPR 1.07, 95% CI 1.03-1.12 or ≥ 2, aPR 1.08, 95% CI 1.04-1.19, vs. none), alcohol (aPR 1.04, 95% CI: 1.00-1.09) or injection drug (aPR 1.04, 95% CI 1.00-1.09) use, a history of sexually transmitted infections in past 12 months (aPR 1.05, 95% CI 1.01-1.09), and HIV testing experience (tested in past 12 months, aPR 1.12, 95% CI 1.02-1.22 or over 12 months, aPR 1.13, 95% CI 1.03-1.24, vs. never tested).

conclusionHIVST was highly acceptable despite its limited use. This study demonstrates female student characteristics that can be leveraged to scale up HIVST programs in higher institutions of learning.

Indexed as

HIV InfectionsSelf-TestingAdolescentAdultCross-Sectional StudiesFemaleHIV TestingHumansStudentsUgandaUniversitiesYoung AdultHIVHIV testingSelf-testingStudentsUniversitiesWomen

Identifiers

PMID36457098
PMCPMC9713199
OpenAlexW4311074750

What OpenQuestion holds

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LicenceCC BY
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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.