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ArticleAIDS and behavior2026

Factors Associated with Mobile App Ordering of HIV Self-test Kits and Reporting of Results Among Black People in Canada: Analysis of Data from "I'm Ready" National HIV Self-testing Implementation Study.

Wale Ajiboye, Jason M Lo Hog Tian, Roger Antabe, Lawrence Mbuagbaw, Maureen Owino, Wangari Tharao, Lena Soje, Reena Anthonyraj, David Este, Kristin McBain and 3 more

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Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Wale AjiboyeMAP Center for Urban Health Solution, Unity Health Toronto, Toronto, ON, Canada. Wale.ajiboye@unityhealth.to.
Jason M Lo Hog TianDepartment of epidemiology, Bloomberg School of Public Health, John Hopkins University, Maryland, USA.
Roger AntabeDepartment of Health and Society, University of Toronto, Scarborough, ON, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, ON, Canada.
Maureen OwinoFaculty of Environmental Studies, York University, Toronto, ON, Canada.
Wangari TharaoWomen's Health in Women's Hands Community Health Center, Toronto, ON, Canada.
Lena SojeWomen's Health in Women's Hands Community Health Center, Toronto, ON, Canada.
Reena AnthonyrajMAP Center for Urban Health Solution, Unity Health Toronto, Toronto, ON, Canada.
David EsteFaculty of Social Works, University of Calgary, Calgary, AB, Canada.
Kristin McBainMAP Center for Urban Health Solution, Unity Health Toronto, Toronto, ON, Canada.
Winston HusbandsDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Notisha MassaquoiDepartment of Health and Society, University of Toronto, Scarborough, ON, Canada.
Sean RourkeMAP Center for Urban Health Solution, Unity Health Toronto, Toronto, ON, Canada.

Funding

Canadian Institute Health Research Canadian Institute Health Research
6 · The paper itself

Abstract

Black people experience significant barriers to accessing facility-based HIV testing. HIV self-testing is an effective way to increase testing among populations with limited access to facility-based testing. However, the acceptance and uptake of HIV self-testing varies among different populations. The objective of this study was to examine the factors associated with the uptake of HIV self-testing kits and reporting of test results by Black people. The findings from this study will provide empirical evidence to inform the design of evidence-based strategies aimed at increasing HIV self-testing in Black communities in Canada. We analyzed data for Black participants in the 'I'm Ready' HIV self-teting implementation study to examine factors associated with the uptake of HIV self-test kits and reporting of test results. We used descriptive statistics (frequencies, proportions) to describe demographic characteristics and variables of interest, while bivariate and multivariable binary logistic regression was used to examine associations between demographic characteristics and ordering a kit and submitting a test result. Among the 14,071 participants who participated in the "I'm Ready" implementation study, 3,082 (22%) identified as Black. Among Black participants, the majority (51%) were 18-24 years and identified as cis-men (53%) or cis-women (43%). One in five participants identified as gay, bisexual or queer. Age (> 24 years) and gender (non-binary, Trans man/woman, gender queer and self-described gender) were associated with high likelihood of ordering a test kit. However, employment status (being self-employed or unemployed), precarious immigration status (refugee status, temporary work permit status and undocumented status), province or territory of residence, (living in British Columbia, Prairies, Atlantic provinces and the Territories), or living in small and medium sized communities and sexual risk behavior were all associated with less likelihood of ordering a test kit. Only Immigration status (undocumented status or refugee status) was associated with less likelihood of reporting of test results. Interventions to increase the uptake and reporting of HIV self-testing among Black people should explore ways to reach high-risk individuals, those with precarious employment or precarious immigration status, and those who live in small or medium sized communities in Canada.

Indexed as

Barriers to HIV testingFacilitators of HIV testingHIV and Black peopleHIV self-testing uptake and reportingImplementation of HIV self-testing

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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.