Tools
Tools
Mavhu, Webster 
ORCID: https://orcid.org/0000-0003-1881-4398, Makamba, Memory, Hatzold, Karin, Maringwa, Galven, Takaruza, Albert, Mutseta, Miriam, Ncube, Getrude, Cowan, Frances ORCID: https://orcid.org/0000-0003-3087-4422 and Sibanda, Euphemia ORCID: https://orcid.org/0000-0003-1754-1076
(2023)
'Preferences for oral-fluid-based or blood-based HIV self-testing and provider-delivered testing: an observational study among different populations in Zimbabwe'. BMC Infectious Diseases, Vol 22, Issue S1, e973.
|
Text
Mavhu et al. OFBST vs BBST Zim. BMC Inf Dis.pdf - Published Version Available under License Creative Commons Attribution. Download (979kB) | Preview |
Abstract
Background
There is limited data on client preferences for different HIV self-testing (HIVST) and provider-delivered testing options and associated factors. We explored client preferences for oral-fluid-based self-testing (OFBST), bloodbased self-testing (BBST) and provider-delivered blood-based testing (PDBBT) among different populations.
Methods
At clinics providing HIV testing services to general populations (1 urban, 1 rural clinic), men seeking voluntary
medical male circumcision (VMMC, 1 clinic), and female sex workers (FSW, 1 clinic), clients had the option to test using OFBST, BBST or PDBBT. A pre-test questionnaire collected information on demographics and testing history. Two weeks after collecting a self-test kit, participants responded to a questionnaire. We used logistic regression to determine predictors of choices. We also conducted 20 in-depth interviews to contextualise quantitative findings.
Results
May to June 2019, we recruited 1244 participants of whom 249 (20%), 251 (20%), 244 (20%) and 500 (40%) were attending urban general, rural, VMMC and FSW clinics, respectively. Half (n = 619, 50%) chose OFBST, 440 (35%) and 185 (15%) chose BBST and PDBBT, respectively. In multivariable analysis comparing those choosing HIVST (OFBST and BBST combined) versus not, those who had never married aOR 0.57 (95% CI 0.34–0.93) and those previously married aOR0.56 (0.34–0.93) were less likely versus married participants to choose HIVST. HIVST preference increased with education, aOR 2.00 (1.28–3.13), 2.55 (1.28–5.07), 2.76 (1.48–5.14) for ordinary, advanced and tertiary education, respectively versus none/primary education. HIVST preference decreased with age aOR 0.97 (0.96–0.99). Urban participants were more likely than rural ones to choose HIVST, aOR 9.77 (5.47–17.41), 3.38 (2.03–5.62) and 2.23 (1.38–3.61) for FSW, urban general and VMMC clients, respectively. Comparing those choosing OFBST with those choosing BBST, less literate participants were less likely to choose oral fluid tests, aOR 0.29 (0.09–0.92).
Conclusions
Most testing clients opted for OFBST, followed by BBST and lastly, PDBBT. Those who self-assessed as less healthy were more likely to opt for PDBBT which likely facilitated linkage. Results show importance of continued provision of all strategies in order to meet needs of different populations, and may be useful to inform both HIVST kit stock projections and tailoring of HIVST programs to meet the needs of different populations.
| Item Type: | Article |
|---|---|
| Subjects: | WC Communicable Diseases > Virus Diseases > Acquired Immunodeficiency Syndrome. HIV Infections > WC 503 Acquired immunodeficiency syndrome. HIV infections |
| Faculty: Department: | Clinical Sciences & International Health > International Public Health Department |
| Digital Object Identifer (DOI): | https://doi.org/10.1186/s12879-023-08624-y |
| Depositing User: | Rachel Dominguez |
| Date Deposited: | 19 Oct 2023 09:22 |
| Last Modified: | 19 Oct 2023 09:22 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/23330 |
Statistics
Actions (login required)
 |
Edit Item |