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The effect of HIV self-testing delivery models on female sex workers’ sexual behaviors: A randomized controlled trial in urban Uganda


KF Ortblad, MD Kibuuka, T Ngabirano, et al.;

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AIDS Behavior

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HIV self-testing increases recent and frequent HIV testing among female sex workers (FSWs) in urban Uganda. Using results from a randomized controlled trial, we aim to establish the effect of HIV self-testing delivery models on FSWs' sexual behaviors in this setting. Clusters of one peer educator and eight participants were 1:1:1 randomized to: (1) direct provision of an HIV self-test, (2) provision of a coupon for facility collection of an HIV self-test, or (3) referral to standard-of-care HIV testing services. Sexual behaviors were self-reported at 1 and 4 months. From October to November 2016, 960 participants were enrolled and randomized. At 4 months, there were no statistically significant differences in participants' sexual behaviors, including inconsistent condom use, across study arms. We do not find any changes in sexual risk-taking among FSWs in response to the delivery of HIV self-tests. Routine policies for HIV self-testing are likely a behaviorally safe component of comprehensive HIV prevention strategies.




Behavior; Women; female sex workers


Created at 2/1/2019 1:46 PM by Davis, Gregory P
Last modified at 2/1/2019 1:46 PM by Davis, Gregory P