‘When I have these kits … I have confidence’ – HIV self-testing provides agency for women in their sexual decision-making
Bibliographic Data
| ID | 17803661 |
|---|---|
| Authors | Lucy W Ruderman (0000-0002-9133-4692, University of North Carolina at Chapel Hill), Perez Ochwal (0000-0002-4049-3167, Impact Research and Development Organization), Noora Marcus (0000-0002-9232-5333, University of Pennsylvania), Sue Napierala (0000-0003-1146-8154, RTI International), Harsha Thirumurthy (0000-0002-3308-7603, University of Pennsylvania), Kawango Agot (0000-0002-6153-8950, Impact Research and Development Organization), Suzanne Maman (0000-0003-4048-1585, University of North Carolina at Chapel Hill, corresponding author) |
| Year | 2022 |
| Volume | 17 |
| Issue | 12 |
| Pages | 3735-3746 |
| Publication date | 2022-06-30 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2022.2092176 |
| PMID | 35770697 |
| OpenAlex | W4283737096 |
| Language | EN |
| References cited | 33 |
Oral fluid-based HIV self-testing (HIVST) has emerged as a promising approach to increasing HIV testing coverage, particularly among high-risk populations. Understanding the experiences of women using self-tests and offering them to their sexual partners (secondary distribution) is crucial for determining the potential of HIVST. Qualitative in-depth interviews were conducted among 32 women at high risk of HIV infection, including women who engage in transactional sex, who participated in a cluster randomised trial of a secondary distribution strategy in western Kenya. Interviews explored how women used self-tests within relationships and how this affected their sexual decision-making. Three key themes emerged: women used HIVST to assess risk prior to engaging in sex with partners; HIVST provided women with increased agency to engage in or end relationships; and women appreciated these benefits and urged expanded access to self-tests. HIVST has the potential to support HIV prevention objectives in settings with high prevalence of HIV. Trial registration: ClinicalTrials.gov identifier: NCT03135067
Environmental health · Family medicine · Population · Sociology · Transactional sex · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine
Partner type and condom use
Promoting Partner Testing and Couples Testing through Secondary Distribution of HIV Self-Tests
Task shifting in HIV/Aids
Promoting male partner HIV testing and safer sexual decision making through secondary distribution of self-tests by HIV-negative female sex workers and women receiving antenatal and post-partum care in Kenya
Uptake, Accuracy, Safety, and Linkage into Care over Two Years of Promoting Annual Self-Testing for HIV in Blantyre, Malawi
HIV testing attitudes, Aids stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa
‘If I had not taken it [HIVST kit] home, my husband would not have come to the facility to test for HIV’
Acceptability of HIV self-testing among men and women in KwaZulu-Natal, South Africa
Greater risk for more money
Gendered power dynamics and women’s negotiation of family planning in a high HIV prevalence setting
Usage of the Terms Prostitution, Sex Work, Transactional Sex, and Survival Sex
A comparison of HIV/Aids-related stigma in four countries
| Highly cited | No |
|---|