Offering self-administered oral HIV testing to truck drivers in Kenya to increase testing: a randomized controlled trial.
Offering self-administered oral HIV testing to truck drivers in Kenya to increase testing: a randomized controlled trial.
复制标题
DOI：
10.1080/09540121.2017.1360997
复制
发表时间：
2018-01
期刊：
影响因子：
1.7
通讯作者：
Govender K
中科院分区：
文献类型：
--
作者：
Kelvin EA;George G;Mwai E;Nyaga E;Mantell JE;Romo ML;Odhiambo JO;Starbuck L;Govender K
我们在肯尼亚两个北方星星联盟路边健康诊所的305名卡车司机中进行了一项随机对照试验，看看提供艾滋病毒检测选择是否会增加艾滋病毒检测的接受率。参与者被随机分配接受（1）提供者管理的快速血液（手指针刺）HIV测试（即，护理标准[SOC]）或（2）在SOC或在诊所提供者监督下的自我管理口服快速HIV检测之间进行选择。选择组中拒绝在诊所进行HIV检测的参与者获得了一个家庭使用的检测试剂盒，并提供了基于电话的测试后咨询。我们使用Mantel Haenszel比值比（OR）对HIV检测进行了临床调整。Choice组的HIV检测率高于SOC组（OR = 1.5），但差异无统计学意义（p = 0.189）。当增加选择采取艾滋病毒检测试剂盒供家庭使用时，选择组的检测摄取率显著更高（OR = 2.8，p = 0.002）。在选择组中进行测试的人中，26.9%选择了SOC测试，64.6%选择了在诊所进行监督自我测试，8.5%选择了家庭使用的测试套件。参与者在他们选择的艾滋病毒检测中有所不同。重要的是，当拒绝在诊所进行艾滋病毒检测的参与者被提供家用检测试剂盒时，另外8.5%的人接受了检测。为卡车司机提供各种艾滋病毒检测选择可能会增加这一关键人群的艾滋病毒检测率。
We conducted a randomized controlled trial among 305 truck drivers from two North Star Alliance roadside wellness clinics in Kenya to see if offering HIV testing choices would increase HIV testing uptake. Participants were randomized to be offered (1) a provider-administered rapid blood (finger-prick) HIV test (i.e., standard of care [SOC]) or (2) a Choice between SOC or a self-administered oral rapid HIV test with provider supervision in the clinic. Participants in the Choice arm who refused HIV testing in the clinic were offered a test kit for home use with phone-based posttest counseling. We compared HIV test uptake using the Mantel Haenszel odds ratio (OR) adjusting for clinic. Those in the Choice arm had higher odds of HIV test uptake than those in the SOC arm (OR = 1.5), but the difference was not statistically significant (p = 0.189). When adding the option to take an HIV test kit for home use, the Choice arm had significantly greater odds of testing uptake (OR = 2.8, p = 0.002). Of those in the Choice arm who tested, 26.9% selected the SOC test, 64.6% chose supervised self-testing in the clinic, and 8.5% took a test kit for home use. Participants varied in the HIV test they selected when given choices. Importantly, when participants who refused HIV testing in the clinic were offered a test kit for home use, an additional 8.5% tested. Offering truck drivers a variety of HIV testing choices may increase HIV testing uptake in this key population.
登录
查看更多内容
影响因子：
2.8
作者：
Lafort Y;Geelhoed D;Cumba L;Lázaro Cd;Delva W;Luchters S;Temmerman M
通讯作者：
Temmerman M
影响因子：
4.4
作者：
Kurth AE;Cleland CM;Chhun N;Sidle JE;Were E;Naanyu V;Emonyi W;Macharia SM;Sang E;Siika AM
通讯作者：
Siika AM
影响因子：
3.8
作者：
Rakwar, J;Lavreys, L;Kreiss, L
通讯作者：
Kreiss, L
影响因子：
5.9
作者：
Azuonwu, Obioma;Erhabor, Osaro;Frank-Peterside, Nnenna
通讯作者：
Frank-Peterside, Nnenna
影响因子：
1.4
作者：
Regondi, Ilaria;George, Gavin;Pillay, Natashya
通讯作者：
Pillay, Natashya