A Randomized Controlled Trial to Increase HIV Testing Demand Among Female Sex Workers in Kenya Through Announcing the Availability of HIV Self-testing Via Text Message.

A Randomized Controlled Trial to Increase HIV Testing Demand Among Female Sex Workers in Kenya Through Announcing the Availability of HIV Self-testing Via Text Message.
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DOI:
10.1007/s10461-018-2248-5
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发表时间:
2019-01
期刊:
影响因子:
4.4
通讯作者:
Mantell JE
Mantell JE
中科院分区:
医学2区
文献类型:
--
作者:
Kelvin EA;George G;Mwai E;Kinyanjui S;Romo ML;Odhiambo JO;Oruko F;Nyaga E;Govender K;Mantell JE

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我们评估了通过短信告知女性性工作者在肯尼亚的诊所可以进行艾滋病毒自我检测是否会提高艾滋病毒检测率。我们选择了2196名在电子健康记录系统中注册的女性性工作者,他们是不定期的HIV检测者,并随机向他们发送短信,宣布(1)HIV自测试剂盒发送三次(干预),(2)一般HIV检测发送三次(加强护理标准[SOC]),或(3)一般HIV检测发送一次(传统SOC)。干预组的参与者在2个月随访期间检测HIV的可能性显著高于增强SOC组(OR 1.9,p = 0.001)。增强SOC组和传统SOC组之间的HIV检测无差异。通过短信宣布艾滋病毒自我检测的可用性增加了这一高风险群体中的艾滋病毒检测。
We assessed whether informing female sex workers about the availability of HIV self-testing at clinics in Kenya using text messages would increase HIV testing rates. We selected a sample of 2196 female sex workers registered in an electronic health record system who were irregular HIV testers and randomized them to be sent a text message announcing the availability of (1) HIV self-test kits sent three times (intervention), (2) general HIV testing sent three times (enhanced standard of care [SOC]), or (3) general HIV testing sent one time (traditional SOC). Participants in the intervention arm were significantly more likely to test for HIV during 2-month follow-up compared to those in the enhanced SOC (OR 1.9, p = 0.001). There was no difference in HIV testing between those in the enhanced SOC and the traditional SOC arms. Announcing the availability of HIV self-testing via text message increased HIV testing among this high-risk group.
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