A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia
BACKGROUNDHIV self-testing (HIVST) is recommended by the World Health Organization, but implementation remains limited. This cross-sectional study evaluated HIVST uptake among female entertainment workers (EWs), men who have sex with men (MSM), and transgender women in Phnom Penh, Cambodia, to infor...
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| Veröffentlicht in: | Global health science and practice 2022-06, Vol.10 (3), p.e2100412 |
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| creator | Cassell, Michael M. Girault, Philippe Nith, Sopha Rang, Chandary Sokhan, Sereyvisith Tuot, Sovannary Kem, Vichet Dork, Pagna Chheav, Aphyra Sos, Mary Im, Chanry Meach, Sotheary Mao, Kimrun Ly, Penh Sun Khol, Vohith Samreth, Sovannarith Ngauv, Bora Ouk, Vichea Seng, Sopheap Wignall, F. Stephen |
| description | BACKGROUNDHIV self-testing (HIVST) is recommended by the World Health Organization, but implementation remains limited. This cross-sectional study evaluated HIVST uptake among female entertainment workers (EWs), men who have sex with men (MSM), and transgender women in Phnom Penh, Cambodia, to inform national implementation. METHODSBetween December 2018 and September 2019, individuals reached through community outreach or via online advertising were offered HIVST or referrals to facility-based testing. Participants opting for HIVST could choose between test kits employing oral-fluid or finger-prick-based sample collection; and between an "assisted" option in which outreach staff offered instructions and assistance and an "unassisted" option in which participants received a kit with instructions for use. A structured questionnaire was administered to facilitate descriptive statistics and tests for associations between participant characteristics and HIV testing preferences and outcomes. RESULTSAmong 1,241 eligible individuals; 1,210 (97.5%) provided responses for analysis. Of these, 1,203 (99.4%) were recruited through outreach; 7 (0.6%) through online advertising. Among those recruited by outreach, 1,186 (98.6%) opted for assisted HIVST, and 1,065 (88.5%) opted for oral-fluid versus finger-prick testing. All individuals recruited through online advertisements opted for unassisted oral-fluid testing. Among all participants, 455 (37.6%) were MSM, 325 (26.9%) were transgender women, 430 (35.5%) were female EWs, and overall, 71.7% reported never previously testing for HIV. A total of 84 participants (6.9%) received reactive screening results and 81 (97.5%) were linked to treatment. CONCLUSIONUptake of HIVST was high, and most participants preferred oral-fluid over finger-prick-based testing. Many individuals (72%) who had never previously accessed HIV testing services participated in HIVST, with high rates of reactivity. |
| doi_str_mv | 10.9745/GHSP-D-21-00412 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9242604</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2732541070</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-c8b2da82753ef82f2f20630260675aa86498c35344b6690b7756d08407fdbacd3</originalsourceid><addsrcrecordid>eNpVUcFKw0AQDaJgqZ697tGDazebTTa5CKXVtlgw0Fa8LZvNpI0muzWbCP17N7aIzhxmYB7vMe953o1P7hPOwtFsvkrxFFMfE8J8euYNqB8lOOTh2_mf_dK7tvaduEocKokHXjdGk8ZYi1eg2tJoWaGxtWBtDbpFpkDzxStaQVXgNdi21FuUNlBAA1qBRVLnaLNv5QegcW3c8RkOKDX7rpI9mUWlRulOmxqloHd3aCLrzOSlvPIuCllZuD7Nobd5elxP5nj5MltMxkusAk5arOKM5jKmPAygiGnhmkQBoRGJeChlHLEkVkEYMJZFUUIyzsMoJzEjvMgzqfJg6D0cefddVkOu3E-NrMS-KWvZHISRpfh_0eVObM2XSChzKswR3J4IGvPZOQdEXVoFVSU1mM4KygMaMp9w4qCjI1T1fjqTfmV8IvqQRB-SmArqi5-Qgm9WRYXQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2732541070</pqid></control><display><type>article</type><title>A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Cassell, Michael M. ; Girault, Philippe ; Nith, Sopha ; Rang, Chandary ; Sokhan, Sereyvisith ; Tuot, Sovannary ; Kem, Vichet ; Dork, Pagna ; Chheav, Aphyra ; Sos, Mary ; Im, Chanry ; Meach, Sotheary ; Mao, Kimrun ; Ly, Penh Sun ; Khol, Vohith ; Samreth, Sovannarith ; Ngauv, Bora ; Ouk, Vichea ; Seng, Sopheap ; Wignall, F. Stephen</creator><creatorcontrib>Cassell, Michael M. ; Girault, Philippe ; Nith, Sopha ; Rang, Chandary ; Sokhan, Sereyvisith ; Tuot, Sovannary ; Kem, Vichet ; Dork, Pagna ; Chheav, Aphyra ; Sos, Mary ; Im, Chanry ; Meach, Sotheary ; Mao, Kimrun ; Ly, Penh Sun ; Khol, Vohith ; Samreth, Sovannarith ; Ngauv, Bora ; Ouk, Vichea ; Seng, Sopheap ; Wignall, F. Stephen</creatorcontrib><description>BACKGROUNDHIV self-testing (HIVST) is recommended by the World Health Organization, but implementation remains limited. This cross-sectional study evaluated HIVST uptake among female entertainment workers (EWs), men who have sex with men (MSM), and transgender women in Phnom Penh, Cambodia, to inform national implementation. METHODSBetween December 2018 and September 2019, individuals reached through community outreach or via online advertising were offered HIVST or referrals to facility-based testing. Participants opting for HIVST could choose between test kits employing oral-fluid or finger-prick-based sample collection; and between an "assisted" option in which outreach staff offered instructions and assistance and an "unassisted" option in which participants received a kit with instructions for use. A structured questionnaire was administered to facilitate descriptive statistics and tests for associations between participant characteristics and HIV testing preferences and outcomes. RESULTSAmong 1,241 eligible individuals; 1,210 (97.5%) provided responses for analysis. Of these, 1,203 (99.4%) were recruited through outreach; 7 (0.6%) through online advertising. Among those recruited by outreach, 1,186 (98.6%) opted for assisted HIVST, and 1,065 (88.5%) opted for oral-fluid versus finger-prick testing. All individuals recruited through online advertisements opted for unassisted oral-fluid testing. Among all participants, 455 (37.6%) were MSM, 325 (26.9%) were transgender women, 430 (35.5%) were female EWs, and overall, 71.7% reported never previously testing for HIV. A total of 84 participants (6.9%) received reactive screening results and 81 (97.5%) were linked to treatment. CONCLUSIONUptake of HIVST was high, and most participants preferred oral-fluid over finger-prick-based testing. Many individuals (72%) who had never previously accessed HIV testing services participated in HIVST, with high rates of reactivity.</description><identifier>ISSN: 2169-575X</identifier><identifier>EISSN: 2169-575X</identifier><identifier>DOI: 10.9745/GHSP-D-21-00412</identifier><language>eng</language><publisher>Global Health: Science and Practice</publisher><subject>Original</subject><ispartof>Global health science and practice, 2022-06, Vol.10 (3), p.e2100412</ispartof><rights>Cassell et al. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-c8b2da82753ef82f2f20630260675aa86498c35344b6690b7756d08407fdbacd3</citedby><cites>FETCH-LOGICAL-c370t-c8b2da82753ef82f2f20630260675aa86498c35344b6690b7756d08407fdbacd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242604/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9242604/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Cassell, Michael M.</creatorcontrib><creatorcontrib>Girault, Philippe</creatorcontrib><creatorcontrib>Nith, Sopha</creatorcontrib><creatorcontrib>Rang, Chandary</creatorcontrib><creatorcontrib>Sokhan, Sereyvisith</creatorcontrib><creatorcontrib>Tuot, Sovannary</creatorcontrib><creatorcontrib>Kem, Vichet</creatorcontrib><creatorcontrib>Dork, Pagna</creatorcontrib><creatorcontrib>Chheav, Aphyra</creatorcontrib><creatorcontrib>Sos, Mary</creatorcontrib><creatorcontrib>Im, Chanry</creatorcontrib><creatorcontrib>Meach, Sotheary</creatorcontrib><creatorcontrib>Mao, Kimrun</creatorcontrib><creatorcontrib>Ly, Penh Sun</creatorcontrib><creatorcontrib>Khol, Vohith</creatorcontrib><creatorcontrib>Samreth, Sovannarith</creatorcontrib><creatorcontrib>Ngauv, Bora</creatorcontrib><creatorcontrib>Ouk, Vichea</creatorcontrib><creatorcontrib>Seng, Sopheap</creatorcontrib><creatorcontrib>Wignall, F. Stephen</creatorcontrib><title>A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia</title><title>Global health science and practice</title><description>BACKGROUNDHIV self-testing (HIVST) is recommended by the World Health Organization, but implementation remains limited. This cross-sectional study evaluated HIVST uptake among female entertainment workers (EWs), men who have sex with men (MSM), and transgender women in Phnom Penh, Cambodia, to inform national implementation. METHODSBetween December 2018 and September 2019, individuals reached through community outreach or via online advertising were offered HIVST or referrals to facility-based testing. Participants opting for HIVST could choose between test kits employing oral-fluid or finger-prick-based sample collection; and between an "assisted" option in which outreach staff offered instructions and assistance and an "unassisted" option in which participants received a kit with instructions for use. A structured questionnaire was administered to facilitate descriptive statistics and tests for associations between participant characteristics and HIV testing preferences and outcomes. RESULTSAmong 1,241 eligible individuals; 1,210 (97.5%) provided responses for analysis. Of these, 1,203 (99.4%) were recruited through outreach; 7 (0.6%) through online advertising. Among those recruited by outreach, 1,186 (98.6%) opted for assisted HIVST, and 1,065 (88.5%) opted for oral-fluid versus finger-prick testing. All individuals recruited through online advertisements opted for unassisted oral-fluid testing. Among all participants, 455 (37.6%) were MSM, 325 (26.9%) were transgender women, 430 (35.5%) were female EWs, and overall, 71.7% reported never previously testing for HIV. A total of 84 participants (6.9%) received reactive screening results and 81 (97.5%) were linked to treatment. CONCLUSIONUptake of HIVST was high, and most participants preferred oral-fluid over finger-prick-based testing. Many individuals (72%) who had never previously accessed HIV testing services participated in HIVST, with high rates of reactivity.</description><subject>Original</subject><issn>2169-575X</issn><issn>2169-575X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpVUcFKw0AQDaJgqZ697tGDazebTTa5CKXVtlgw0Fa8LZvNpI0muzWbCP17N7aIzhxmYB7vMe953o1P7hPOwtFsvkrxFFMfE8J8euYNqB8lOOTh2_mf_dK7tvaduEocKokHXjdGk8ZYi1eg2tJoWaGxtWBtDbpFpkDzxStaQVXgNdi21FuUNlBAA1qBRVLnaLNv5QegcW3c8RkOKDX7rpI9mUWlRulOmxqloHd3aCLrzOSlvPIuCllZuD7Nobd5elxP5nj5MltMxkusAk5arOKM5jKmPAygiGnhmkQBoRGJeChlHLEkVkEYMJZFUUIyzsMoJzEjvMgzqfJg6D0cefddVkOu3E-NrMS-KWvZHISRpfh_0eVObM2XSChzKswR3J4IGvPZOQdEXVoFVSU1mM4KygMaMp9w4qCjI1T1fjqTfmV8IvqQRB-SmArqi5-Qgm9WRYXQ</recordid><startdate>20220629</startdate><enddate>20220629</enddate><creator>Cassell, Michael M.</creator><creator>Girault, Philippe</creator><creator>Nith, Sopha</creator><creator>Rang, Chandary</creator><creator>Sokhan, Sereyvisith</creator><creator>Tuot, Sovannary</creator><creator>Kem, Vichet</creator><creator>Dork, Pagna</creator><creator>Chheav, Aphyra</creator><creator>Sos, Mary</creator><creator>Im, Chanry</creator><creator>Meach, Sotheary</creator><creator>Mao, Kimrun</creator><creator>Ly, Penh Sun</creator><creator>Khol, Vohith</creator><creator>Samreth, Sovannarith</creator><creator>Ngauv, Bora</creator><creator>Ouk, Vichea</creator><creator>Seng, Sopheap</creator><creator>Wignall, F. Stephen</creator><general>Global Health: Science and Practice</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220629</creationdate><title>A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia</title><author>Cassell, Michael M. ; Girault, Philippe ; Nith, Sopha ; Rang, Chandary ; Sokhan, Sereyvisith ; Tuot, Sovannary ; Kem, Vichet ; Dork, Pagna ; Chheav, Aphyra ; Sos, Mary ; Im, Chanry ; Meach, Sotheary ; Mao, Kimrun ; Ly, Penh Sun ; Khol, Vohith ; Samreth, Sovannarith ; Ngauv, Bora ; Ouk, Vichea ; Seng, Sopheap ; Wignall, F. Stephen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-c8b2da82753ef82f2f20630260675aa86498c35344b6690b7756d08407fdbacd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Original</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cassell, Michael M.</creatorcontrib><creatorcontrib>Girault, Philippe</creatorcontrib><creatorcontrib>Nith, Sopha</creatorcontrib><creatorcontrib>Rang, Chandary</creatorcontrib><creatorcontrib>Sokhan, Sereyvisith</creatorcontrib><creatorcontrib>Tuot, Sovannary</creatorcontrib><creatorcontrib>Kem, Vichet</creatorcontrib><creatorcontrib>Dork, Pagna</creatorcontrib><creatorcontrib>Chheav, Aphyra</creatorcontrib><creatorcontrib>Sos, Mary</creatorcontrib><creatorcontrib>Im, Chanry</creatorcontrib><creatorcontrib>Meach, Sotheary</creatorcontrib><creatorcontrib>Mao, Kimrun</creatorcontrib><creatorcontrib>Ly, Penh Sun</creatorcontrib><creatorcontrib>Khol, Vohith</creatorcontrib><creatorcontrib>Samreth, Sovannarith</creatorcontrib><creatorcontrib>Ngauv, Bora</creatorcontrib><creatorcontrib>Ouk, Vichea</creatorcontrib><creatorcontrib>Seng, Sopheap</creatorcontrib><creatorcontrib>Wignall, F. Stephen</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Global health science and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cassell, Michael M.</au><au>Girault, Philippe</au><au>Nith, Sopha</au><au>Rang, Chandary</au><au>Sokhan, Sereyvisith</au><au>Tuot, Sovannary</au><au>Kem, Vichet</au><au>Dork, Pagna</au><au>Chheav, Aphyra</au><au>Sos, Mary</au><au>Im, Chanry</au><au>Meach, Sotheary</au><au>Mao, Kimrun</au><au>Ly, Penh Sun</au><au>Khol, Vohith</au><au>Samreth, Sovannarith</au><au>Ngauv, Bora</au><au>Ouk, Vichea</au><au>Seng, Sopheap</au><au>Wignall, F. Stephen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia</atitle><jtitle>Global health science and practice</jtitle><date>2022-06-29</date><risdate>2022</risdate><volume>10</volume><issue>3</issue><spage>e2100412</spage><pages>e2100412-</pages><issn>2169-575X</issn><eissn>2169-575X</eissn><abstract>BACKGROUNDHIV self-testing (HIVST) is recommended by the World Health Organization, but implementation remains limited. This cross-sectional study evaluated HIVST uptake among female entertainment workers (EWs), men who have sex with men (MSM), and transgender women in Phnom Penh, Cambodia, to inform national implementation. METHODSBetween December 2018 and September 2019, individuals reached through community outreach or via online advertising were offered HIVST or referrals to facility-based testing. Participants opting for HIVST could choose between test kits employing oral-fluid or finger-prick-based sample collection; and between an "assisted" option in which outreach staff offered instructions and assistance and an "unassisted" option in which participants received a kit with instructions for use. A structured questionnaire was administered to facilitate descriptive statistics and tests for associations between participant characteristics and HIV testing preferences and outcomes. RESULTSAmong 1,241 eligible individuals; 1,210 (97.5%) provided responses for analysis. Of these, 1,203 (99.4%) were recruited through outreach; 7 (0.6%) through online advertising. Among those recruited by outreach, 1,186 (98.6%) opted for assisted HIVST, and 1,065 (88.5%) opted for oral-fluid versus finger-prick testing. All individuals recruited through online advertisements opted for unassisted oral-fluid testing. Among all participants, 455 (37.6%) were MSM, 325 (26.9%) were transgender women, 430 (35.5%) were female EWs, and overall, 71.7% reported never previously testing for HIV. A total of 84 participants (6.9%) received reactive screening results and 81 (97.5%) were linked to treatment. CONCLUSIONUptake of HIVST was high, and most participants preferred oral-fluid over finger-prick-based testing. Many individuals (72%) who had never previously accessed HIV testing services participated in HIVST, with high rates of reactivity.</abstract><pub>Global Health: Science and Practice</pub><doi>10.9745/GHSP-D-21-00412</doi><oa>free_for_read</oa></addata></record> |
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| title | A Cross-Sectional Assessment of HIV Self-Testing Preferences and Uptake Among Key Populations in Phnom Penh, Cambodia |
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