@article{5a6e40e2e4ae4f9d922a68bfc444acea,
title = "Use and Acceptability of HIV Self-Testing Among First-Time Testers at Risk for HIV in Senegal",
abstract = "HIV Self-Testing (HIVST) aims to increase HIV testing coverage and can facilitate reaching the UNAIDS 90-90-90 targets. In Senegal, key populations bear a disproportionate burden of HIV and report limited uptake of HIV testing given pervasive stigma and criminalization. In these contexts, HIVST may represent a complementary approach to reach populations reporting barriers to engagement with existing and routine HIV testing services. In this study, 1839 HIVST kits were distributed in Senegal, with 1149 individuals participating in a pre-test questionnaire and 817 participating in a post-test questionnaire. Overall, 46.9% (536/1144) were first-time testers and 26.2% (300/1144) had tested within the last year; 94.3% (768/814) reported using the HIVST, and 2.9% (19/651) reported a reactive result which was associated with first-time testers (p = 0.024). HIVST represents an approach that reached first-time testers and those who had not tested recently. Implementation indicators suggest the importance of leveraging existing community structures and programs for distribution.",
keywords = "HIV, Key populations, Self-Testing, Senegal, Sub-Saharan Africa",
author = "Lyons, {Carrie E.} and Karleen Coly and Bowring, {Anna L.} and Benjamin Liestman and Daouda Diouf and Wong, {Vincent J.} and Gnilane Turpin and Delivette Castor and Penda Dieng and Oluwasolape Olawore and Scott Geibel and Sosthenes Ketende and Cheikh Ndour and Safiatou Thiam and Coumba Tour{\'e}-Kane and Baral, {Stefan D.}",
note = "Funding Information: We would like to thank the study participants for donating their time to contribute to this research. Thank you to the study staff, partners, and government support for making this study possible. Thank you to Amrita Rao for support throughout study implementation and manuscript development. Thank you to Maria Garcia Quesada and Pedro Saa for supporting translation. Thank you to Johns Hopkins University Center for AIDS Research (P30AI094189). This study was made possible by the generous support of the American people through the U.S. President{\textquoteright}s Emergency Plan for AIDS Relief (PEPFAR) with the U.S. Agency for International Development (USAID) under the Cooperative Agreement Project SOAR (Supporting Operational AIDS Research), number AID-OAA-14-00060. The information provided does not necessarily reflect the views of USAID or the United States Government, and the contents of this manuscript are the sole responsibility of Project SOAR, the Population Council, and the authors. Publisher Copyright: {\textcopyright} 2019, The Author(s).",
year = "2019",
month = sep,
day = "1",
doi = "10.1007/s10461-019-02552-2",
language = "English (US)",
volume = "23",
pages = "130--141",
journal = "AIDS and behavior",
issn = "1090-7165",
publisher = "Springer New York",
}