TY - JOUR
T1 - Youth Preferences for HIV Testing in South Africa
T2 - Findings from the Youth Action for Health (YA4H) Study Using a Discrete Choice Experiment
AU - Chetty-Makkan, Candice M.
AU - Hoffmann, Christopher J.
AU - Charalambous, Salome
AU - Botha, Claire
AU - Ntshuntshe, Simphiwe
AU - Nkosi, Nolwazi
AU - Kim, Hae Young
N1 - Funding Information:
This work was supported through the Sub-Saharan African Network for TB/HIV Research Excellence (SANTHE), a DELTAS Africa Initiative [Grant # DEL-15-006]. The DELTAS Africa Initiative is an independent funding scheme of the African Academy of Sciences (AAS)’s Alliance for Accelerating Excellence in Science in Africa (AESA) and supported by the New Partnership for Africa’s Development Planning and Coordinating Agency (NEPAD Agency) with funding from the Wellcome Trust [Grant # 107752/Z/15/Z] and the UK government. The views expressed in this publication are those of the author(s) and not necessarily those of AAS, NEPAD Agency, Wellcome Trust or the UK government. Acknowledgements
Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/1
Y1 - 2021/1
N2 - We conducted a discrete choice experiment (DCE) and quantified preferences for HIV testing among South African youth (Nov 2018 to Mar 2019). Six attributes and levels were identified through qualitative methods: source of HIV information; incentive amount and type; social support; testing method; and location. Each participant chose one of two options that comprised six attributes across 18 questions. Conditional logistic regression estimated the degree of preference [β]. Of 130 participants, median age was 21 years (interquartile range 19–23 years), majority female (58%), and 85% previously tested for HIV. Testing alone over accompanied by a friend (β = 0.22 vs. − 0.35; p < 0.01); SMS text over paper brochures (β = 0.13 vs. − 0.10; p < 0.01); higher incentive values (R50) over no incentive (β = 0.09 vs. − 0.07; p = 0.01); and food vouchers over cash (β = 0.06 vs. β = − 0.08; p = 0.01) were preferred. Testing at a clinic or home and family encouragement were important. Tailoring HTS to youth preferences may increase HIV testing.
AB - We conducted a discrete choice experiment (DCE) and quantified preferences for HIV testing among South African youth (Nov 2018 to Mar 2019). Six attributes and levels were identified through qualitative methods: source of HIV information; incentive amount and type; social support; testing method; and location. Each participant chose one of two options that comprised six attributes across 18 questions. Conditional logistic regression estimated the degree of preference [β]. Of 130 participants, median age was 21 years (interquartile range 19–23 years), majority female (58%), and 85% previously tested for HIV. Testing alone over accompanied by a friend (β = 0.22 vs. − 0.35; p < 0.01); SMS text over paper brochures (β = 0.13 vs. − 0.10; p < 0.01); higher incentive values (R50) over no incentive (β = 0.09 vs. − 0.07; p = 0.01); and food vouchers over cash (β = 0.06 vs. β = − 0.08; p = 0.01) were preferred. Testing at a clinic or home and family encouragement were important. Tailoring HTS to youth preferences may increase HIV testing.
KW - Cellphone technology
KW - Discrete choice experiment
KW - HIV testing uptake
KW - Incentives N = 149
KW - Youth
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U2 - 10.1007/s10461-020-02960-9
DO - 10.1007/s10461-020-02960-9
M3 - Article
C2 - 32607914
AN - SCOPUS:85087428115
SN - 1090-7165
VL - 25
SP - 182
EP - 190
JO - AIDS and behavior
JF - AIDS and behavior
IS - 1
ER -