BibTex format
@article{Shanaube:2017:10.1097/QAD.0000000000001530,
author = {Shanaube, K and Schaap, A and Chaila, MJ and Floyd, S and Mackworth-Young, C and Hoddinott, G and Hayes, R and Fidler, S and Ayles, H},
doi = {10.1097/QAD.0000000000001530},
journal = {AIDS},
pages = {S221--S232},
title = {Community intervention improves knowledge of HIV status of adolescents in Zambia: findings from HPTN 071-PopART for youth study},
url = {http://dx.doi.org/10.1097/QAD.0000000000001530},
volume = {31},
year = {2017}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - Objective: To determine the uptake of home-based HIV counselling and testing (HCT) in four communities of the HPTN 071 (PopART) trial in Zambia among adolescents aged 15–19 years and explore factors associated with HCT uptake.Design: The PopART for youth study is a three-arm community-randomized trial in 12 communities in Zambia and nine communities in South Africa which aims to evaluate the acceptability and uptake of a HIV prevention package, including universal HIV testing and treatment, among young people. The study is nested within the HPTN 071 (PopART) trial.Methods: Using a door-to-door approach that includes systematically revisiting households, all adolescents enumerated were offered participation in the intervention and verbal consent was obtained. Data were analysed from October 2015 to September 2016.Results: Among 15 456 enumerated adolescents, 11 175 (72.3%) accepted the intervention. HCT uptake was 80.6% (8707/10 809) and was similar by sex. Adolescents that knew their HIV-positive status increased almost three-fold, from 75 to 210. Following visits from community HIV care providers, knowledge of HIV status increased from 27.6% (3007/10 884) to 88.5% (9636/10 884). HCT uptake was associated with community, age, duration since previous HIV test; other household members accepting HCT, having an HIV-positive household member, circumcision, and being symptomatic for STIs.Conclusion: Through a home-based approach of offering a combination HIV prevention package, the proportion of adolescents who knew their HIV status increased from ∼28 to 89% among those that accepted the intervention. Delivering a community-level door-to-door combination, HIV prevention package is acceptable to many adolescents and can be effective if done in combination with targeted testing.
AU - Shanaube,K
AU - Schaap,A
AU - Chaila,MJ
AU - Floyd,S
AU - Mackworth-Young,C
AU - Hoddinott,G
AU - Hayes,R
AU - Fidler,S
AU - Ayles,H
DO - 10.1097/QAD.0000000000001530
EP - 232
PY - 2017///
SN - 0269-9370
SP - 221
TI - Community intervention improves knowledge of HIV status of adolescents in Zambia: findings from HPTN 071-PopART for youth study
T2 - AIDS
UR - http://dx.doi.org/10.1097/QAD.0000000000001530
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000405605600005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
VL - 31
ER -