Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Heterogeneous HIV testing preferences in an urban setting in tanzania: Results from a discrete choice experiment
PLoS ONE, Volume 9, No. 3, Article e92100, Year 2014
Notification
URL copied to clipboard!
Description
Background: Efforts to reduce Human Immunodeficiency Virus (HIV) transmission through treatment rely on HIV testing programs that are acceptable to broad populations. Yet, testing preferences among diverse at-risk populations in Sub- Saharan Africa are poorly understood. We fielded a population-based discrete choice experiment (DCE) to evaluate factors that influence HIV-testing preferences in a low-resource setting. Methods: Using formative work, a pilot study, and pretesting, we developed a DCE survey with five attributes: distance to testing, confidentiality, testing days (weekday vs. weekend), method for obtaining the sample for testing (blood from finger or arm, oral swab), and availability of HIV medications at the testing site. Cluster-randomization and Expanded Programme on Immunization (EPI) sampling methodology were used to enroll 486 community members, ages 18-49, in an urban setting in Northern Tanzania. Interviewer-assisted DCEs, presented to participants on iPads, were administered between September 2012 and February 2013. Results: Nearly three of five males (58%) and 85% of females had previously tested for HIV; 20% of males and 37% of females had tested within the past year. In gender-specific mixed logit analyses, distance to testing was the most important attribute to respondents, followed by confidentiality and the method for obtaining the sample for the HIV test. Both unconditional assessments of preferences for each attribute and mixed logit analyses of DCE choice patterns suggest significant preference heterogeneity among participants. Preferences differed between males and females, between those who had previously tested for HIV and those who had never tested, and between those who tested in the past year and those who tested more than a year ago. Conclusion: The findings suggest potentially significant benefits from tailoring HIV testing interventions to match the preferences of specific populations, including males and females and those who have never tested for HIV. Copyright: © 2014 Ostermann et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3958474/bin/pone.0092100.s001.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC3958474/bin/pone.0092100.s002.doc
Authors & Co-Authors
Ostermann, Jan
United States, Durham
Duke University
Njau, Bernard Joseph
Tanzania, Moshi
Kilimanjaro Christian Medical University College
Brown, Derek S.
United States, Durham
Duke University
United States, St. Louis
Washington University in St. Louis, George Warren Brown School of Social Work
Mühlbacher, Axel Christian
United States, Durham
Duke University
Germany, Neubrandenburg
Fachhochschule Neubrandenburg
Thielman, Nathan M.
United States, Durham
Duke University
Statistics
Citations: 59
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0092100
e-ISSN:
19326203
Research Areas
Genetics And Genomics
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Exploratory Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Female