Oral HIV self-testing (HIVST) may expand access to testing among hard-to-reach reach adolescents and young adults (AYA). We evaluated community-based HIVST services for AYA in an urban settlement in Kenya. Peer-mobilizers recruited AYA ages 15-24 through homes, bars/clubs, and pharmacies. Participants were offered oral HIVST, optional assistance and post-test counseling. Outcomes were HIVST acceptance and completion (self-report and returned kits). Surveys were given at enrollment, post-testing, and 4 months. Log-binomial regression evaluated HIVST preferences by venue. Among 315 reached, 87% enrolled. HIVST acceptance was higher in bars/clubs (94%) than homes (86%) or pharmacies (75%). HIVST completion was 97%, with one confirmed positive result. Participants wanted future HIVST at multiple locations, include PrEP, and cost ≤ $5USD. Participants from bars/clubs and pharmacies were more likely to prefer unassisted testing and peer-distributers compared to participants from homes. This differentiated community-based HIVST strategy could facilitate engagement in HIV testing and prevention among AYA.

中文翻译：

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采用基于社区的分发策略，肯尼亚不同人群的年轻人对艾滋病毒自我检测的接受度和完成率较高。


口腔艾滋病毒自检 (HIVST) 可能会扩大难以接触到的青少年和年轻人 (AYA) 接受检测的机会。我们评估了肯尼亚城市住区 AYA 的社区 HIVST 服务。同伴动员者通过家庭、酒吧/俱乐部和药房招募 15-24 岁的 AYA。参与者接受了口头 HIVST、可选协助和测试后咨询。结果是 HIVST 接受和完成（自我报告和返回的工具包）。调查在入学时、测试后和 4 个月内进行。对数二项式回归评估了按地点划分的 HIVST 偏好。在 315 名参加者中，87% 入学。酒吧/俱乐部 (94%) 的 HIVST 接受度高于家庭 (86%) 或药房 (75%)。 HIVST 完成率为 97%，其中一项结果呈阳性。参与者希望未来在多个地点进行 HIVST，包括 PrEP，且成本≤ 5 美元。与来自家庭的参与者相比，来自酒吧/俱乐部和药房的参与者更有可能更喜欢独立测试和同行经销商。这种基于社区的差异化 HIVST 战略可以促进 AYA 参与艾滋病毒检测和预防。