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Does Venue of HIV Testing and Results Disclosure in the Context of a Research Study Affect Adolescent Health and Behavior? Results from a Study in Western Kenya

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  • Winnie Kavulani Luseno

    (Chapel Hill Center, Pacific Institute for Research and Evaluation (PIRE), Chapel Hill, NC 27514, USA)

  • Samuel H. Field

    (Chapel Hill Center, Pacific Institute for Research and Evaluation (PIRE), Chapel Hill, NC 27514, USA)

  • Bonita J. Iritani

    (Chapel Hill Center, Pacific Institute for Research and Evaluation (PIRE), Chapel Hill, NC 27514, USA)

  • Fredrick S. Odongo

    (Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu 1578-40100, Kenya)

  • Daniel Kwaro

    (Centre for Global Health Research, Kenya Medical Research Institute (KEMRI), Kisumu 1578-40100, Kenya)

  • Stuart Rennie

    (Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA)

Abstract

Ethical concerns about risks to minor adolescents participating in HIV prevention research is a barrier to their inclusion. One concern is whether HIV testing and results disclosure venue affects the health and behavior of adolescent participants. We assessed for differential effects on quality of life (QOL), depressive symptoms, and sexual behavior due to (1) testing venue (home or health facility) and (2) test result (HIV-positive, HIV-negative, indeterminate). We collected data at three timepoints (baseline, 2-month follow-up, 12-month follow-up) from 113 Kenyan adolescents aged 15–19 (51% female). We analyzed the data using linear mixed effects models for the QOL and depressive symptoms outcomes and a logistic model for the sexual behavior outcome. Results showed a small mental health benefit for adolescents tested for HIV at a health facility compared with home. There was little evidence that testing venue influenced sexual behavior or that test results moderated the effects of HIV testing across all outcomes. The decision to conduct HIV testing at home or a health facility may not be very consequential for adolescents’ health and behavior. Findings underscore the need to critically examine assumptions about adolescent vulnerability to better promote responsible conduct of HIV prevention research with youth in sub-Saharan Africa.

Suggested Citation

  • Winnie Kavulani Luseno & Samuel H. Field & Bonita J. Iritani & Fredrick S. Odongo & Daniel Kwaro & Stuart Rennie, 2022. "Does Venue of HIV Testing and Results Disclosure in the Context of a Research Study Affect Adolescent Health and Behavior? Results from a Study in Western Kenya," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3249-:d:767864
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    References listed on IDEAS

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    1. Monisha Sharma & Roger Ying & Gillian Tarr & Ruanne Barnabas, 2015. "Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa," Nature, Nature, vol. 528(7580), pages 77-85, December.
    2. Luseno, Winnie K. & Iritani, Bonita J. & Maman, Suzanne & Mbai, Isabella & Ongili, Barrack & Otieno, Florence Anyango & Hallfors, Denise Dion, 2019. "“If the mother does not know, there is no way she can tell the adolescent to go for drugs”: Challenges in promoting health and preventing transmission among pregnant and parenting Kenyan adolescents l," Children and Youth Services Review, Elsevier, vol. 103(C), pages 100-106.
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