Jan Ostermann|Bernard Njau|Derek S. Brown|Axel Mühlbacher|Nathan M. Thielman
Heterogeneous HIV Testing Preferences in an Urban Setting in Tanzania: Results from a Discrete Choice Experiment
Duke University|Duke Institute for Health Innovation|Kilimanjaro Christian Medical Centre|Washington University in St. Louis|Duke University|Duke University|Neubrandenburg University of Applied Sciences|Duke University|Duke Institute for Health Innovation
efforts reduce human immunodeficiency virus hiv transmission treatment rely hiv testing programs acceptable broad populations yet testing preferences among diverse atrisk populations subsaharan africa poorly understood fielded populationbased discrete choice experiment dce evaluate factors influence hivtesting preferences lowresource settingusing formative work pilot study pretesting developed dce survey five attributes distance testing confidentiality testing days weekday vs weekend method obtaining sample testing blood finger arm oral swab availability hiv medications testing site clusterrandomization expanded programme immunization epi sampling methodology used enroll 486 community members ages 1849 urban setting northern tanzania interviewerassisted dces presented participants ipads administered september 2012 february 2013nearly three five males 58 85 females previously tested hiv 20 males 37 females tested within past year genderspecific mixed logit analyses distance testing important attribute respondents followed confidentiality method obtaining sample hiv test unconditional assessments preferences attribute mixed logit analyses dce choice patterns suggest significant preference heterogeneity among participants preferences differed males females previously tested hiv never tested tested past year tested year agothe findings suggest potentially significant benefits tailoring hiv testing interventions match preferences specific populations including males females never tested hiv