Can home-based HIV rapid testing reduce HIV disparities among African Americans in Miami?
Kenya et al.
Type of approach
Type of assistance
General population: African-American general population
UNAIDS HIV prevalence (2017)
Randomised controlled trial conducted between October and November 2013. Eligible participants self-identified as African American, had not completed an HIV test within the prior 12 months, were between 18 and 60 years of age, lived in the Overtown neighborhood of Miami, and were not known to be HIV positive. Community Health Workers administered a survey and pre-test counseling to eligible participants. Participants were randomised to unassisted or directly-assisted oral HIV self-testing groups.
Summary of findings
The vast majority of participants (98.3%, n=58) found the HIV self-test (HIVST) instructions easy to read and believed HIVST should be offered in the community (96.7%, n=n/a). Two participants in the assisted HIVST group were found HIV-positive and successfully linked to care. Three participants in the unassisted HIVST group were found HIV-positive, but did not link to care. The successful completion rate of all participants who were tested, and if HIV positive linked to care, was 100% (n=30) in the experimental condition (assisted HIVST with community health worker), and 83% (n=n/a) in the control condition (unassisted HIVST). This difference was statistically significant (p < 0.02).
The majority of participants believed HIVST should be offered in the community (96.7%, n=n/a).
Willingness to pay
Willingness to pay details
Linkage to prevention, care and treatment
100% (n=2/2) linkage to care in the assisted HIVST group, 0% (n=0/3) linkage to care in the unassisted group.