Individual and partnership factors associated with anticipated versus actual partner notification following STI diagnosis among men who have sex with men and/or with transgender women in Lima, Peru

Braun, Hannan M.; Segura, Eddy R.; Lake, Jordan E.; Gandhi, Monica; Ríos, Jessica; Villarán, Manuel V; Sánchez, Jorge; Lama, Javier R.; Clark, Jesse L.

doi:10.1136/sextrans-2017-053292

Cited by 6 publications

(7 citation statements)

References 9 publications

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“…Consequently, the data pointed to a higher probability of not getting casual sexual partners to come to the health unit, in comparison with that of noncasual ones. Similar results were described in a study on PR carried out in the United States, according to which patients who said that they had casual sexual partners were less likely to notify them (23) , confirming that success in this action is more common in cases involving steady relationships (24) . Analysis identified a higher probability of partners not coming to the health unit in the group of index patients who said that they used condoms in comparison with those who reported not using them at all, which corroborated a study that showed the existence of higher chances of notifying partners in patients who said that they had not used condoms in their last intercourse events when compared to those who said that they had used this protection alternative (16) .…”

Section: Discussionsupporting

confidence: 82%

“…Regarding the correlation between success in getting sexual partners to come to the health unit and STI types (regardless of having more than one infection) or the way the diagnosis was obtained (syndromic, laboratory, or rapid tests), analysis showed no association with any of these variables, a fact that had been verified in another study (24) . However, these factors were pointed out as being able to influence the patient's decision regarding PR, especially if the case involves the presence of HIV, because of the chronic nature of the viral infection and the stigma associated with it (22) .…”

Section: Discussionmentioning

confidence: 80%

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Estratégias de notificação de parceiros sexuais de pessoas com infecções sexualmente transmissíveis: ensaio clínico randomizado

Cavalcante

Galvão

Lima

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Comparar a efetividade da comunicação verbal e por cartão no comparecimento de parceiros sexuais de pessoas com infecções sexualmente transmissíveis com fatores associados ao seu êxito. Método Ensaio clínico, controlado, randomizado, cuja intervenção consistiu no oferecimento de um cartão de notificação para os pacientes-índices entregarem aos seus parceiros. Resultados A amostra foi de 189 pacientes-índices, 94 do grupo controle que convidaram verbalmente os parceiros sexuais para atendimento e 95 do grupo intervenção que levaram o cartão de notificação de parceiros como forma de convite para atendimento. Houve comparecimento de 52,6% dos parceiros convidados por cartão, e 43,6% dos convidados verbalmente, mas sem diferença estatística significativa (p=0,215). Os fatores associados ao não êxito no comparecimento de parceiros foram: não residir com o parceiro (p=0,0001), não ter parceiros fixos (p=0,0001), ter parceria casual (p=0,028) e usar preservativo com parceiro fixo (p=0,045). O tipo de infecção não influenciou a vinda do parceiro. Conclusão Face à ausência de maior efetividade na notificação por cartão, recomenda-se outro modelo de cartão contendo informações destinadas a parceiros para ser usado combinado a outros métodos. Registro Brasileiro de Ensaios Clínicos: RBR-7jp5mr.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 80%

Estratégias de notificação de parceiros sexuais de pessoas com infecções sexualmente transmissíveis: ensaio clínico randomizado

Cavalcante

Galvão

Lima

et al. 2020

Rev. esc. enferm. USP

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“…We found that both MSM and trans women perceived less social support for partner notification of an STI diagnosis (33.4% MSM SNM, 37.4% trans women SNM “completely in favor”) compared to other sexual health behaviors. This result may be situated within prior Peruvian literature, as previous work has found partner notification practices to vary with factors such as partnership type (in relation to perceived risks and benefits of notification as well as ability to contact partners), type of STI diagnosed (HIV or other STIs), perception of peer support for notification, and fear of rejection or interpersonal violence [ 29 – 31 ]. It is notable that participants reported low levels of HIV serostatus communication with sexual partners in a separate analysis from this same study cohort, as our finding regarding social support for partner STI notification may reflect broader reticence in sexual communication norms [ 23 ].…”

Section: Discussionmentioning

confidence: 66%

Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

et al. 2021

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Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.

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“…While the Peruvian Ministry of Health maintains detailed guidelines for managing sexual partners of individuals with syphilis (including provider counseling, distribution of referral cards, and home treatment visits for partners of pregnant women), these services are delivered inconsistently in practice [ 35 , 36 ]. The deficiencies of existing partner management systems in Peru can be seen in the findings from a previous study where after 1 year, only 41% of individuals with syphilis infection had notified any of their partners and 43% had been reinfected after the confirmation of cure [ 37 , 38 ]. We conducted a factorial, RCT to compare the effect of printed partner referral cards and/or access to a Web-based notification system against standard counseling on self-reported PN outcomes among MSM in Lima, Peru, with untreated syphilis infection.…”

Section: Introductionmentioning

confidence: 99%

Traditional and Web-Based Technologies to Improve Partner Notification Following Syphilis Diagnosis Among Men Who Have Sex With Men in Lima, Peru: Pilot Randomized Controlled Trial

Clark¹,

Segura²,

Oldenburg³

et al. 2018

J Med Internet Res

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BackgroundPatient-initiated partner notification (PN) following the diagnosis of a sexually transmitted infection is a critical component of disease control in men who have sex with men (MSM) sexual networks. Both printed and internet-based technologies offer potential tools to enhance traditional partner notification approaches among MSM in resource-limited settings.ObjectiveThis randomized controlled trial aimed to evaluate the effect of 2 different PN technologies on notification outcomes following syphilis diagnosis among MSM in Peru: a Web-based notification system and patient-delivered partner referral cards.MethodsDuring 2012-2014, we screened 1625 MSM from Lima, Peru, for syphilis infection and enrolled 370 MSM with symptomatic primary or secondary syphilis (n=58) or asymptomatic latent syphilis diagnosed by serology (rapid plasma reagin, RPR, and Microhemagglutination assay for Treponema pallidum antibody; n=312). Prior to enrollment, potential participants used a computer-based self-interviewing system to enumerate their recent sexual partnerships and provide details of their 3 most recent partners. Eligible participants were randomly assigned to one of 4 intervention arms: (1) counseling and patient-initiated Web-based PN (n=95), (2) counseling with Web-based partner notification and partner referral cards (n=84), (3) counseling and partner referral cards (n=97), and (4) simple partner notification counseling (control; n=94). Self-reported partner notification was assessed after 14 days among 354 participants who returned for the follow-up assessment.ResultsThe median age of enrolled participants was 27 (interquartile range, IQR 23-34) years, with a median of 2 partners (IQR 1-5) reported in the past month. Compared with those who received only counseling (arm 4), MSM provided with access to Web-based partner notification (arms 1 and 2) or printed partner referral cards (arms 2 and 3) were more likely to have notified one or more of their sexual partners (odds ratio, OR, 2.18, 95% CI 1.30-3.66; P=.003 and OR 1.68, 95% CI 1.01-2.79; P=.045, respectively). The proportion of partners notified was also higher in both Web-based partner notification (241/421, 57.2%; P<.001) and referral card (240/467, 51.4%; P=.006) arms than in the control arm (82/232, 35.3%).ConclusionsBoth new Web-based technologies and traditional printed materials support patient-directed notification and improve self-reported outcomes among MSM with syphilis. Additional research is needed to refine the use of these partner notification tools in specific partnership contexts.Trial RegistrationClinicalTrials.gov NCT01720641; https://clinicaltrials.gov/ct2/show/NCT01720641 (Archived by WebCite at http://www.webcitation.org/70A89rJL4)

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Individual and partnership factors associated with anticipated versus actual partner notification following STI diagnosis among men who have sex with men and/or with transgender women in Lima, Peru

Abstract: Anticipated notification imperfectly reflects actual PN behaviour. Future interventions to improve PN among MSM-TW in Peru need to acknowledge partnership contexts.

Cited by 6 publications

References 9 publications

Estratégias de notificação de parceiros sexuais de pessoas com infecções sexualmente transmissíveis: ensaio clínico randomizado

Estratégias de notificação de parceiros sexuais de pessoas com infecções sexualmente transmissíveis: ensaio clínico randomizado

Sexual health norms and communication patterns within the close social networks of men who have sex with men and transgender women in Lima, Peru: a 2017 cross-sectional study

Traditional and Web-Based Technologies to Improve Partner Notification Following Syphilis Diagnosis Among Men Who Have Sex With Men in Lima, Peru: Pilot Randomized Controlled Trial

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