Sexual Partner Notification of HIV Infection Among a National United States-Based Sample of HIV-Infected Men

Edelman, E. Jennifer; Gordon, Kirsha S.; Hogben, Matthew; Crystal, Stephen; Bryant, Kendall; Justice, Amy C.; Fiellin, David A.

doi:10.1007/s10461-014-0799-7

Cited by 14 publications

(14 citation statements)

References 14 publications

(14 reference statements)

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“…After being notified, partners may benefit with the access to health service and health promotion practices, with the possibility of having specialized care and follow-up, favoring the interruption of the transmission cycle and longer survival of sexual partners (7) . An important fact in this study was that all partner notifications were made by the index patients themselves, which may be associated with the type of relationship they have, as this is the most viable notification method for stable relationships (with affectional bond regardless of a marital relationship) when compared to casual sex (outside the context of a relationship) (13,18) . On the other hand, it may be a concern if the sexual behavior with high potential for STI transmission, in particular HIV, is focused on casual sex (4) .…”

Section: Discussionmentioning

confidence: 99%

Partner notification for sexually transmitted infections and perception of notified partners

Cavalcante

Miranda

Carvalho

et al. 2016

Rev. esc. enferm. USP

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Objective: Learn the perceptions of patients with sexually transmitted infections and sexual partners who are notified of the infection. Method: A descriptive and qualitative study, based on the collective subject discourse technique, was conducted in four healthcare centers of reference in Fortaleza, Ceará, from March to July 2014. The sample comprised 21 subjects (11 index patients and 10 notified partners). Results: The index patients reported complicity, concern about the partner's health and revelation of diagnosis aiming to preserve the relationship. The partners showed antagonistic perceptions: tranquilitybetrayal, fear of death, of incurability and the diagnosis, especially of HIV. The reasons for coming to a healthcare center were: fear of being sick, attenuation of guilt of infection transmission, need for diagnosis, early start of treatment. Conclusion: Fear of losing trust, insecurities when dealing with a sexual infection and being responsible or coresponsible for the transmission were the predominant feelings. Various types of partner notification were reported (verbal, telephone, notification card), according to individual convenience. This study suggests the use of alternative methods of notification and an integrated system of notification.

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Section: Discussionmentioning

confidence: 99%

Partner notification for sexually transmitted infections and perception of notified partners

Cavalcante

Miranda

Carvalho

et al. 2016

Rev. esc. enferm. USP

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“…Partner referral testing has been a powerful tool for identifying cases among heterosexual couples in China, with 87.70% of married people living with HIV referring their spouse for testing [ 10 ]. Accordingly, in this study, partner testing services were applied to MSM as a potential intervention [ 11 , 12 ]. Previously, when a similar strategy was implemented in two Chinese cities (Kunming and Hangzhou) via community mobilization, about 21.80% of MSM sexual partners received HIV testing and10.90% tested HIV-positive [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A health communication intervention to integrate partner testing with antiretroviral therapy service among men who have sex with men in China: an observational cohort study

Lian¹,

Zhao²,

Wang

et al. 2018

BMC Public Health

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BackgroundIn China, antiretroviral therapy (ART) clinics focus on treating people living with HIV and are not required to undertake testing of high-risk populations. To improve partner testing among MSM, we implemented a health communication pilot intervention integrating partner testing with ART services. We aimed to assess the feasibility of the partner referral service and identify the predictors of both successful partner referral for HIV testing and HIV-positive test results among referred partners.MethodsThis program ran from April 2014 through December 2015 at designated ART clinics in six cities. The index participants, men living with HIV enrolled at an ART clinic, were assigned a case manager who assumed responsibility for routine ART-related counseling and mobilization of HIV-positive index participants for partner referral testing. Case managers were either nurses or contract staff. The successful referral rate was the proportion of index participants who referred a sexual partner for HIV testing. The HIV-positive partner rate was the proportion of the newly referred contacts who tested HIV-positive. Factors associated with the successful referral rate and the HIV-positive partner rate were assessed.ResultsTwo thousand three hundred eighty-two index participants were enrolled. The median age was 30 years (IQR 26–37). 829index participants (34.80%) successfully referred at least one sexual partner for screening, and 92 (11.10%) referred partners were HIV-positive. Having a hospital nurse as case manager was associated with both successful partner referral (AHR = 1.56, 95% CI = 1.36–1.80) and having a HIV-positive partner (AHR = 2.35, 95% CI = 1.45–3.92). Index participants who were married (AHR = 1.44, 95% CI = 1.20–1.73) or employed (AHR = 1.29, 95% CI = 1.11–1.49) were more likely to successfully refer a partner for testing. Stable male partner relations were more likely to result in a referred partner testing HIV-positive (AHR = 5.50, 95% CI = 1.85–16.39).ConclusionOur findings indicated that integration of MSM partner testing with ART services via health communication was feasible. Nurses as case managers effectively encouraged index participants to refer their sexual partners for HIV testing.

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“…non-condom use); and it is well established that minority populations have a higher prevalence of HIV infection compared to white populations. (1) In addition, Edelman and colleagues found among a group of sexually active study participants, black and MSM status was significantly associated with incomplete partner notification,(33) which may leave their sexual network unaware of their HIV status and risk. This combination of multiple partners, being under the influence (which may impair condom use), lower threshold for the number of sexual partners needed for transmission, delayed diagnosis and lower HIV awareness (4, 34–37), and poor partner notification, are prime conditions for HIV transmission and acquisition; putting minority MSM at greater likelihood of contracting HIV.…”

Section: Discussionmentioning

confidence: 99%

Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission

et al. 2016

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Black and Hispanic (minority) MSM have a higher incidence of HIV than white MSM. Multiple sexual partners, being under the influence of drugs and/or alcohol during sex, having a detectable HIV-1 RNA, and non-condom use are factors associated with HIV transmission. Using data from the Veterans Aging Cohort Study, we consider minority status and sexual orientation jointly to characterize and compare these factors. White non-MSM had the lowest prevalence of these factors (p<0.001) and were used as the comparator group in calculating odds ratios (OR). Both MSM groups were more likely to report multiple sex partners (white MSM OR: 7.50; 95% CI 5.26, 10.71; minority MSM OR: 10.24; 95% CI 7.44, 14.08), and more likely to be under the influence during sex (white MSM OR: 2.15; 95% CI 1.49, 3.11; minority MSM OR: 2.94; 95% CI 2.16, 4.01). Only minority MSM were more likely to have detectable HIV-1 RNA (OR: 1.87; 95% CI 1.12, 3.11). Both MSM groups were more likely to use condoms than white non-MSM. These analyses suggest that tailored interventions to prevent HIV transmission among minority MSM are needed, with awareness of the potential co-occurrence of risk factors.

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Sexual Partner Notification of HIV Infection Among a National United States-Based Sample of HIV-Infected Men

Cited by 14 publications

References 14 publications

Partner notification for sexually transmitted infections and perception of notified partners

Partner notification for sexually transmitted infections and perception of notified partners

A health communication intervention to integrate partner testing with antiretroviral therapy service among men who have sex with men in China: an observational cohort study

Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission

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