Use of Patient-Delivered Partner Therapy in US College Settings: Associations With Legality, Perceived Legality and Other Sexual and Reproductive Health Services

Hogben, Matthew; Caccamo, Alexandra; Beltran, Oscar; Cramer, Ryan; Habel, Melissa A.

doi:10.1097/olq.0000000000000671

Cited by 3 publications

(9 citation statements)

References 15 publications

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“…Many respondents were uncertain about EPT legality in their state. Expedited partner therapy provision was associated with perceived legality; EPT was more likely to be offered if the respondent believed it was legal 12 . However, unlike the prior CHC EPT study, 13 actual legality was not related to EPT provision 12 …”

Section: Ept Provision On College Campusesmentioning

confidence: 90%

“…Expedited partner therapy provision was associated with perceived legality; EPT was more likely to be offered if the respondent believed it was legal. 12 However, unlike the prior CHC EPT study, 13 actual legality was not related to EPT provision. 12 All 3 studies concluded that there are missed opportunities for STI prevention at CHCs given low rates of EPT provision and recommended more research on EPT at CHCs be conducted.…”

Section: Ept Provision On College Campusesmentioning

confidence: 93%

“…12 However, unlike the prior CHC EPT study, 13 actual legality was not related to EPT provision. 12 All 3 studies concluded that there are missed opportunities for STI prevention at CHCs given low rates of EPT provision and recommended more research on EPT at CHCs be conducted. Further, prior work suggested that increasing EPT awareness and clarifying legality may improve EPT provision at CHCs.…”

Section: Ept Provision On College Campusesmentioning

confidence: 93%

“…Implementation of EPT through CHCs may be a structural intervention that can improve access to STI treatment for students and their partners. 12 Only 3 previous studies have examined EPT provision at CHCs. Two studies analyzed the American College Health Association (ACHA) Annual Pap and STI survey (now called the ACHA Sexual Health Services Survey), in which data are collected from a national convenience sample of CHCs.…”

Section: Ept Provision On College Campusesmentioning

confidence: 99%

“…Expedited partner therapy was available at 36.6% of CHCs, with 54.0% of CHCs that provided STI or HIV screening and treatment offering EPT. 12 Many respondents were uncertain about EPT legality in their state. Expedited partner therapy provision was associated with perceived legality; EPT was more likely to be offered if the respondent believed it was legal.…”

Section: Ept Provision On College Campusesmentioning

confidence: 99%

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Expedited Partner Therapy at US College Health Centers: Update and Recommendations for Improved Uptake and Measurement

2022

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S exually transmitted infections (STIs) are prevalent, with current rates the highest ever reported in US history. 1 Sexually transmitted infections can have severe health consequences if left untreated 1 and are also costly; direct medical costs for chlamydia and gonorrhea alone are one billion dollars annually. 2 Sexually transmitted infection rates among young people are especially high; half of new STIs are diagnosed among individuals aged 15 to 24 years. 2 College students are likewise vulnerable to STIs 3,4 and represent a considerable 40% of the US population aged 18 to 24 years. 5 Expansion of high-quality secondary prevention strategies for STIs is recommended to mitigate the STI crisis in the United States. 6 We contend that expanded use of expedited partner therapy (EPT) for indicated STIs at college health centers (CHCs) is one such approach.Expedited partner therapy is the clinical practice of treating the sex partners of someone diagnosed with an STI without a health care examination. 7 Expedited partner therapy has been recommended by numerous medical and public health agencies given its ability to increase partner treatment and reduce reinfection, 4,7,8 and as of April 2021 is permissible or potentially allowable in all US states and territories. 9 Yet despite the known benefits, EPT provision rates are suboptimal. 10

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Section: Ept Provision On College Campusesmentioning

confidence: 90%

Section: Ept Provision On College Campusesmentioning

confidence: 93%

Section: Ept Provision On College Campusesmentioning

confidence: 93%

Section: Ept Provision On College Campusesmentioning

confidence: 99%

Section: Ept Provision On College Campusesmentioning

confidence: 99%

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Expedited Partner Therapy at US College Health Centers: Update and Recommendations for Improved Uptake and Measurement

2022

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Women’s knowledge and hypothetical acceptance of expedited partner therapy for chlamydia

et al. 2021

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BackgroundExpedited partner therapy (EPT) for chlamydia can be an important public health tool to treat the sex partners of newly diagnosed individuals, especially when those sex partners are women of reproductive ages. Untreated and repeat chlamydia infections increase a woman’s risk for subfertility. This study aimed to determine the knowledge of EPT, and the factors associated with EPT knowledge, among reproductive-aged women.MethodsWomen aged 18–40 years were recruited for a community sample from a large state fair; 871 women completed a questionnaire for this study. Women reported on their knowledge of sexually transmitted infections, and about their knowledge and attitudes toward EPT. Using a hypothetical example, women were asked if they would accept EPT.ResultsThis community sample of reproductive-aged women found overwhelming hypothetical support for chlamydia testing, partner notification, and partner treatment. However, only 12% of women reported having heard of EPT prior to the survey; once EPT was described, there were high levels of support for EPT and the belief that EPT could reduce chlamydia rates. Half of the women strongly agreed that EPT could reduce chlamydia rates, and 48% supported the state law allowing for EPT. Working in the healthcare field was the only independent determinant of prior EPT knowledge, increasing the odds of hearing about EPT by more than 2.5-fold.ConclusionsDespite overwhelming support of the tenets of EPT, our results indicate that prior knowledge of EPT is low among women, meaning that education about EPT is needed for those outside of the healthcare field.

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Expedited Partner Therapy in Female Adolescents: A Study of Acceptance and the Impact on Reinfection Rates

Gannon-Loew

Holland-Hall²,

Ebersole

et al. 2021

Sexual Trans Dis

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Background: Given the high risk of sexually transmitted infections (STIs) in adolescents and young adults (AYAs), this study evaluated expedited partner therapy (EPT) acceptance and STI reinfection rates in female AYA before and after availability of EPT. Methods:The pre-EPT cohort was a 3-year (November 2012 to November 2015) retrospective chart review of female AYA positive for Chlamydia trachomatis (CT) and/or Trichomonas vaginalis (TV) before introduction of EPT. An EPT protocol for CT and TV infections was implemented after legalization in Ohio in 2016. The post-EPT cohort was a prospective review of patients positive for CT and TV for 2 years (5/2016-5/2018) after EPT introduction. We evaluated EPT acceptance and compared reinfection rates (positive test 1-6 months after initial infection) in the pre-EPT versus post-EPT cohorts and by EPT acceptance.Results: Among patients offered EPT, 28% (67/237) with CT and 25% (24/97) with TV accepted EPT. There were no significant differences in the reinfection rates for CT or TV in the pre-EPT versus post-EPT cohorts (CT: 24% (57/240) vs 20% (38/192), P = 0.42; TV: 23% (22/97) versus 14% (12/87), P = 0.11). Although lower, reinfections rates were not significantly different among patients who accepted versus did not accept EPT (CT, 13% (6/48) vs 21% (23/110), P = 0.50 and TV, 6% (1/18) vs 18% (9/49), P = 0.69).Conclusions: Despite the implementation of an EPT protocol, STI reinfection rates among female AYA remained high, and many declined EPT. Further research is needed to identify barriers to the provision and acceptance of EPT and ways to address these factors.

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Use of Patient-Delivered Partner Therapy in US College Settings: Associations With Legality, Perceived Legality and Other Sexual and Reproductive Health Services

Abstract: PDPT was more likely to be available in colleges that offered SRH services and where staff believed PDPT was legal. Further research could explore more precise conditions under which PDPT is used.

Cited by 3 publications

References 15 publications

Expedited Partner Therapy at US College Health Centers: Update and Recommendations for Improved Uptake and Measurement

Expedited Partner Therapy at US College Health Centers: Update and Recommendations for Improved Uptake and Measurement

Women’s knowledge and hypothetical acceptance of expedited partner therapy for chlamydia

Expedited Partner Therapy in Female Adolescents: A Study of Acceptance and the Impact on Reinfection Rates

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