Title
Anticipated notification of sexual partners following STD diagnosis among men who have sex with men and transgender women in Lima, Peru: A mixed methods analysis
Date Issued
01 September 2016
Access level
open access
Resource Type
journal article
Publisher(s)
Public Library of Science
Abstract
Background: New strategies to support partner notification (PN) are critical for STD control and require detailed understanding of how specific individual and partnership characteristics guide notification decisions. Methods: From 2011 to 2012, 397 MSM and TW recently diagnosed with HIV, syphilis, or another STD completed a survey on anticipated notification of recent sexual partners and associated factors. Qualitative interviews were conducted with a subset of participants to provide further depth to quantitative findings. Prevalence ratios and generalized estimating equation (GEE) models were used to analyze participant- and partner-level factors associated with anticipated PN. Results: Among all partners reported, 52.5% were described as "Very Likely" or "Somewhat Likely" to be notified. Anticipated notification was more likely for main partners than casual (adjusted Prevalence Ratio [aPR], 95% CI: 0.63, 0.54-0.75) or commercial (aPR, 95% CI: 0.44, 0.31-0.62) partners. Other factors associated with likely notification included perception of the partner as an STD source (aPR, 95% CI: 1.27, 1.10-1.48) and anticipated future sexual contact with the partner (aPR, 95% CI: 1.30, 1.11-1.52). An HIV diagnosis was associated with a lower likelihood of notification than non-HIV STDs (aPR: 0.68, 0.55-0.86). Qualitative discussion of the barriers and incentives to PN reflected a similar differentiation of anticipated notification according to partnership type and type of HIV/STD diagnosis. Discussion: Detailed attention to how partnership characteristics guide notification outcomes is essential to the development of new PN strategies. By accurately and thoroughly assessing the diversity of partnership interactions among individuals with HIV/STD, new notification techniques can be tailored to partner-specific circumstances.
Volume
11
Issue
9
Language
English
OCDE Knowledge area
UrologĂ­a, NefrologĂ­a
Scopus EID
2-s2.0-84991696815
PubMed ID
Source
PLoS ONE
ISSN of the container
1932-6203
Sponsor(s)
Eunice Kennedy Shriver National Institute of Child Health and Human Development T32HD049339 NICHD
Sources of information: Directorio de ProducciĂłn CientĂ­fica Scopus