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Predicting Partner HIV Testing and Counseling Following a Partner Notification Intervention

AIDS and Behavior volume 16, pages 1148–1155 (2012)Cite this article

Abstract

Provider-assisted methods of partner notification increase testing and counseling among sexual partners of patients diagnosed with HIV, however they are resource-intensive. The sexual partners of individuals enrolled in a clinical trial comparing different methods of HIV partner notification were analyzed to identify who was unlikely to seek testing on their own. Unconditional logistic regression was used to identify partnership characteristics, which were assigned a score based on their coefficient in the final model, and a risk score was calculated for each participant. The risk score included male partner sex, relationship duration 6–24 months, and index education > primary. A risk score of ≥2 had a sensitivity of 68% and specificity of 78% in identifying partners unlikely to seek testing on their own. A risk score to target partner notification can reduce the resources required to locate all partners in the community while increasing the testing yield compared to patient-referral.

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Acknowledgment

This research was supported by the University of North Carolina at Chapel Hill Center for AIDS Research (CFAR), an NIH funded program #P30 AI50410, NIH grant 1F30MH085431, NIH grant 5R01AI83059 and NIH grant T32 GM008719.

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Affiliations

  1. Department of Epidemiology, CB#7435, University of North Carolina-Chapel Hill, Chapel Hill, NC, 27599-7435, USA

    Lillian B. Brown, William C. Miller, Jay S. Kaufman, Audrey Pettifor, Rosalie C. Dominik & Myron S. Cohen

  2. UNC Project, Lilongwe, Malawi

    Lillian B. Brown, Gift Kamanga, Naomi Nyirenda, Pearson Mmodzi, Clement Mapanje & Francis Martinson

  3. Division of Infectious Diseases, University of North Carolina-Chapel Hill, Chapel Hill, NC, USA

    Lillian B. Brown, William C. Miller, Myron S. Cohen & Irving F. Hoffman

  4. McGill University, Montreal, Canada

    Jay S. Kaufman

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  1. Lillian B. Brown
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  2. William C. Miller
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  3. Gift Kamanga
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  4. Jay S. Kaufman
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  5. Audrey Pettifor
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  6. Rosalie C. Dominik
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  7. Naomi Nyirenda
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  8. Pearson Mmodzi
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  9. Clement Mapanje
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  10. Francis Martinson
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  11. Myron S. Cohen
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  12. Irving F. Hoffman
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Correspondence to Lillian B. Brown.

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Brown, L.B., Miller, W.C., Kamanga, G. et al. Predicting Partner HIV Testing and Counseling Following a Partner Notification Intervention. AIDS Behav 16, 1148–1155 (2012). https://doi.org/10.1007/s10461-011-0094-9

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  • DOI: https://doi.org/10.1007/s10461-011-0094-9

Keywords

  • HIV/AIDS
  • Partner notification
  • Contact tracing
  • Sub-Saharan Africa