HIV partner notification in the United States: a national survey of program coverage and outcomes.
OBJECTIVE
The objective of this study was to define the scope and case-finding success of HIV partner notification (PN) in the United States.


METHODS
The authors conducted an analysis of PN data from metropolitan areas >500,000 reporting > or =200AIDS cases in 2001.


RESULTS
Data were collected from 28 (72%) of 39 eligible jurisdictions. In 22 jurisdictions with reportable HIV, health departments interviewed 32% of 20,353 persons with newly reported HIV. Among 6394 sex or needle-sharing partners, 19% had been previously HIV-diagnosed; 10% tested HIV-positive; 32% tested HIV-negative; and 39% were not notified, denied previous HIV diagnosis and refused HIV testing, or outcome was unknown. Health departments interviewed 13.8 persons to identify 1 new case of HIV (range, 1.0-196). Areas in which larger proportions of AIDS cases occurred among men who have sex with men reported less success identifying new cases of HIV through PN.


CONCLUSIONS
HIV PN programs identify new cases of HIV but have variable success and affect a minority of persons reported with HIV.
Golden
Matthew R
MR
Division of Infectious Diseases and the Center for AIDS & STD, University of Washington, Seattle, Washington 98104, USA. golden@u.washington.edu
Hogben
Matthew
M
Potterat
John J
JJ
Handsfield
H Hunter
HH
D016358:Contact Tracing / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D006306:Health Surveys; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D012307:Risk Factors; D015819:Substance Abuse, Intravenous; D014481:United States / Q000453:epidemiology