title: Psychosocial and behavioral predictors of partner notification after HIV and STI exposure and infection among MSM.
abstract: Partner notification (PN) is an essential element of local and state-level HIV/STI prevention and control programs. The current study quantitatively assessed the psychosocial and behavioral predictors of PN use among men who have sex with men (MSM) (n = 189) using multivariable logistic regression procedures. STI history or being HIV-infected were significant predictors of having notified past sexual partners of HIV/STI exposure; engaging in unprotected insertive anal sex and using poppers during sex in the 12 months prior to enrollment resulted in greater odds of PN. Symptoms of social anxiety and having a drinking problem were significant predictors of future willingness to use state department of public health PN services. Efforts to increase PN acceptability should focus on HIV-uninfected MSM, particularly those with STI history. Results suggest how to increase acceptability and use of PN as a public health strategy and underscore the need for counseling as part of the notification process.
authors.affiliation: The Fenway Institute, Fenway Community Health, Prudential Tower, 4th floor, 800 Boylston Street, Boston, MA 02119, USA. mmimiaga@fenwayhealth.org
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Mimiaga
authors.forename: Sari L
authors.initials: SL
authors.lastname: Reisner
authors.forename: Ashley M
authors.initials: AM
authors.lastname: Tetu
authors.forename: Kevin
authors.initials: K
authors.lastname: Cranston
authors.forename: Thomas
authors.initials: T
authors.lastname: Bertrand
authors.forename: David S
authors.initials: DS
authors.lastname: Novak
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Mayer
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods; D000293:Adolescent; D000328:Adult; D016358:Contact Tracing / Q000379:methods* / Q000706:statistics & numerical data; D005544:Forecasting; D015658:HIV Infections / Q000175:diagnosis / Q000523:psychology* / Q000635:transmission; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D016015:Logistic Models; D008297:Male; D008404:Massachusetts; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000523:psychology*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult