title: Predicting partner HIV testing and counseling following a partner notification intervention.
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.
authors: Department of Epidemiology, CB#7435, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599-7435, USA. lbbrown@med.unc.edu
authors: Lillian B
authors: LB
authors: Brown
authors: William C
authors: WC
authors: Miller
authors: Gift
authors: G
authors: Kamanga
authors: Jay S
authors: JS
authors: Kaufman
authors: Audrey
authors: A
authors: Pettifor
authors: Rosalie C
authors: RC
authors: Dominik
authors: Naomi
authors: N
authors: Nyirenda
authors: Pearson
authors: P
authors: Mmodzi
authors: Clement
authors: C
authors: Mapanje
authors: Francis
authors: F
authors: Martinson
authors: Myron S
authors: MS
authors: Cohen
authors: Irving F
authors: IF
authors: Hoffman
mesh_terms: D000328:Adult; D000465:Algorithms; D016358:Contact Tracing; D003376:Counseling / Q000379:methods*; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D008295:Malawi / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012017:Referral and Consultation; D012747:Sexual Partners