title: Partner Referral by HIV-Infected Persons to Partner Counseling and Referral Services (PCRS) - Results from a Demonstration Project.
abstract: OBJECTIVE
  The objectives of this article are to determine factors associated with refusal and agreement to provide partner information, and evaluate the effectiveness of referral approaches in offering PCRS.
  
  
  METHODS
  Index clients from 5 sites that used 3 different PCRS approaches were interviewed to obtain demographic and risk characteristics and choice of partner referral method for PCRS. Logistic regression was used to assess factors associated with providing partner information.
  
  
  RESULTS
  The percentage of index clients who refused to provide partner information varied by site (7% to 88%). Controlling for PCRS approach, index clients who were older than 25 years, male, or reported having male-male sex in the past 12 months were more likely (p <0.01) to refuse to provide partner information. Overall, 72% of named partners referred by index clients were located and offered PCRS. The proportion of partners who were located and offered PCRS differed by referral approach used, ranging from 38% using contract referral (index clients agree to notify their partners within a certain timeframe, else a disease intervention specialist or health care provider will notify them) to 98% using dual referral (index clients notify their partners with a disease intervention specialist or provider present).
  
  
  CONCLUSIONS
  Success in obtaining partner information varied by the PCRS approach used and effectiveness in locating and notifying partners varied by the referral approach selected. These results provide valuable insights for enhancing partner services.
authors.affiliation: Northrop Grumman, Atlanta, GA, USA.
authors.forename: Binwei
authors.initials: B
authors.lastname: Song
authors.forename: Elin B
authors.initials: EB
authors.lastname: Begley
authors.forename: Linda
authors.initials: L
authors.lastname: Lesondak
authors.forename: Kelly
authors.initials: K
authors.lastname: Voorhees
authors.forename: Magdalena
authors.initials: M
authors.lastname: Esquivel
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Merrick
authors.forename: Jack
authors.initials: J
authors.lastname: Carrel
authors.forename: Douglas
authors.initials: D
authors.lastname: Sebesta
authors.forename: James
authors.initials: J
authors.lastname: Vergeront
authors.forename: Dhana
authors.initials: D
authors.lastname: Shrestha
authors.forename: Emeka
authors.initials: E
authors.lastname: Oraka
authors.forename: Annisa
authors.initials: A
authors.lastname: Walker
authors.forename: James D
authors.initials: JD
authors.lastname: Heffelfinger