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Cope AB, Kirkcaldy RD, Weidle PJ, Jackson DA, Laramee N, Weber R, Rowse J, Mangla A, Fox B, Saunders KE, Taniguchi K, Usagawa L, Cahill ME, Harrington P, Ricketts EK, Harbi K, Malec L, Templin TG, Drociuk D, Hannibal T, Klos R, Bernstein KT. Evaluation of Public Health Contact Tracing for Mpox Among Gay, Bisexual, and Other Men Who Have Sex With Men-10 US Jurisdictions, May 17-July 31, 2022. Am J Public Health 2023; 113:815-818. [PMID: 37141555 PMCID: PMC10262246 DOI: 10.2105/ajph.2023.307301] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2023] [Indexed: 05/06/2023]
Abstract
Objectives. To examine the potential impact of contact tracing to identify contacts and prevent mpox transmission among gay, bisexual, and other men who have sex with men (MSM) as the outbreak expanded. Methods. We assessed contact tracing outcomes from 10 US jurisdictions before and after access to the mpox vaccine was expanded from postexposure prophylaxis for persons with known exposure to include persons at high risk for acquisition (May 17-June 30, 2022, and July 1-31, 2022, respectively). Results. Overall, 1986 mpox cases were reported in MSM from included jurisdictions (240 before expanded vaccine access; 1746 after expanded vaccine access). Most MSM with mpox were interviewed (95.0% before vaccine expansion and 97.0% after vaccine expansion); the proportion who named at least 1 contact decreased during the 2 time periods (74.6% to 38.9%). Conclusions. During the period when mpox cases among MSM increased and vaccine access expanded, contact tracing became less efficient at identifying exposed contacts. Public Health Implications. Contact tracing was more effective at identifying persons exposed to mpox in MSM sexual and social networks when case numbers were low, and it could be used to facilitate vaccine access. (Am J Public Health. 2023;113(7):815-818. https://doi.org/10.2105/AJPH.2023.307301).
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Affiliation(s)
- Anna Barry Cope
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Robert D Kirkcaldy
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Paul J Weidle
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - David A Jackson
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Nicholas Laramee
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Robyn Weber
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Julia Rowse
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Anil Mangla
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Brian Fox
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Katharine E Saunders
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Kristen Taniguchi
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Lauren Usagawa
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Megan E Cahill
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Pauline Harrington
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Erin K Ricketts
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Khalil Harbi
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Lenka Malec
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Tingting Gu Templin
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Dan Drociuk
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Terri Hannibal
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Rachel Klos
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
| | - Kyle T Bernstein
- Anna Barry Cope, Robert D. Kirkcaldy, Paul J. Weidle, David A. Jackson, and Kyle T. Bernstein are with the Centers for Disease Control and Prevention (CDC) Mpox Emergency Response Team, Atlanta, GA. Nicholas Laramee and Robyn Weber are with the Colorado Department of Public Health and Environment, Denver. Julia Rowse and Anil Mangla are with the District of Columbia Department of Health, Washington, DC. Brian Fox and Katharine E. Saunders are with the Florida Department of Health, Tallahassee. Kristen Taniguchi and Lauren Usagawa are with the Hawaii State Department of Health, Honolulu. Megan E. Cahill is with the Idaho Department of Health and Welfare, Boise. Pauline Harrington is with the Michigan Department of Health and Human Services, Detroit. Erin K. Ricketts and Khalil Harbi are with the North Carolina Department of Health and Human Services, Raleigh. Lenka Malec and Tingting Gu Templin are with the New York City Department of Health and Mental Hygiene, New York, NY. Dan Drociuk and Terri Hannibal are with the South Carolina Department of Health and Environmental Control, Columbia. Rachel Klos is with the Wisconsin Department of Health Services, Madison. Katharine E. Saunders, Megan E. Cahill, and Erin K. Ricketts are also with the Epidemic Intelligence Service, CDC, Atlanta
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Marcus U, Jonas K, Berg R, Veras MA, Caceres CF, Casabona J, Schink SB, Schmidt AJ. Association of internalised homonegativity with partner notification after diagnosis of syphilis or gonorrhoea among men having sex with men in 49 countries across four continents. BMC Public Health 2023; 23:8. [PMID: 36597057 PMCID: PMC9809117 DOI: 10.1186/s12889-022-14891-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 12/19/2022] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Partner notification (PN) after a sexually transmitted infection (STI) diagnosis is being promoted as a means to interrupt transmission chains. We investigated whether Internalised Homonegativity (IH) is associated with PN among men having sex with men (MSM). METHODS PN, defined as notifying at least one partner after diagnosis of syphilis and gonorrhoea, was queried in two internet-based self-completion surveys conducted between Oct 2017 and May 2018 in 68 countries in Europe, Latin America, Canada, and the Philippines. IH is defined by a man's level of agreement or disagreement with negative social beliefs about male homosexuality. Covariates included in a multivariate regression model with a random intercept at country level were age, HIV diagnosis, partnership status, sexual self-efficacy, HIV serostatus communication during last sex with a non-steady partner, place where this partner was met, and PN-related socio-historical background of the country of residence. We grouped countries in three areas: North- and Central-Western European countries plus Canada, former socialist countries, and Latin-American/Mediterranean countries plus the Philippines. In each of the three areas individuals were assigned to 4 subgroups based on IH quartiles and PN rates were determined for each subgroup. RESULTS PN rates were calculated for 49 countries (excluding countries with less than 10 diagnoses). Mean proportions of MSM notifying their partners were 68.1% and 72.9% after syphilis and gonorrhoea diagnoses, respectively. PN rates were lower in Latin American countries and the Philippines compared to European countries. Within Europe, a North-South divide with lower PN rates in Mediterranean countries was observed. In each of the three regions we mostly observed a stepwise increase of PN rates with decreasing IH. Regression analysis showed lower IH scores associated with higher PN rates. Higher perceived self-efficacy, living in a partnership, and HIV status communication were positively associated with PN. Men who had met their last partner in a gay social venue were more likely to have notified their partners of a syphilis diagnosis compared to men who had met this partner online. Men with diagnosed HIV were less likely to report PN. CONCLUSIONS We could demonstrate that IH was associated with PN among MSM across all countries included in our analysis. Reducing cultural homophobia and ensuring inclusive policies may contribute to STI prevention and control.
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Affiliation(s)
- Ulrich Marcus
- grid.13652.330000 0001 0940 3744Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
| | - Kai Jonas
- grid.5012.60000 0001 0481 6099Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands
| | - Rigmor Berg
- grid.418193.60000 0001 1541 4204Division for the Health Services, Norwegian Institute of Public Health, Oslo, Norway ,grid.10919.300000000122595234Department of Community Medicine, University of Tromso, Tromso, Norway
| | - Maria Amelia Veras
- grid.419014.90000 0004 0576 9812Faculdade de Ciências Médicas da Santa Casa de São Paulo, Rua Dr Cesario Mota Jr 61, São Paulo, SP 01221-020 Brazil
| | - Carlos F. Caceres
- grid.11100.310000 0001 0673 9488Centre for Interdisciplinary Studies in Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Jordi Casabona
- Health Department, Centre of Epidemiological Studies of HIV/AIDS and STI of Catalonia (CEEISCAT), Generalitat de Catalunya, Badalona, Spain ,grid.429186.00000 0004 1756 6852Germans Trias I Pujol Research Institute (IGTP), Campus Can Ruti, Badalona, Spain ,grid.466571.70000 0004 1756 6246CIBER Epidemiologia Y Salud Pública (CIBERESP), Madrid, Spain ,grid.7080.f0000 0001 2296 0625Department of Paediatrics, Obstetrics and Gynecology and Preventive Medicine, Universitat Autònoma de Barcelona, Badalona, Spain
| | - Susanne B. Schink
- grid.13652.330000 0001 0940 3744Department of Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
| | - Axel J. Schmidt
- grid.8991.90000 0004 0425 469XDepartment of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, Sigma Research, London, UK
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3
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Birch R, Jollimore J, Howard T, Lal A, Cui Z, Rich AJ, Lachowsky N, Moore DM, Hogg RS, Roth EA. Hosts as Gatekeepers for North American Gay and Bisexual Men's Private Group Sex Parties. JOURNAL OF HOMOSEXUALITY 2022; 69:1398-1413. [PMID: 33989132 DOI: 10.1080/00918369.2021.1913919] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Gay and bisexual men's (GBM) group sex parties are considered HIV risk environments due to their association with concurrent sexual partners, condomless anal sex, and polysubstance use. The possibility of group sex party hosts acting as gatekeepers to minimize risks has been suggested, but remains understudied. We analyzed qualitative data from 20 in-depth interviews with North American GBM who recently attended private group sex parties to determine if hosts' actions constitute harm reduction strategies. Results showed hosts acting as gatekeepers before parties by establishing and disseminating themes and rules, screening applicants, and selecting guests. During parties hosts enforced rules and rejected uninvited guests. By their actions, hosts established a more controlled environment compared to public sex-on-premises bathhouses, and facilitated boundary play, the paradoxical behavior of simultaneously desiring risk and safety, previously noted for GBM circuit parties. Results suggest initiating education programs focusing on private group sex party hosts as gatekeepers.
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Affiliation(s)
- Robert Birch
- Social Dimensions of Health, University of Victoria, Victoria, British Columbia, Canada
| | - Jody Jollimore
- Community-Based Research Centre for Gay Men's Health, Vancouver, British Columbia, Canada
| | - Terry Howard
- Community-Based Researcher with Lived Experience of HIV, Co-Chair of Momentum Community Engagement Committee, Vancouver, British Columbia, Canada
| | - Allan Lal
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Zishan Cui
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
| | - Ashleigh J Rich
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Nathan Lachowsky
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
- School of Public Health and Social Policy, Victoria, British Columbia
| | - David M Moore
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
- Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
| | - Robert S Hogg
- British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
- Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada
| | - Eric Abella Roth
- Centre for Addiction Research of British Columbia, Department of Anthropology, University of Victoria, Victoria, British Columbia, Canada
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Abstract
BACKGROUND Reducing transmission depends on the percentage of infected partners treated; if many are missed, impact on transmission will be low. Traditional partner services metrics evaluate the number of partners found and treated. We estimated the proportion of partners of syphilis patients not locatable for intervention. METHODS We reviewed records of early syphilis cases (primary, secondary, early latent) reported in 2015 to 2017 in 7 jurisdictions (Florida, Louisiana, Michigan, North Carolina, Virginia, New York City, and San Francisco). Among interviewed syphilis patients, we determined the proportion who reported named partners (with locating information), reported unnamed partners (no locating information), and did not report partners. For patients with no reported partners, we estimated their range of unreported partners to be between one and the average number of partners for patients who reported partners. RESULTS Among 29,719 syphilis patients, 23,613 (80%) were interviewed and 18,581 (63%) reported 84,224 sex partners (average, 4.5; 20,853 [25%] named and 63,371 [75%] unnamed). An estimated 11,138 to 54,521 partners were unreported. Thus, 74,509 to 117,892 (of 95,362-138,745) partners were not reached by partner services (78%-85%). Among interviewed patients, 71% reported ≥1 unnamed partner or reported no partners; this proportion was higher for men who reported sex with men (75%) compared with men who reported sex with women only (65%) and women (44%). CONCLUSIONS Approximately 80% of sex partners were either unnamed or unreported. Partner services may be less successful at interrupting transmission in networks for men who reported sex with men where a higher proportion of partners are unnamed or unreported.
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Culbert GJ, Waluyo A, Earnshaw VA. Exploring the acceptability of HIV partner notification in prisons: Findings from a survey of incarcerated people living with HIV in Indonesia. PLoS One 2020; 15:e0234697. [PMID: 32603363 PMCID: PMC7326233 DOI: 10.1371/journal.pone.0234697] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Accepted: 06/01/2020] [Indexed: 01/28/2023] Open
Abstract
Assisted HIV partner notification services provide a safe and effective way for people living with HIV (PLHIV) to inform their partners about the possibility of exposure and to offer them testing, treatment, and support. This study examined whether or not PLHIV in prison might be willing to participate in assisted HIV partner notification services and their reasons for and against disclosing their HIV-positive status to their partners. PLHIV (n = 150) recruited from Jakarta's two largest all-male prisons completed an interviewer-administered questionnaire collecting demographic and risk behavior data, and attitudes toward HIV disclosure and partner services. Among those who were sexually active and/or injecting drugs before incarceration, two-thirds (66.4%, 91/137) endorsed provider referral as an acceptable way to notify their sex partners, and nearly three quarters (72.4%, 89/123) endorsed provider referral to notify their drug-injecting partners. Only a quarter (25.1%) of participants reported that their main sex partner had ever received an HIV test. Participants with anticipated stigma were less likely to endorse provider referral for sex partners (adjusted odds ratio [aOR] = 0.58, 95% CI: 0.35, 0.96) and drug-injecting partners (aOR = 0.54, 95% CI: 0.29, 1.00). Relationship closeness was associated with higher odds of endorsing provider referral for drug-injecting partners (aOR = 2.08, 95% CI: 1.25, 3.45). Protecting partners from infection and a moral duty to inform were main reasons to disclose, while stigma and privacy concerns were main reasons not to disclose. Most incarcerated PLHIV have at-risk partners in the community who they would be willing to notify if provided with assistance. Assisted partner notification for prison populations offers a promising public health approach to accelerate diagnosis, treatment, and prevention of HIV infection in the community, particularly among women.
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Affiliation(s)
- Gabriel J. Culbert
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, United States of America
- Center for HIV/AIDS Nursing Research, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
- * E-mail:
| | - Agung Waluyo
- Center for HIV/AIDS Nursing Research, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
| | - Valerie A. Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, DE, United States of America
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Katzman C, Mateu-Gelabert P, Kapadia SN, Eckhardt BJ. Contact tracing for hepatitis C: The case for novel screening strategies as we strive for viral elimination. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2019; 72:33-39. [PMID: 31010750 PMCID: PMC6717536 DOI: 10.1016/j.drugpo.2019.04.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 04/02/2019] [Accepted: 04/04/2019] [Indexed: 01/07/2023]
Abstract
Contact tracing has been a key element of the public health response to infectious diseases for decades. These practices have been powerful in slowing the spread of tuberculosis, HIV, and other sexually transmitted infections. Despite success in other contexts, contact tracing for hepatitis C virus (HCV) has historically been considered infeasible because of a long asymptomatic period, which often makes it difficult to pinpoint the time of acquisition. Additionally, individuals may be reluctant to identify injecting partners because of stigma or fear of criminal repercussions. However, multiple factors - including the improved curability of HCV with advances in direct acting antiviral agents (DAAs), the implementation of age-based screening, and the current opioid epidemic -- have led to rapid changes in the landscape of HCV. HCV is increasingly concentrated among young people who inject drugs (PWID), many of whom are inadequately being reached by current screening practices. With the shift in the population most at risk for HCV and the fundamental changes in how we manage this disease, it's time to also rethink the public health response in identifying and informing those who may have been exposed. Contact tracing programs for HCV can augment existing screening strategies to provide curative treatment for patients and their partners, prevent reciprocal transmission of HCV between risk partners and within networks, and ultimately reach individuals who aren't yet engaged in healthcare and harm reduction. While there remain limitations to contact tracing for HCV, it has the potential to be a powerful tool in slowing the spread of the virus as we attempt to achieve viral elimination.
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7
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Cheng W, Jin W, Gu Y, Zhong F, Han Z, Xu H, Tang W. HIV Partner Notification Across Different Sexual Partner Types Among Men Who Have Sex with Men in Guangzhou, China. AIDS Patient Care STDS 2019; 33:295-298. [PMID: 31194574 DOI: 10.1089/apc.2019.0059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Weibin Cheng
- Department of STD Control and Prevention, Dermatology Hospital, Southern Medical University, Guangzhou, China
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
- School of Public Health, Southern Medical University, Guangzhou, China
| | - Wei Jin
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
- Logistics Support Department, China Southern Airlines Henan Airlines Co. Ltd., Zhengzhou, China
| | - Yuzhou Gu
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
| | - Fei Zhong
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
| | - Zhigang Han
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
| | - Huifang Xu
- Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China
| | - Weiming Tang
- Department of STD Control and Prevention, Dermatology Hospital, Southern Medical University, Guangzhou, China
- School of Public Health, Southern Medical University, Guangzhou, China
- University of North Carolina Project-China, Guangzhou, China
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8
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Mimiaga MJ, Hughto JMW, Reisner SL. A Randomized Pilot Study of a Group-Delivered HIV Risk Reduction Intervention for At-Risk Urban Men Who Have Sex with Men Who Regularly Attend Private Sex Events. ARCHIVES OF SEXUAL BEHAVIOR 2019; 48:1059-1071. [PMID: 30805830 DOI: 10.1007/s10508-018-1326-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2013] [Revised: 08/24/2018] [Accepted: 10/04/2018] [Indexed: 06/09/2023]
Abstract
Across HIV prevention studies, as many as 25% of men who have sex with men (MSM) report meeting male partners at private sex events and attendance is associated with increased number of sexual partners, condomless anal sex (CAS), and HIV infection. Despite the need for effective HIV prevention interventions, no risk reduction interventions have been tested to reduce HIV sexual risk of MSM that regularly engage in sexual risk at private sex events. This randomized pilot study assessed the feasibility and acceptability of an HIV risk reduction intervention to reduce CAS among urban MSM (N = 14) reporting risk at a private sex event in the prior 12 months. The intervention arm received four group sessions (2 h/session) focusing on HIV risk reduction education and skills building. Both the intervention (n = 8) and control (n = 6) conditions received HIV testing and pre- and posttest risk reduction counseling and completed a sexual risk and psychosocial assessment visit at baseline and 3 months post-intervention. In addition, intervention participants completed a brief exit interview post-intervention. Mean age was 37 years, and 57% were racial/ethnic minorities. At follow-up, the intervention group reported greater reductions in sexual risk behavior in the past 3 months including number of CAS episodes, number of partners at private sex events, and CAS episodes at private sex events. The intervention group also reported reduced sexual compulsivity, increases in HIV disclosure, and reduced drug use at private sex events over study follow-up. Exit interviews revealed that participants found the intervention to be highly acceptable. Findings demonstrate feasibility of procedures, participant acceptability, and initial promise of a group-delivered HIV risk reduction intervention for MSM who attend and engage in CAS at private sex events. Further testing of this intervention in a larger pilot randomized controlled trial is warranted.
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Affiliation(s)
- Matthew J Mimiaga
- Center for Health Equity Research, Brown University, Providence, RI, USA.
- Departments of Behavioral and Social Health Sciences and Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, RI, USA.
| | - Jaclyn M W Hughto
- Center for Health Equity Research, Brown University, Providence, RI, USA
- Departments of Behavioral and Social Health Sciences and Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA
- Department of Psychiatry and Human Behavior, Brown University Alpert Medical School, Providence, RI, USA
| | - Sari L Reisner
- Department of Pediatrics, Harvard Medical School/Boston Children's Hospital, Boston, MA, USA
- Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
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9
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Junco-Fernández A, Montgomery MC, Crowley C, Bertrand T, Marak TP, Maynard MA, Gummo C, Flanigan TP, Chan PA. Increasing Syphilis in Rhode Island: Return of an Old Foe. RHODE ISLAND MEDICAL JOURNAL (2013) 2019; 102:50-54. [PMID: 30709076 PMCID: PMC7086478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The number of people diagnosed with syphilis has increased significantly in the United States over the last decade. In Rhode Island, the number of new diagnoses has increased more than four-fold since 2008. Syphilis disproportionately impacts gay, bisexual, and other men who have sex with men (MSM), with those from African American and Hispanic/Latino communities most affected. Given these trends, physicians need to be aware of current prevention, diagnosis, and treatment practices for syphilis, especially when working with populations who are most at risk. [Full article available at http://rimed.org/rimedicaljournal-2019-02.asp].
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Affiliation(s)
| | - Madeline C Montgomery
- Doctoral Student, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI
| | - Christina Crowley
- Project Director, Department of Medicine, Brown University, Providence, RI
| | - Thomas Bertrand
- Chief, Center of HIV, STDs, Viral Hepatitis, and TB, Rhode Island Department of Health, Providence, RI
| | - Theodore P Marak
- HIV Surveillance and Evaluation Program Manager, Rhode Island Department of Health, Providence, RI
| | - Michaela A Maynard
- Nurse Practitioner, Department of Medicine, Brown University, Providence, RI
| | - Caroline Gummo
- Public Health Epidemiologist, Center of HIV, STDs, Viral Hepatitis, and TB, Rhode Island Department of Health, Providence, RI
| | - Timothy P Flanigan
- Professor of Medicine, Department of Medicine, Brown University, Providence, RI
| | - Philip A Chan
- Associate Professor, Department of Medicine, Brown University, Providence, RI
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10
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Li H, Li X, Zhang L, Chow E. Effects of multiple types of stigma on the probability of HIV disclosure to sex partners: a systematic review. Sex Health 2018; 13:516-529. [PMID: 27491829 DOI: 10.1071/sh16089] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2015] [Accepted: 06/28/2016] [Indexed: 11/23/2022]
Abstract
Previous review studies explored factors related to the process of HIV disclosure. However, none of these review studies specifically focused on the effects of stigma on HIV disclosure to sex partners. A comprehensive systematic review of empirical studies on the effects of stigma on HIV disclosure to sex partners was conducted until December 2014. Twenty-seven articles published in English-language journals were selected, and study characteristics and findings were evaluated. Inconsistent findings in the assessment of impacts of stigma on HIV disclosure to sex partners were documented. Three underlying plausible reasons were identified, and these included: (1) different types of stigma may have different effects on HIV disclosure to sex partners; (2) studies used different measurement strategies; and (3) varied personal backgrounds and health factors that can mitigate, facilitate or moderate the effect of stigma on HIV disclosure to sex partners. Studies with precise definition measurements of specific types of stigma used them appropriately in a matching context to provide more consistent research results. This review identifies the need for further investigation into how the HIV disclosure process is shaped by particular types of stigma, types of sex partners and demographic characteristics of people living with HIV/AIDS.
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Affiliation(s)
- Haochu Li
- School of Public Health, Shandong University, 44 Wen Hua Xi Road, Jinan, Shandong Province 250012, China
| | - Xiaoming Li
- Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC 29208, USA
| | - Lei Zhang
- Research Center for Public Health, School of Medicine, Tsinghua University, Beijing, 100062, China
| | - Eric Chow
- Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic. 3004, Australia
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11
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Semple SJ, Pines HA, Strathdee SA, Vera AH, Rangel G, Magis-Rodriguez C, Patterson TL. Uptake of a Partner Notification Model for HIV Among Men Who Have Sex With Men and Transgender Women in Tijuana, Mexico. AIDS Behav 2018; 22:2042-2055. [PMID: 29159592 DOI: 10.1007/s10461-017-1984-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Undiagnosed HIV infection is common among men who have sex with men (MSM) and transgender women (TW) in Latin America. We examined uptake of a partner notification (PN) model among MSM and TW in Tijuana, Mexico. Forty-six HIV-positive MSM/TW enrolled as index patients, and reported 132 MSM/TW sexual partners for PN. Of notified partners (90/132), 39% declined eligibility screening or participation, 39% tested for HIV, and of those 28% were newly-diagnosed HIV-positive. Partners who were seen by the index patient more than once in the past 4 months and those who primarily had sex with the index patient in one of their homes were more likely to be notified via PN (76% vs. 50%; p = 0.01 and 86% vs. 64%, p = 0.02, respectively). Lower than expected PN uptake was associated with problems identifying index patients, obtaining reliable partner contact information, and engaging notified partners.
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12
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Tributino A, Montgomery MC, Bertrand T, Marak T, Almonte A, van den Berg J, St. John K, Browning C, Medina MM, Morse A, Chan PA. Partner notification outcomes after integration of an on-site disease intervention specialist at a sexually transmitted disease clinic. PLoS One 2018; 13:e0194041. [PMID: 29584743 PMCID: PMC5870952 DOI: 10.1371/journal.pone.0194041] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2017] [Accepted: 02/25/2018] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Partner notification services (PNS) are highly effective in reducing transmission of sexually transmitted diseases (STDs). We assessed outcomes of PNS before and after integration of an on-site disease intervention specialist (DIS) at a publicly-funded STD clinic. METHODS From August 2014 to December 2015, patients testing positive for infectious syphilis or gonorrhea at the Rhode Island STD Clinic were referred to on-site DIS for partner notification. Data on PNS outcomes were reviewed for eight months before integration of DIS at the clinic and compared to eight months after. RESULTS Of the 145 index patients referred for PNS during the study period (n = 58 before DIS integration, n = 87 after), 86% were interviewed. DIS integration resulted in a significantly greater proportion of index patients interviewed overall (92% versus 76%, p<0.01), on the day of diagnosis (85% versus 61%; p<0.01), and in person at the STD clinic (64% versus 11%; p<0.01). However, there was no significant difference in number of sexual partners named or treated. CONCLUSIONS Integrating DIS at a publicly-funded STD clinic resulted in a greater number of index cases interviewed, a greater number interviewed in person, and a greater number interviewed on the day of diagnosis. Challenges remain in identifying and engaging partners for treatment.
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Affiliation(s)
- Alec Tributino
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
| | - Madeline C. Montgomery
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
| | - Thomas Bertrand
- Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Epidemiology, Rhode Island Department of Health, Providence, Rhode Island, United States of America
| | - Theodore Marak
- Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Epidemiology, Rhode Island Department of Health, Providence, Rhode Island, United States of America
| | - Alexi Almonte
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
| | - Jacob van den Berg
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, United States of America
| | - Kristen St. John
- Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Epidemiology, Rhode Island Department of Health, Providence, Rhode Island, United States of America
| | - Carol Browning
- Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Epidemiology, Rhode Island Department of Health, Providence, Rhode Island, United States of America
| | - Martha M. Medina
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
| | - Ashley Morse
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
| | - Philip A. Chan
- Department of Medicine, Brown University, Providence, Rhode Island, United States of America
- Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Epidemiology, Rhode Island Department of Health, Providence, Rhode Island, United States of America
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, United States of America
- * E-mail:
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13
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Magaziner S, Montgomery MC, Bertrand T, Daltry D, Jenkins H, Kendall B, Molotnikov L, Pierce L, Smith E, Sosa L, van den Berg JJ, Marak T, Operario D, Chan PA. Public health opportunities and challenges in the provision of partner notification services: the New England experience. BMC Health Serv Res 2018; 18:75. [PMID: 29386023 PMCID: PMC5793459 DOI: 10.1186/s12913-018-2890-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 01/24/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Partner notification services (PNS) are recommended by the Centers for Disease Control and Prevention as a public health intervention for addressing the spread of HIV and other sexually transmitted diseases (STDs). Barriers and facilitators to the partner notification process from a public health perspective have not been well described. METHODS In 2015, a coalition of New England public health STD directors and investigators formed to address the increasing STD prevalence across the region (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) and to promote communication between state STD programs. To evaluate barriers and facilitators of PNS programs, a survey was administered to representatives from each state to describe PNS processes and approaches. RESULTS Of the six PNS programs, Connecticut, Maine, Massachusetts, Vermont, and New Hampshire had combined HIV and STD PNS programs; Rhode Island's programs were integrated but employed separate disease intervention specialists (DIS). All states performed PNS for HIV and syphilis. Maine, New Hampshire and Vermont performed services for all gonorrhea cases. Rhode Island, Connecticut, and Massachusetts performed limited partner notification for gonorrhea due to lack of resources. None of the six states routinely provided services for chlamydia, though Maine and Vermont did so for high-priority populations such as HIV co-infected or pregnant individuals. Across all programs, clients received risk reduction counseling and general STD education as a component of PNS, in addition to referrals for HIV/STD care at locations ranging from Planned Parenthood to community- or hospital-based clinics. Notable barriers to successful partner notification across all states included anonymous partners and index cases who did not feel comfortable sharing partners' names with DIS. Other common barriers included insufficient staff, inability of DIS to identify and contact partners, and index cases declining to speak with DIS staff. CONCLUSIONS In New England, state health departments use different strategies to implement PNS programs and referral to STD care. Despite this, similar challenges exist across settings, including difficulty with anonymous partners and limited state resources.
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Affiliation(s)
- Sarah Magaziner
- Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903 USA
| | - Madeline C. Montgomery
- Division of Infectious Diseases, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906 USA
| | - Thomas Bertrand
- Rhode Island Department of Health, 3 Capitol Hill, Providence, RI 02908 USA
| | - Daniel Daltry
- Vermont Department of Health, 108 Cherry Street, Burlington, VT 05402 USA
| | - Heidi Jenkins
- Connecticut Department of Public Health, 410 Capitol Avenue, Hartford, CT 06134 USA
| | - Brenda Kendall
- Maine Center for Disease Control and Prevention, State House Station 11, Augusta, ME 04333 USA
| | - Lauren Molotnikov
- Massachusetts Department of Public Health, 250 Washington Street, Boston, MA 02108 USA
| | - Lindsay Pierce
- New Hampshire Department of Health and Human Services, 29 Hazen Drive, Concord, NH 03301 USA
| | - Emer Smith
- Maine Center for Disease Control and Prevention, State House Station 11, Augusta, ME 04333 USA
| | - Lynn Sosa
- Connecticut Department of Public Health, 410 Capitol Avenue, Hartford, CT 06134 USA
| | - Jacob J. van den Berg
- Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903 USA
- Brown University School of Public Health, 121 South Main Street, Providence, RI 02903 USA
| | - Theodore Marak
- Division of Infectious Diseases, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906 USA
| | - Don Operario
- Brown University School of Public Health, 121 South Main Street, Providence, RI 02903 USA
| | - Philip A. Chan
- Warren Alpert Medical School of Brown University, 222 Richmond Street, Providence, RI 02903 USA
- Division of Infectious Diseases, The Miriam Hospital, 164 Summit Avenue, Providence, RI 02906 USA
- Rhode Island Department of Health, 3 Capitol Hill, Providence, RI 02908 USA
- Brown University School of Public Health, 121 South Main Street, Providence, RI 02903 USA
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14
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Tomnay JE, Hulme-Chambers A, Bilardi J, Fairley CK, Huffam S, Chen MY. A Qualitative Study of Means to Improve Partner Notification After an HIV Diagnosis Among Men Who Have Sex with Men in Australia. AIDS Patient Care STDS 2017; 31:269-274. [PMID: 28605227 DOI: 10.1089/apc.2017.0080] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Improved partner notification (PN) after HIV diagnosis could help control HIV among men who have sex with men (MSM). However, there is little evidence exploring what this experience is like for Australian MSM and how achievable it is in the era of the Internet and smartphones. Fifteen of 39 invited MSM recently diagnosed with HIV undertook a semistructured interview about PN. Interviews were thematically analyzed using a combined deductive/inductive approach. Three main themes arose: fear of PN and HIV disclosure, partners' unexpected reactions, and the need for more patient support. MSM found PN difficult and uncomfortable and described fear about potential repercussions of PN; however, they felt it was the right thing to do. Regular partners were more likely to be notified, and in person, because of the availability of contact information but more notably because of a sense of moral responsibility. Men commonly had few contact details for casual partners and preferred PN strategies that allowed them to remain anonymous, largely reflecting the reasons for and ways in which they met casual partners: online or through apps and predominantly for once-off, anonymous sex. Most described unexpected positive responses from partners who were contacted personally by the men. Our study also showed that participants required professional support to carry out PN, especially with casual partners, as well as support around understanding the implications of and treatments relating to being HIV positive. PN could be improved by offering more options that allow the index patient to remain anonymous, particularly when notifying casual partners.
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Affiliation(s)
- Jane E. Tomnay
- Centre for Excellence in Rural Sexual Health, Department of Rural Health, The University of Melbourne, Melbourne, Australia
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia
| | - Alana Hulme-Chambers
- Centre for Excellence in Rural Sexual Health, Department of Rural Health, The University of Melbourne, Melbourne, Australia
| | - Jade Bilardi
- Central Clinical School, Monash University, Melbourne, Australia
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia
- Department of General Practice, The University of Melbourne, Melbourne, Australia
| | - Christopher K. Fairley
- Central Clinical School, Monash University, Melbourne, Australia
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia
| | - Sarah Huffam
- Central Clinical School, Monash University, Melbourne, Australia
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia
| | - Marcus Y. Chen
- Central Clinical School, Monash University, Melbourne, Australia
- Melbourne Sexual Health Centre, Alfred Health, Melbourne, Australia
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Clark JL, Perez-Brumer AG, Segura ER, Salvatierra HJ, Sanchez J, Lama JR. Anticipated Notification of Sexual Partners following STD Diagnosis among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Mixed Methods Analysis. PLoS One 2016; 11:e0163905. [PMID: 27685158 PMCID: PMC5042523 DOI: 10.1371/journal.pone.0163905] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2016] [Accepted: 09/18/2016] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND New strategies to support partner notification (PN) are critical for STD control and require detailed understanding of how specific individual and partnership characteristics guide notification decisions. METHODS From 2011 to 2012, 397 MSM and TW recently diagnosed with HIV, syphilis, or another STD completed a survey on anticipated notification of recent sexual partners and associated factors. Qualitative interviews were conducted with a subset of participants to provide further depth to quantitative findings. Prevalence ratios and generalized estimating equation (GEE) models were used to analyze participant- and partner-level factors associated with anticipated PN. RESULTS Among all partners reported, 52.5% were described as "Very Likely" or "Somewhat Likely" to be notified. Anticipated notification was more likely for main partners than casual (adjusted Prevalence Ratio [aPR], 95% CI: 0.63, 0.54-0.75) or commercial (aPR, 95% CI: 0.44, 0.31-0.62) partners. Other factors associated with likely notification included perception of the partner as an STD source (aPR, 95% CI: 1.27, 1.10-1.48) and anticipated future sexual contact with the partner (aPR, 95% CI: 1.30, 1.11-1.52). An HIV diagnosis was associated with a lower likelihood of notification than non-HIV STDs (aPR: 0.68, 0.55-0.86). Qualitative discussion of the barriers and incentives to PN reflected a similar differentiation of anticipated notification according to partnership type and type of HIV/STD diagnosis. DISCUSSION Detailed attention to how partnership characteristics guide notification outcomes is essential to the development of new PN strategies. By accurately and thoroughly assessing the diversity of partnership interactions among individuals with HIV/STD, new notification techniques can be tailored to partner-specific circumstances.
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Affiliation(s)
- Jesse L. Clark
- UCLA Geffen School of Medicine, Department of Medicine, Division of Infectious Diseases, Los Angeles, CA, United States of America
- * E-mail:
| | - Amaya G. Perez-Brumer
- Columbia University Mailman School of Public Health, New York, NY, United States of America
| | - Eddy R. Segura
- UCLA Geffen School of Medicine, Department of Medicine, Division of Infectious Diseases, Los Angeles, CA, United States of America
| | | | - Jorge Sanchez
- Asociacion Civil Impacta Salud y Educacion, Lima, Peru
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Biello KB, Malone J, Mayer KH, Bazzi AR, Mimiaga MJ. Designing a sexual network study of men who have sex with other men: exploring racial and ethnic preferences in study design and methods. AIDS Care 2016; 29:56-60. [PMID: 27315021 DOI: 10.1080/09540121.2016.1198748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Black and Latino gay, bisexual, and other men who have sex with men (MSM) have higher rates of HIV and other sexually transmitted infections (STIs) than their White counterparts. Differences in sexual networks have been hypothesized to play an important role in the observed racial/ethnic disparities in risk. However, concerns about the acceptability and feasibility of conducting sociocentric sexual network studies have left a dearth of data on the structure of sexual networks of MSM. If certain network research procedures are unacceptable among target populations, biases may be introduced. We conducted qualitative interviews and brief surveys with 30 self-identified Black (n = 12), Hispanic/Latino, (n = 9) and White (n = 9) sexually active MSM in the Greater Boston area to assess the acceptability and feasibility of potential procedures for a sociocentric sexual network study. We found that referring recent sexual partners as part of a sociocentric network study was generally acceptable, but racial/ethnic differences emerged regarding specific preferences for how to recruit sexual partners. While the majority of Black participants (7/12) explained that they would not want their name disclosed to sexual partners approached for study participation, most Latino participants (7/9) preferred having the opportunity to inform referrals themselves about the study prior to researchers contacting them, and White participants (8/9) favored having researchers disclose their names when recruiting referrals, emphasizing the importance of transparency. In order to reduce differential rates of research participation, increase scientific validity, and reduce risks of social harm, researchers studying sexual networks among MSM should be aware of these potential differences, engage communities in study design, and provide participants with a variety of options for recruiting their sexual partners.
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Affiliation(s)
- Katie B Biello
- a The Fenway Institute, Fenway Health , Boston , MA , USA.,b Department of Behavioral & Social Sciences and Epidemiology , Brown University School of Public Health , Providence , RI , USA.,c Institute for Community Health Promotion, Brown University School of Public Health , Providence , RI , USA
| | - Jowanna Malone
- d Department of Epidemiology , Harvard T. H. Chan School of Public Health , Boston , MA , USA
| | - Kenneth H Mayer
- a The Fenway Institute, Fenway Health , Boston , MA , USA.,e Department of Global Health and Population , Harvard T. H. Chan School of Public Health , Boston , MA , USA
| | - Angela Robertson Bazzi
- a The Fenway Institute, Fenway Health , Boston , MA , USA.,f Department of Community Health Sciences , Boston University School of Public Health , Boston , MA , USA
| | - Matthew J Mimiaga
- a The Fenway Institute, Fenway Health , Boston , MA , USA.,b Department of Behavioral & Social Sciences and Epidemiology , Brown University School of Public Health , Providence , RI , USA.,c Institute for Community Health Promotion, Brown University School of Public Health , Providence , RI , USA
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Noor SW, Wilkerson JM, Schick V, Iantaffi A. Non-monosexual Partnerships: Information, Motivation and Self-Efficacy among Methamphetamine-Using Men Who Have Sex with Men Who Also Have Sex with Women or Transgender Persons. INTERNATIONAL JOURNAL OF SEXUAL HEALTH : OFFICIAL JOURNAL OF THE WORLD ASSOCIATION FOR SEXUAL HEALTH 2016; 28:205-215. [PMID: 28255423 PMCID: PMC5328189 DOI: 10.1080/19317611.2016.1168903] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
OBJECTIVES Sex with more than one gender is associated with higher substance use, and sexual HIV risk. METHODS We examined knowledge, motivation, and self-efficacy to engage in safer substance use and sexual behavior among methamphetamine-using U.S. men who have sex with more than one gender (N=343). RESULTS Almost half(46.2%) of the men reported having sex with a man and a woman or transgender partner in the last 30 days. Compared to monosexual MSM, non-monosexual MSM reported greater condom use self-efficacy however, they reported more sexual partners who inject drugs. CONCLUSION We observed distinct differences between men who do or do not have sex with more than one gender.
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Affiliation(s)
- Syed Wb Noor
- Department of Psychology, Ryerson University, Toronto, Ontario, Canada
| | - J Michael Wilkerson
- The University of Texas Health Science Center at Houston (UT Health) School of Public Health, Houston, Texas, USA
| | - Vanessa Schick
- The University of Texas Health Science Center at Houston (UT Health) School of Public Health, Houston, Texas, USA
| | - Alex Iantaffi
- Program in Human Sexuality, University of Minnesota Medical School, Minneapolis, Minnesota, USA
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Clark JL, Perez-Brumer A, Salazar X. "Manejar la Situacion": Partner Notification, Partner Management, and Conceptual Frameworks for HIV/STI Control Among MSM in Peru. AIDS Behav 2015; 19:2245-54. [PMID: 25821149 DOI: 10.1007/s10461-015-1049-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Previous analyses of partner notification (PN) have addressed individual, interpersonal, social, and structural issues influencing PN outcomes but have paid less attention to the conceptual framework of PN itself. We conducted 18 individual interviews and 8 group discussions, in a two-stage qualitative research process, to explore the meanings and contexts of PN for sexually transmitted infections (STI) among men who have sex with men (MSM) and men who have sex with men and women (MSMW) in Lima, Peru. Participants described PN as the open disclosure of private, potentially stigmatizing information that could strengthen or disrupt a partnership, structured by the tension between concealment and revelation. In addition to informing partners of an STI diagnosis, the act of PN was believed to reveal other potentially stigmatizing information related to sexual identity and practices such as homosexuality, promiscuity, and HIV co-infection. In this context, the potential development of visible, biological STI symptoms represented a risk for disruption of the boundary between secrecy and disclosure that could result in involuntary disclosure of STI status. To address the conflict between concealment and disclosure, participants cited efforts to "manejar la situacion" (manage the situation) by controlling the biological risks of STI exposure without openly disclosing STI status. We use this concept of "managing the situation" as a practical and theoretical framework for comprehensive Partner Management for HIV/STI control systems among MSM in Latin America.
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Chiou PY, Lin LC, Chen YM, Wu SC, Lew-Ting CY, Yen HW, Chuang P. The effects of early multiple-time PN counseling on newly HIV-diagnosed men who have sex with men in Taiwan. AIDS Behav 2015; 19:1773-81. [PMID: 25645329 DOI: 10.1007/s10461-015-1007-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Partner notification (PN) is an important method for controlling the AIDS epidemic worldwide. Here, we looked into the differences between two PN counseling modes for HIV (+) men who have sex with men in Taiwan. Using random assignment, we placed 42 of the 84 subjects into the experimental group where they received two sessions of PN counseling, while the control group (42) received only one session. All 84 subjects were single males with an average age of 28.06. The mean number of successful notified partner was 5.38 (SD = 3.44) in the experimental which was statistically significantly higher than 2.81 (SD = 1.62) in the control group (β = 0.650, p = 0.000). The notification success rate was 77.13 % in the experimental and 74.21 % in the control group (IRR 1.039, 95 % CI 0.83-1.30). In the experimental and control group, the average number of the partners accepted an HIV test was 1.86 (SD = 1.58) and 0.79 (SD = 0.66) (β = 0.601, p = 0.000), and 39.74 and 27.27 % of the tested partners were HIV positive (IRR 1.457, 95 % CI 0.69-3.06). The study results may be used to improve the policies and practices for PN and contact follow-up.
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20
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Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64:1-137. [PMID: 26042815 PMCID: PMC5885289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2023] Open
Abstract
These guidelines for the treatment of persons who have or are at risk for sexually transmitted diseases (STDs) were updated by CDC after consultation with a group of professionals knowledgeable in the field of STDs who met in Atlanta on April 30-May 2, 2013. The information in this report updates the Sexually Transmitted Diseases Treatment Guidelines, 2010 (MMWR Recomm Rep 2010;59 [No. RR-12]). These updated guidelines discuss 1) alternative treatment regimens for Neisseria gonorrhoeae; 2) the use of nucleic acid amplification tests for the diagnosis of trichomoniasis; 3) alternative treatment options for genital warts; 4) the role of Mycoplasma genitalium in urethritis/cervicitis and treatment-related implications; 5) updated HPV vaccine recommendations and counseling messages; 6) the management of persons who are transgender; 7) annual testing for hepatitis C in persons with HIV infection; 8) updated recommendations for diagnostic evaluation of urethritis; and 9) retesting to detect repeat infection. Physicians and other health-care providers can use these guidelines to assist in the prevention and treatment of STDs.
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Affiliation(s)
- Kimberly A. Workowski
- Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
- Emory University, Atlanta, Georgia
| | - Gail A. Bolan
- Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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21
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Stahlman S, Plant A, Javanbakht M, Cross J, Montoya JA, Bolan R, Kerndt PR. Acceptable interventions to reduce syphilis transmission among high-risk men who have sex with men in Los Angeles. Am J Public Health 2015; 105:e88-94. [PMID: 25602881 PMCID: PMC4330830 DOI: 10.2105/ajph.2014.302412] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2014] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined perceptions of and attitudes toward existing and potential syphilis interventions, including case management and Web-based programs, to increase syphilis testing among high-risk men who have sex with men (MSM). METHODS Between October 2010 and June 2011, we conducted in-depth interviews with 19 MSM in Los Angeles, California, with repeat early syphilis infections (primary, secondary, and early latent syphilis) within the previous 5 years. We analyzed the interviews inductively to determine the most acceptable potential interventions. RESULTS Experiences with health department and community-based standard of care case management were generally positive. The most popular interventions among respondents included a Web site providing information on syphilis and syphilis testing, automated Web reminders to test, being paid to test, free online home testing kits, and preexposure prophylactic medication. Respondents' beliefs that they would continue to practice high-risk sexual behaviors reinforced their reasons for wanting increased accessibility and convenient testing strategies. CONCLUSIONS Public health officials should consider participant responses to potential interventions for syphilis, which suggest that high-risk MSM would consider testing more often or using other interventions.
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Affiliation(s)
- Shauna Stahlman
- At the time of study, Shauna Stahlman and Marjan Javanbakht were with the Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles. Aaron Plant, Jorge A. Montoya, and Peter R. Kerndt were with the Los Angeles County Department of Public Health, Los Angeles. John Cross and Robert Bolan were with the Los Angeles Gay and Lesbian Center, Los Angeles
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22
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Jennings L, Rompalo AM, Wang J, Hughes J, Adimora AA, Hodder S, Soto-Torres LE, Frew PM, Haley DF. Prevalence and correlates of knowledge of male partner HIV testing and serostatus among African-American women living in high poverty, high HIV prevalence communities (HPTN 064). AIDS Behav 2015; 19:291-301. [PMID: 25160901 DOI: 10.1007/s10461-014-0884-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Knowledge of sexual partners' HIV infection can reduce risky sexual behaviors. Yet, there are no published studies to-date examining prevalence and characteristics associated with knowledge among African-American women living in high poverty communities disproportionately affected by HIV. Using the HIV Prevention Trial Network's (HPTN) 064 Study data, multivariable logistic regression was used to examine individual, partner, and partnership-level determinants of women's knowledge (n = 1,768 women). Results showed that women's demographic characteristics alone did not account for the variation in serostatus awareness. Rather, lower knowledge of partner serostatus was associated with having two or more sex partners (OR = 0.49, 95 % CI 0.37-0.65), food insecurity (OR = 0.68, 95 % CI 0.49-0.94), partner age >35 years (OR = 0.68, 95 % CI 0.49-0.94), and partner concurrency (OR = 0.63, 95 % CI 0.49-0.83). Access to financial support (OR = 1.42, 95 % CI 1.05-1.92) and coresidence (OR = 1.43, 95 % CI 1.05-1.95) were associated with higher knowledge of partner serostatus. HIV prevention efforts addressing African-American women's vulnerabilities should employ integrated behavioral, economic, and empowerment approaches.
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Hoots BE, Lewis FMT, Anschuetz G, Schillinger JA, Blank S, Foskey T, Stover JA, Peterman TA. Would targeting increase efficiency of syphilis partner services programs?--Data from New York City, Philadelphia, Texas, and Virginia. Sex Transm Dis 2015; 41:407-12. [PMID: 24825340 DOI: 10.1097/olq.0000000000000130] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Targeted partner notification (PN), or limiting PN to groups in which efforts are most successful, has been suggested as a potentially cost-effective alternative to providing PN for all syphilis case-patients. The purpose of this study was to identify index case characteristics associated with highest yield partner elicitation and subsequent case finding to determine whether some groups could be reasonably excluded from PN efforts. METHODS We examined index case characteristics and PN metrics from syphilis case management records of 4 sexually transmitted disease control programs--New York City, Philadelphia, Texas, and Virginia. Partner elicitation was considered successful when a case-patient named 1 or more partners during interview. Case finding was considered successful when a case-patient had 1 or more partners who were tested and had serologic evidence of syphilis exposure. Associations between case characteristics and proportion of pursued case-patients with successful partner elicitation and case finding were evaluated using χ2 tests. RESULTS Successful partner elicitation and new case finding was most likely for index case-patients who were younger and diagnosed at public sexually transmitted disease clinics. However, most characteristics of index case-patients were related to success at only a few sites, or varied in the direction of the relationship by site. Other than late latent case-patients, few demographic groups had a yield far below average. CONCLUSIONS If implemented, targeted PN will require site-specific data. Sites may consider eliminating PN for late latent case-patients. The lack of demographic groups with a below average yield suggests that sites should not exclude other groups from PN.
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Affiliation(s)
- Brooke E Hoots
- From the *Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA; †Epidemic Intelligence Service, Scientific Education and Professional Development Program Office, Division of Applied Sciences, Atlanta, GA; ‡Philadelphia Department of Public Health, Philadelphia, PA; §New York City Department of Health and Mental Hygiene, New York City, NY; ¶Texas Department of State Health Services, HIV/STD Prevention and Care Branch, Austin, TX; and ∥Virginia Department of Health, Division of Disease Prevention, Richmond, VA
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Edelman EJ, Gordon KS, Hogben M, Crystal S, Bryant K, Justice AC, Fiellin DA. Sexual partner notification of HIV infection among a National United States-based sample of HIV-infected men. AIDS Behav 2014; 18:1898-903. [PMID: 24858394 DOI: 10.1007/s10461-014-0799-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Limited data exist on whether sexual partner notification practices among HIV-infected men, particularly those who have sex with men (MSM), vary by HIV viral load. We examined factors associated with complete (all partners) versus incomplete partner notification in 760 HIV-infected individuals across the United States, 49 % of whom were MSM. Thirty-four percent reported incomplete partner notification. Incomplete partner notification was more likely among black men, MSM, and those reporting casual partners and non-condom use. Partner notification practices did not vary by HIV viral load except among those with casual partners in whom a detectable viral load was associated with incomplete partner notification. Increased sexual partner notification among HIV-infected men, especially MSM, is needed.
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Affiliation(s)
- E J Edelman
- General Internal Medicine, Yale School of Medicine, Yale University, PO Box 208025, New Haven, CT, 06520-8088, USA,
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Edelman EJ, Cole CA, Richardson W, Boshnack N, Jenkins H, Rosenthal MS. Opportunities for improving partner notification for HIV: results from a community-based participatory research study. AIDS Behav 2014; 18:1888-97. [PMID: 24469221 DOI: 10.1007/s10461-013-0692-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
To identify actionable opportunities for improving Partner Notification (PN) for HIV among men who have sex with men (MSM), we characterized the perspectives and experiences of PN among Medical Case Managers (case managers), Disease Intervention Specialists (DIS), and MSM. In partnership with an AIDS service organization and the Connecticut State Health Department, we conducted a focus group of case managers (n = 14) and in-depth interviews with DIS (n = 7) and MSM (n = 24). We found differences between MSM's and providers' (case managers and DIS) perspectives regarding (1) determinants of sexual risk behaviors; (2) considerations impacting HIV disclosure; and (3) barriers to trusting relationships between MSM and providers. Factors impacting MSM perspectives on PN were incompletely appreciated by both case managers and DIS. PN may be improved through improving provider understanding of the complexities for MSM regarding sexual risk behaviors and disclosure and transcending barriers to trusting relationships between MSM and providers.
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Affiliation(s)
- E Jennifer Edelman
- Department of Internal Medicine, Yale University School of Medicine, PO Box 208025, New Haven, CT, 06520-8088, USA,
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van Aar F, van Weert Y, Spijker R, Götz H, Op de Coul E. Partner notification among men who have sex with men and heterosexuals with STI/HIV: different outcomes and challenges. Int J STD AIDS 2014; 26:565-73. [PMID: 25141854 DOI: 10.1177/0956462414547398] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2014] [Accepted: 07/17/2014] [Indexed: 11/17/2022]
Abstract
Partner notification effectiveness among index clients diagnosed with HIV, syphilis and/or gonorrhoea at sexually transmitted infection (STI) clinics was evaluated between 2010 and 2012. We explored percentages of identifiable, notified and tested partners by sexual preference and gender. Partner notification trends were studied using the national STI database. Men who have sex with men (n = 304), heterosexual men (n = 33) and women (n = 35) reported, respectively, 6.7, 3.8 and 2.3 partners per index. Percentages of identifiable partners differed between groups (men who have sex with men: 46%, heterosexual men: 63%, women: 87%, p < 0.001). The percentage of notified partners (of those identifiable) was lowest for heterosexual men (76%; men who have sex with men: 92%; women: 83%; p < 0.001). STI positivity rates among notified partners were high: 33%-50% depending on sexual preference. Among men who have sex with men, having HIV was associated with not notifying all identifiable partners. Percentages of notified clients at STI clinics increased between 2010 and 2012: from 13% to 19% among men who have sex with men, from 13% to 18% among heterosexual men and from 8% to 11% among women (p < 0.001 for all groups). The percentage of STI/HIV detected through partner notification increased among men who have sex with men (from 22% to 30%) and women (from 25% to 29%; p < 0.001). Unidentifiable partners among men who have sex with men, lower partner notification effectiveness for HIV and the relative large proportion of heterosexual men not notifying their partners appear to be important partner notification challenges.
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Affiliation(s)
- Fleur van Aar
- Epidemiology and Surveillance, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | - Yolanda van Weert
- Epidemiology and Surveillance, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
| | | | - Hannelore Götz
- Epidemiology and Surveillance, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands Department Infectious Disease Control, Public Health Service Rotterdam-Rijnmond, Rotterdam, the Netherlands
| | - Eline Op de Coul
- Epidemiology and Surveillance, Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands
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Cole CA, Edelman EJ, Boshnack N, Jenkins H, Richardson W, Rosenthal MS. Time, dual roles, and departments of public health: lessons learned in CBPR by an AIDS service organization. Prog Community Health Partnersh 2014; 7:323-30. [PMID: 24056514 DOI: 10.1353/cpr.2013.0034] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Community-based participatory research (CBPR) is an important approach to inform the development and implementation of HIV/AIDS prevention and treatment strategies. However, there is a paucity of literature describing CBPR from the perspective of community-based organizations (CBOs), specifically AIDS service organizations (ASO). Focusing on the perspective of the executive director (ED) from the partnering ASO, we describe in this paper lessons learned during Project Counseling Others About Contacts and Exposures with HIV (COACH), a CBPR, qualitative study intended to examine perspectives and experiences of professionals and clients regarding partner notification (PN) for HIV. Specifically, we describe opportunities and challenges associated with the time investment, balancing a dual role of service provider and researcher, and partnering with the department of public health. This description of the perspective of the ED from the ASO and the associated lessons learned may inform the actions of other CBOs, including ASOs, considering partnering with academic institutions for CBPR.
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A randomized, controlled trial of inSPOT and patient-delivered partner therapy for gonorrhea and chlamydial infection among men who have sex with men. Sex Transm Dis 2013; 38:941-6. [PMID: 21934569 DOI: 10.1097/olq.0b013e318223fcbc] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND The efficacy of patient-delivered partner therapy (PDPT) and inSPOT, a web-based partner notification service, in increasing partner treatment and/or notification among men who have sex with men (MSM) has not been evaluated. METHODS We enrolled MSM with chlamydia and/or gonorrhea in a randomized, controlled trial with the following 4 arms: inSPOT, PDPT, combined inSPOT and PDPT (inSPOT/PDPT), and standard partner management. Men were offered enrollment when contacted for partner services. Participants completed baseline and follow-up interviews approximately 2 weeks apart. RESULTS We offered enrollment to 393 eligible MSM, of whom 75 (19%) enrolled and 318 (81%) declined enrollment. The study was halted early due to low enrollment. Among the 75 enrollees, 53 (71%) completed baseline and follow-up interviews. Of these 53 men, 13, 10, 17, and 13 were assigned to the PDPT, inSPOT, inSPOT/PDPT, and standard arms, respectively; participants provided information about 186 partners. The number of partners treated per original patient was 2.33 in the PDPT arm and 1.52 in the non-PDPT arms. PDPT assignment increased the mean number of partners treated per original patient by 54% (ratio of means = 1.54, 95% confidence interval: 1.01-2.34), after adjustment for inSPOT assignment. Among 27 men assigned to inSPOT or inSPOT/PDPT, 1 (4%) used inSPOT to notify ≥ 1 partner. inSPOT did not affect partner notification, but decreased partner human immunodeficiency virus testing (ratio of means: 0.42, 95% confidence interval: 0.18-0.99). CONCLUSIONS PDPT may increase partner treatment among MSM. Few MSM appear to be willing to use inSPOT to notify their sex partners. Traditional randomized trials of partner notification strategies may not be feasible among MSM.
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Acceptability and Intention to Seek Medical Care After Hypothetical Receipt of Patient-Delivered Partner Therapy or Electronic Partner Notification Postcards Among Men Who Have Sex With Men. Sex Transm Dis 2013; 40:179-85. [DOI: 10.1097/olq.0b013e31827adc06] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Community-embedded disease intervention specialist program for syphilis partner notification in a clinic serving men who have sex with men. Sex Transm Dis 2012; 39:701-5. [PMID: 22902665 DOI: 10.1097/olq.0b013e3182593b51] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND/OBJECTIVES We evaluated the effectiveness of a Community-Embedded Disease Intervention Specialist (CEDIS) in providing partner notification (PN) for primary syphilis cases in a high STD morbidity, community-based clinic serving men who have sex with men in Los Angeles. METHODS The CEDIS was trained by the same standards as the local health department Disease Investigator Specialists but was employed by and stationed at the clinic where the primary cases were diagnosed. We compared the CEDIS on specific PN outcomes before and after placement of the CEDIS and among countywide men who have sex with men primary syphilis cases, excluding the cases from the CEDIS clinic. RESULTS In 2009-2010 after placement of the CEDIS, 100% (87) of primary cases assigned were interviewed; 28% (26) on the same day as their clinic visit and 64% (59) within 7 days. In 2006-2007 before placement of the CEDIS, 67% (43) of primary cases assigned were interviewed; only 2% (1) were interviewed within 7 days. In 2009-2010 countywide, 9% (21) of 252 primary cases assigned were interviewed on the same day as their clinic visit; 18% (45) within 7 days. After placement of the CEDIS, 15% (21) of 140 partners elicited were identified with early syphilis and brought to treatment compared with 0% of 13 partners elicited before placement of the CEDIS, and 15% (25) of 171 partners elicited countywide. CONCLUSION The CEDIS program fosters key elements to a successful PN program, such as prompt interviewing of newly diagnosed cases and community trust.
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Acquired skills in sexually transmitted disease prevention: partner services and tailoring interventions to populations. Sex Transm Dis 2012; 38:365-6. [PMID: 22256339 DOI: 10.1097/olq.0b013e3182195fe7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mayer KH, Mimiaga MJ. Past as Prologue: The Refractory and Evolving HIV Epidemic Among Men Who Have Sex With Men. Clin Infect Dis 2011; 52:1371-3. [DOI: 10.1093/cid/cir206] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Kenneth H. Mayer
- The Fenway Institute, Fenway Health
- The Warren Alpert Medical School of Brown University/Miriam Hospital, Providence, Rhode Island
| | - Matthew J. Mimiaga
- The Warren Alpert Medical School of Brown University/Miriam Hospital, Providence, Rhode Island
- Harvard Medical School/Massachusetts General Hospital, Departments of Psychiatry
- Harvard School of Public Health, Department of Epidemiology, Boston, Massachusetts
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Estudios de contactos para infecciones de transmisión sexual. ¿Una actividad descuidada? GACETA SANITARIA 2011; 25:224-32. [DOI: 10.1016/j.gaceta.2010.12.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Revised: 11/16/2010] [Accepted: 12/19/2010] [Indexed: 11/17/2022]
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Abstract
Private sex parties are an emerging risk environment for HIV among men who have sex with men (MSM). In 2009, 103 participants who reported attending at least one sex party in Massachusetts in the prior 12 months completed an in-depth, interviewer-administered quantitative assessment. Multivariable logistic regression analyses were conducted to examine associations with having engaged in one or more serodiscordant unprotected anal sex (SDUAS) acts at the most recent sex party attended. Nearly one-third (32%) of the sample reported engaging in SDUAS at the most recent sex party attended. Adjusting for age, race/ethnicity, and educational attainment, variables associated with an increased odds of engaging in SDUAS at the most recent sex party were: total number of unprotected anal receptive sex acts at sex parties in the past 12 months, self-perception of being at-risk for transmitting or acquiring HIV, and sexual sensation seeking. Examined in the same model, if condoms were provided/available at the most recent sex party attended, participants were at a decreased odds of engaging in SDUAS at that sex party. The majority (80%) expressed an interest in HIV prevention activities for MSM who attend sex parties. HIV prevention interventions are needed to reach MSM who attend sex parties and should take into account individual and contextual factors that may contribute to sexual risk. Environmental factors in the sex party setting, in particular the presence and availability of condoms, may potentially mitigate individual-level factors such as unprotected anal sex.
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Mimiaga MJ, Reisner SL, Bland S, Cranston K, Isenberg D, Driscoll MA, VanDerwarker R, Mayer KH. “It's a quick way to get what you want”: a formative exploration of HIV risk among urban Massachusetts men who have sex with men who attend sex parties. AIDS Patient Care STDS 2010; 24:659-74. [PMID: 20846008 DOI: 10.1089/apc.2010.0071] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Community-based studies with men who have sex with men (MSM) suggest that between 8% and 25% of MSM have met recent male sexual partners at private sex parties. Little is known about HIV sexual risk behaviors of MSM who attend sex parties and whether risk reduction interventions can be delivered in this setting. In 2008, 40 MSM who reported attending and/or hosting sex parties in Massachusetts in the past 12 months completed a qualitative interview and quantitative assessment. Participants reported attending a mean number of 10 sex parties in Massachusetts in the past 12 months. A significant percentage (43%) reported also hosting sex parties. Participants had made sexual partner connections across multiple venues, including public cruising areas, bars/clubs, and the Internet. At the most recent sex party attended, the majority had used alcohol (58%) and/or drugs (50%), and one quarter (25%) put themselves at risk of acquiring or transmitting HIV or other sexually transmitted infections (STIs) by having unprotected anal sex with a mean number of three serodiscordant male sex partners. Although many participants perceived that communicating about sexual health in the sex party context would “ruin the mood,” the majority (80%) considered some form of HIV prevention at sex parties to be appropriate and necessary, as well as acceptable. Nonintrusive prevention and education activities were especially endorsed (i.e., condoms, lubricants, and coupons for free HIV/STI testing). The majority of participants (75%) expressed some interest in “safer sex” parties. MSM attending sex parties appear to be a subpopulation at high risk for HIV and STI acquisition and transmission. Risk reduction interventions responsive to the needs of MSM who attend sex parties are warranted.
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Affiliation(s)
- Matthew J. Mimiaga
- The Fenway Institute, Fenway Health, Boston, Massachusetts
- Harvard Medical School/Massachusetts General Hospital, Boston, Massachusetts
- Harvard School of Public Health, Boston, Massachusetts
| | - Sari L. Reisner
- The Fenway Institute, Fenway Health, Boston, Massachusetts
- Harvard School of Public Health, Boston, Massachusetts
| | - Sean Bland
- The Fenway Institute, Fenway Health, Boston, Massachusetts
| | - Kevin Cranston
- Massachusetts Department of Public Health, Boston, Massachusetts
| | - Deborah Isenberg
- Massachusetts Department of Public Health, Boston, Massachusetts
| | | | | | - Kenneth H. Mayer
- The Fenway Institute, Fenway Health, Boston, Massachusetts
- Warren Alpert School of Medicine, Brown University/Miriam Hospital, Providence, Rhode Island
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Reisner SL, Mimiaga MJ, Johnson CV, Bland S, Case P, Safren SA, Mayer KH. What makes a respondent-driven sampling "seed" productive? Example of finding at-risk Massachusetts men who have sex with men. J Urban Health 2010; 87:467-79. [PMID: 20354911 PMCID: PMC2871093 DOI: 10.1007/s11524-010-9439-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Several recent studies have sought to elaborate upon the applicability and validity of respondent-driven sampling (RDS) to find hard-to-reach samples in general and men who have sex with men (MSM) in particular. Few published studies have elucidated the characteristics associated with initial RDS participants ("seeds") who successfully recruited others into a study. A total of 74 original seeds were analyzed from four Massachusetts studies conducted between 2006 and 2008 that used RDS to reach high-risk MSM. Seeds were considered "generative" if they recruited two or more subsequent participants and "non-generative" if they recruited zero or one participant. Overall, 34% of seeds were generative. In separate multivariable logistic regression models controlling for age, race, health insurance, HIV status, and the study for which the seed was enrolled, unprotected anal sex in the past 12 months [adjusted odds ratio (AOR) = 6.68; 95% confidence interval (95% CI) = 1.27-35.12; p = 0.03], cocaine use during sex at least monthly during the past 12 months (AOR = 8.81; 95% CI = 1.68-46.27; p = 0.01), and meeting sex partners at social gatherings (AOR = 7.42; 95% CI = 1.58-34.76; p = 0.01) and public cruising areas (AOR = 4.92; 95% CI = 1.27-19.01; p = 0.02) were each significantly associated with increased odds of being a generative seed. These findings have methodological and practical implications for the recruitment of MSM via RDS. Finding ways to identify RDS seeds that are consistently generative may facilitate collecting a sample that is closer to reflecting the MSM who live in all of the communities in a given location or study sample.
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