Abstract
OBJECTIVES: To examine attitudes, experience and preliminary results of partner notification (PN) for HIV infection in Denmark among the doctors who inform one of their patients about being HIV infected. METHOD: The doctors who had reported to the national HIV surveillance unit about a new-identified HIV infected person, during a 9 months period, were searched for one year later. The traced doctors were interviewed. The results of the interview related to 102 out of 195 (52%) reports were compared between the 48 interviewed general practitioners (GPs) and the 33 interviewed hospital doctors (HDs). The proportion of traced reporting doctors were higher among GPs than among HDs. RESULTS: Both GPs and HDs found it difficult to give a positive HIV test result and wanted trained counsellors to work with them in the PN process. Less experience and fewer post-graduate courses about HIV may explain the GPs' lack of confidence to follow-up asymptomatic HIV positive patients. It was neither a routine for all the GPs or for all HDs to ask about patient behaviour nor to discuss safe sex with their index patients, and screening for other sexually transmitted diseases were seldomly performed. The numbers of partners notified, especially by the doctors were low. CONCLUSIONS: HIV reporting doctors in Denmark are motivated for PN. Educational programmes about counselling and care of HIV infected patients should, however, be offered at intervals, especially to GPs. The outcome of PN can only be measured to a certain level as long as exposed partners are neither obliged to be tested nor to be counselled and as long as information about counselling and testing can not be shared between doctors in different settings.
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Selected References
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- Adler M. W., Johnson A. M. Contact tracing for HIV infection. Br Med J (Clin Res Ed) 1988 May 21;296(6634):1420–1421. doi: 10.1136/bmj.296.6634.1420. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown-Peterside P., Sibbald B., Freeling P. AIDS: knowledge, skills and attitudes among vocational trainees and their trainers. Br J Gen Pract. 1991 Oct;41(351):401–405. [PMC free article] [PubMed] [Google Scholar]
- Giesecke J., Ramstedt K., Granath F., Ripa T., Rådö G., Westrell M. Efficacy of partner notification for HIV infection. Lancet. 1991 Nov 2;338(8775):1096–1100. doi: 10.1016/0140-6736(91)91962-t. [DOI] [PubMed] [Google Scholar]
- Keenlyside R. A., Hawkins A. S., Johnson A. M., Adler M. W. Attitudes to tracing and notifying contacts of people with HIV infection. BMJ. 1992 Jul 18;305(6846):165–168. doi: 10.1136/bmj.305.6846.165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Landis S. E., Schoenbach V. J., Weber D. J., Mittal M., Krishan B., Lewis K., Koch G. G. Results of a randomized trial of partner notification in cases of HIV infection in North Carolina. N Engl J Med. 1992 Jan 9;326(2):101–106. doi: 10.1056/NEJM199201093260205. [DOI] [PubMed] [Google Scholar]
- Milne R. I., Keen S. M. Are general practitioners ready to prevent the spread of HIV? Br Med J (Clin Res Ed) 1988 Feb 20;296(6621):533–535. doi: 10.1136/bmj.296.6621.533. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mohanty K. C. Sexually transmitted diseases among patients seeking HIV antibody test for AIDS. Int J STD AIDS. 1990 May;1(3):207–208. doi: 10.1177/095646249000100312. [DOI] [PubMed] [Google Scholar]
- Pattman R. S., Gould E. M. Partner notification for HIV infection in the United Kingdom: a look back on seven years experience in Newcastle upon Tyne. Genitourin Med. 1993 Apr;69(2):94–97. doi: 10.1136/sti.69.2.94. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pavia A. T., Benyo M., Niler L., Risk I. Partner notification for control of HIV: results after 2 years of a statewide program in Utah. Am J Public Health. 1993 Oct;83(10):1418–1424. doi: 10.2105/ajph.83.10.1418. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Potterat J. J., Meheus A., Gallwey J. Partner notification: operational considerations. Int J STD AIDS. 1991 Nov-Dec;2(6):411–415. doi: 10.1177/095646249100200603. [DOI] [PubMed] [Google Scholar]
- Rutherford G. W., Woo J. M. Contact tracing and the control of human immunodeficiency virus infection. JAMA. 1988 Jun 24;259(24):3609–3610. [PubMed] [Google Scholar]
- Wykoff R. F., Jones J. L., Longshore S. T., Hollis S. L., Quiller C. B., Dowda H., Gamble W. B. Notification of the sex and needle-sharing partners of individuals with human immunodeficiency virus in rural South Carolina: 30-month experience. Sex Transm Dis. 1991 Oct-Dec;18(4):217–222. doi: 10.1097/00007435-199110000-00004. [DOI] [PubMed] [Google Scholar]