Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 1993 Oct;83(10):1418–1424. doi: 10.2105/ajph.83.10.1418

Partner notification for control of HIV: results after 2 years of a statewide program in Utah.

A T Pavia 1, M Benyo 1, L Niler 1, I Risk 1
PMCID: PMC1694841  PMID: 8214231

Abstract

OBJECTIVES. We sought to evaluate the utility of partner notification for control of human immunodeficiency virus (HIV) infection and to identify subgroups in which it may be most effective. METHODS. All persons reported to be HIV-positive during a 2-year period were interviewed. Outcome measures included proportion of index patients cooperating; number of partners named, located, counseled, and tested; number of persons newly testing positive; and costs. RESULTS. Of 308 index patients, 244 (79%) cooperated. They named 890 partners; 499 (70%) of in-state partners were located. Of these, 154 (34%) had previously tested HIV-positive. Of 279 partners tested for the first time, 39 (14%) were HIV-positive. Injecting drug users were significantly more likely to cooperate than persons in other risk groups (93% vs 76%) and named more partners (median 4 vs 1). Women and persons choosing confidential testing were more likely to cooperate and named more partners. The estimated cost of the program was $62,500 per year. CONCLUSIONS. Partner notification identified a group with a high seroprevalence of HIV. It was not successful among populations that may be difficult to reach with other interventions.

Full text

PDF
1418

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andrus J. K., Fleming D. W., Harger D. R., Chin M. Y., Bennett D. V., Horan J. M., Oxman G., Olson B., Foster L. R. Partner notification: can it control epidemic syphilis? Ann Intern Med. 1990 Apr 1;112(7):539–543. doi: 10.7326/0003-4819-112-7-539. [DOI] [PubMed] [Google Scholar]
  2. Archer V. E. Psychological defenses and control of AIDS. Am J Public Health. 1989 Jul;79(7):876–878. doi: 10.2105/ajph.79.7.876. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Brandt A. M. Sexually transmitted disease: shadow on the land, revisited. Ann Intern Med. 1990 Apr 1;112(7):481–483. doi: 10.7326/0003-4819-112-7-481. [DOI] [PubMed] [Google Scholar]
  4. Cates W., Jr, Handsfield H. H. HIV counseling and testing: does it work? Am J Public Health. 1988 Dec;78(12):1533–1534. doi: 10.2105/ajph.78.12.1533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Clumeck N., Taelman H., Hermans P., Piot P., Schoumacher M., De Wit S. A cluster of HIV infection among heterosexual people without apparent risk factors. N Engl J Med. 1989 Nov 23;321(21):1460–1462. doi: 10.1056/NEJM198911233212107. [DOI] [PubMed] [Google Scholar]
  6. Coates T. J., Morin S. F., McKusick L. Behavioral consequences of AIDS antibody testing among gay men. JAMA. 1987 Oct 9;258(14):1889–1889. [PubMed] [Google Scholar]
  7. 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]
  8. Hellinger F. J. Forecasting the medical care costs of the HIV epidemic: 1991-1994. Inquiry. 1991 Fall;28(3):213–225. [PubMed] [Google Scholar]
  9. Jones J. L., Wykoff R. F., Hollis S. L., Longshore S. T., Gamble W. B., Jr, Gunn R. A. Partner acceptance of health department notification of HIV exposure, South Carolina. JAMA. 1990 Sep 12;264(10):1284–1286. [PubMed] [Google Scholar]
  10. Judson F. N. What do we really know about AIDS control? Am J Public Health. 1989 Jul;79(7):878–882. doi: 10.2105/ajph.79.7.878. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. 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]
  12. Osborn J. E. AIDS: politics and science. N Engl J Med. 1988 Feb 18;318(7):444–447. doi: 10.1056/NEJM198802183180710. [DOI] [PubMed] [Google Scholar]
  13. Potterat J. J., Spencer N. E., Woodhouse D. E., Muth J. B. Partner notification in the control of human immunodeficiency virus infection. Am J Public Health. 1989 Jul;79(7):874–876. doi: 10.2105/ajph.79.7.874. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Ramstedt K., Hallhagen G., Lundin B. I., Håkansson C., Johannisson G., Löwhagen G. B., Norkrans G., Giesecke J. Contact tracing for human immunodeficiency virus (HIV) infection. Sex Transm Dis. 1990 Jan-Mar;17(1):37–41. [PubMed] [Google Scholar]
  15. Rolfs R. T., Goldberg M., Sharrar R. G. Risk factors for syphilis: cocaine use and prostitution. Am J Public Health. 1990 Jul;80(7):853–857. doi: 10.2105/ajph.80.7.853. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. 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]
  17. Scitovsky A. A. Studying the cost of HIV-related illnesses: reflections on the moving target. Milbank Q. 1989;67(2):318–344. [PubMed] [Google Scholar]
  18. Toomey K. E., Cates W., Jr Partner notification for the prevention of HIV infection. AIDS. 1989;3 (Suppl 1):S57–S62. doi: 10.1097/00002030-198901001-00009. [DOI] [PubMed] [Google Scholar]
  19. Wykoff R. F., Heath C. W., Jr, Hollis S. L., Leonard S. T., Quiller C. B., Jones J. L., Artzrouni M., Parker R. L. Contact tracing to identify human immunodeficiency virus infection in a rural community. JAMA. 1988 Jun 24;259(24):3563–3566. [PubMed] [Google Scholar]
  20. 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]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES