Department of Epidemiology, CB#7435, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599-7435, USA.
AIDS Behav. 2012 Jul;16(5):1148-55. doi: 10.1007/s10461-011-0094-9.
Provider-assisted methods of partner notification increase testing and counseling among sexual partners of patients diagnosed with HIV, however they are resource-intensive. The sexual partners of individuals enrolled in a clinical trial comparing different methods of HIV partner notification were analyzed to identify who was unlikely to seek testing on their own. Unconditional logistic regression was used to identify partnership characteristics, which were assigned a score based on their coefficient in the final model, and a risk score was calculated for each participant. The risk score included male partner sex, relationship duration 6-24 months, and index education > primary. A risk score of ≥ 2 had a sensitivity of 68% and specificity of 78% in identifying partners unlikely to seek testing on their own. A risk score to target partner notification can reduce the resources required to locate all partners in the community while increasing the testing yield compared to patient-referral.
服务提供者辅助的性伴侣通知方法增加了 HIV 感染者性伴侣的检测和咨询，然而，这些方法需要大量资源。对参加比较不同 HIV 性伴侣通知方法的临床试验的个体的性伴侣进行了分析，以确定哪些人不太可能自行寻求检测。使用无条件逻辑回归来确定伴侣特征，根据其在最终模型中的系数为每个特征分配一个分数，并为每个参与者计算风险分数。风险评分包括男性伴侣、6-24 个月的关系持续时间和指数教育>小学。风险评分≥2 时，识别不太可能自行寻求检测的伴侣的敏感性为 68%，特异性为 78%。与患者转诊相比，针对通知目标伴侣的风险评分可以减少在社区中寻找所有伴侣所需的资源，同时增加检测收益。
