van den Berg Jacob J, Javanbakht Marjan, Gorbach Pamina M, Rudy Bret J, Westfall Andrew O, Wilson Craig M, Lally Michelle A
Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI.
Department of Epidemiology, Fielding School of Public Health, Los Angeles, CA.
J Acquir Immune Defic Syndr. 2018 Jan 1;77(1):46-52. doi: 10.1097/QAI.0000000000001565.
Identifying factors associated with partner notification among youth living with HIV is critical for effective HIV prevention and treatment strategies.
A total of 924 male and female behaviorally infected youth aged 13-24 across 14 U.S. cities completed an audio computer-assisted self-interview including questions about demographics and experiences with patient- and provider-referral partner notification.
The majority of participants self-identified as male (82.5%), Black/non-Hispanic (70.1%), and Hispanic/Latino (18.2%). Most males (93.4%) reported engaging in male-to-male sexual contact. Over three-quarters (77.6%) reported that all or some of their partners were contacted, while 22.4% indicated that none were contacted regarding potential HIV exposure. Most (52.4%) reported that only one person talked to them about notifying partners including the HIV tester (36.5%) followed by their health care provider/doctor (27.6%). Less than a fifth (18.3%) were themselves notified of their own exposure to HIV. Using multivariable logistic regression, 3 factors were associated with successful partner notification: (1) when more than one person talked to participants about partner notification (AOR = 1.87, 1.33-2.62); (2) if they themselves had been notified of their own HIV exposure (AOR = 1.83, 1.13-2.95); and (3) if their education included some college or technical school versus less than high school (AOR = 1.72, 1.04-2.85).
Partner notification among youth living with HIV is unsuccessful at least 22.4% of the time, although minimal criteria for partner services are being met almost universally. Partner notification might benefit from enhanced guidelines that call for both HIV testers and HIV care providers to discuss this important strategy with HIV-positive youth.
识别与感染艾滋病毒青年的性伴通知相关的因素对于有效的艾滋病毒预防和治疗策略至关重要。
美国14个城市的924名年龄在13 - 24岁之间的行为感染艾滋病毒的男性和女性完成了一次音频计算机辅助自我访谈，其中包括有关人口统计学以及患者和提供者转介性伴通知经历的问题。
大多数参与者自我认定为男性（82.5%）、黑人/非西班牙裔（70.1%）和西班牙裔/拉丁裔（18.2%）。大多数男性（93.4%）报告有男男性接触。超过四分之三（77.6%）的人报告其所有或部分性伴已被联系，而22.4%的人表示未就潜在的艾滋病毒暴露联系任何人。大多数（52.4%）报告只有一人与他们谈论过通知性伴的事情，其中包括艾滋病毒检测者（36.5%），其次是他们的医疗保健提供者/医生（27.6%）。不到五分之一（18.3%）的人自己被告知其感染了艾滋病毒。使用多变量逻辑回归分析，有3个因素与成功的性伴通知相关：（1）当不止一人与参与者谈论性伴通知时（比值比[AOR]=1.87，1.33 - 2.62）；（2）如果他们自己被告知其感染了艾滋病毒（AOR = 1.83，1.13 - 2.95）；以及（3）如果他们的教育程度包括一些大学或技术学校学历，相对于高中以下学历（AOR = 1.72，1.04 - 2.85）。
艾滋病毒感染青年的性伴通知至少有22.4%的情况不成功，尽管几乎普遍都达到了性伴服务的最低标准。性伴通知可能受益于强化的指导方针，该方针要求艾滋病毒检测者和艾滋病毒护理提供者都与艾滋病毒阳性青年讨论这一重要策略。
