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The Influence of Epidemiologic Context on the Success of Partner Notification Programs: Analysis of Gonorrhea Transmission Dynamics.

作者信息

Rönn Minttu M, Chesson Harrell W, Grad Yonatan H, Reitsma Marissa, Zhu Lin, Hsu Katherine, Gift Thomas L, Salomon Joshua A

机构信息

Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.

出版信息

J Infect Dis. 2025 Aug 14;232(2):e266-e274. doi: 10.1093/infdis/jiaf206.


DOI:10.1093/infdis/jiaf206
PMID:40251014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12349959/
Abstract

BACKGROUND: Limited estimates exist on the population-level impact of partner notification (PN) for gonorrhea, with uncertainty in the influence of local epidemiology on PN effectiveness. An ecologic study in New York found a 6% reduction in diagnoses with a 10% increase in PN coverage. We estimated gonorrhea incidence reductions via PN across different epidemiologic conditions to compare the effects with the prior finding and to understand key determinants of variation. METHODS: We developed a stochastic network model of men who have sex with men and calibrated gonorrhea transmission dynamics to varied epidemiologic conditions. The population-level impact of increasing PN was summarized by incidence rate ratios (IRRs), and the relative importance of explanatory variables (including network density, baseline burden, and natural history parameters) was assessed via linear regression modeling of IRR and bootstrapping to evaluate uncertainty in estimation. RESULTS: We estimated an IRR of 0.97 (95% range, 0.93-0.99) for a 10% relative increase in PN coverage, comparable to the IRR of 0.94 (0.91-0.97) identified in the empirical study. PN retained effectiveness under diverse epidemiologic conditions. In a univariate sensitivity analysis, the strongest influence on IRR came from parameters governing index case testing probability, with an IRR of 0.93 when testing was at its highest. Other factors, such as network density, baseline incidence, and various natural history parameters, had relatively minor effects on the IRR. We observed larger individual-level benefits from PN for individuals with higher numbers of partners. CONCLUSIONS: Our findings support prior population-level estimates of the impact of PN on gonorrhea incidence.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/2541c2956807/jiaf206f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/abb50f3656af/jiaf206f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/5d58def5d01b/jiaf206f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/743f074d1140/jiaf206f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/2541c2956807/jiaf206f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/abb50f3656af/jiaf206f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/5d58def5d01b/jiaf206f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/743f074d1140/jiaf206f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ba/12349959/2541c2956807/jiaf206f4.jpg

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[1]
The Influence of Epidemiologic Context on the Success of Partner Notification Programs: Analysis of Gonorrhea Transmission Dynamics.

J Infect Dis. 2025-8-14

[2]
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本文引用的文献

[1]
Assessing complex interventions: a systematic review of outcomes used in randomised controlled trials on STI partner notification in high-income countries.

BMC Public Health. 2023-9-21

[2]
Frequent screening for asymptomatic chlamydia and gonorrhoea infections in men who have sex with men: time to re-evaluate?

Lancet Infect Dis. 2023-12

[3]
Estimated costs and quality-adjusted life-years lost due to N. gonorrhoeae infections acquired in 2015 in the United States: A modelling study of overall burden and disparities by age, race/ethnicity, and other factors.

Lancet Reg Health Am. 2022-9-5

[4]
An Evaluation of Digital Partner Notification Tool Engagement and Impact for Patients Diagnosed With Gonorrhea and Syphilis.

Sex Transm Dis. 2022-12-1

[5]
Contact Tracing: Barriers and Facilitators.

Am J Public Health. 2022-7

[6]
The Natural History of Rectal Gonococcal and Chlamydial Infections: The ExGen Study.

Clin Infect Dis. 2022-5-3

[7]
Estimates of the Prevalence and Incidence of Chlamydia and Gonorrhea Among US Men and Women, 2018.

Sex Transm Dis. 2021-4-1

[8]
Population-level Benefits of Extragenital Gonorrhea Screening Among Men Who Have Sex With Men: An Exploratory Modeling Analysis.

Sex Transm Dis. 2020-7

[9]
Egocentric sexual networks of men who have sex with men in the United States: Results from the ARTnet study.

Epidemics. 2020-1-24

[10]
Epidemiological Impact of Expedited Partner Therapy for Men Who Have Sex With Men: A Modeling Study.

Sex Transm Dis. 2019-11

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