Pavia A T, Benyo M, Niler L, Risk I
Bureau of HIV/AIDS Prevention and Control, Utah Department of Health, Salt Lake City.
Am J Public Health. 1993 Oct;83(10):1418-24. doi: 10.2105/ajph.83.10.1418.
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.
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.
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.
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.
我们试图评估性伴侣通知在控制人类免疫缺陷病毒（HIV）感染方面的效用，并确定其可能最有效的亚组。
对在两年期间报告为HIV阳性的所有人进行了访谈。结果指标包括索引患者的合作比例；被提及、找到、接受咨询和检测的性伴侣数量；新检测呈阳性的人数；以及成本。
在308名索引患者中，244名（79%）进行了合作。他们提及了890个性伴侣；499名（70%）本州性伴侣被找到。其中，154名（34%）之前检测HIV呈阳性。在279名首次接受检测的性伴侣中，39名（14%）HIV呈阳性。注射吸毒者比其他风险组的人更有可能合作（93%对76%），且提及的性伴侣更多（中位数分别为4个和1个）。女性和选择保密检测的人更有可能合作且提及的性伴侣更多。该项目的估计成本为每年62,500美元。
性伴侣通知识别出了一个HIV血清阳性率很高的群体。在可能难以通过其他干预措施接触到的人群中，该方法并不成功。
