Partner Notification for Youth Living With HIV in 14 Cities in the United States.

TitlePartner Notification for Youth Living With HIV in 14 Cities in the United States.
Publication TypePublication
Year of Publication2018
Authorsvan den Berg JJ, Javanbakht M, Gorbach PM, Rudy BJ, Westfall AO, Wilson CM, Lally MA
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalJ Acquir Immune Defic Syndr
Volume77
Issue1
Pagination46-52
Date Published2018 01 01
ISSN1944-7884
KeywordsAdolescent, Cities, Contact Tracing, Health Personnel, HIV Infections, Homosexuality, Male, Humans, Male, Sexual and Gender Minorities, Sexual Behavior, Sexual Partners, United States, Young Adult
Abstract

<p><b>BACKGROUND: </b>Identifying factors associated with partner notification among youth living with HIV is critical for effective HIV prevention and treatment strategies.</p><p><b>METHODS: </b>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.</p><p><b>RESULTS: </b>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).</p><p><b>CONCLUSIONS: </b>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.</p>

DOI10.1097/QAI.0000000000001565
Alternate JournalJ. Acquir. Immune Defic. Syndr.
PubMed ID29023252
PubMed Central IDPMC5730071
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
K01 AI091861 / AI / NIAID NIH HHS / United States
P30 MH058107 / MH / NIMH NIH HHS / United States
P30 AI042853 / AI / NIAID NIH HHS / United States
U54 GM115677 / GM / NIGMS NIH HHS / United States