An audit of partner notification for syphilis and HIV

Armstrong, Heather; Fernando, I

doi:10.1258/ijsa.2012.012054

Cited by 9 publications

(6 citation statements)

References 14 publications

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“…Contact tracing was recommended by World Health Organization as a critical strategy of PMTCT [10]. In our study, 74.1% of male partners of syphilis-seropositive pregnant women received further screening for syphilis, similar to the contact tracing rate reported in Bolivia (76.9%) [11], and higher than that reported in Uganda (18%) [12], Peru (33.7%) [13], Botswana (52.9%) [4], Kenya (67%) [3] and that reported among non-pregnant women with STD (13.6-58%) [14][15][16]. 19.1% of the male partners screened for syphilis were syphilis-seropositive, of whom 60% were newly diagnosed, similar to the prevalence of 18.1% reported in Kenya [3].…”

Section: Discussionsupporting

confidence: 86%

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an district, Shenzhen, China

et al. 2020

View full text Add to dashboard Cite

Background Untreated male partners are a critical source of maternal re-infection. Contact tracing is a good way to identify infection among partners and reduce risk of mother-to-child transmission related to maternal re-infection. This study aimed to analyze the current situation and related factors of contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners. Method Data of syphilis-seropositive pregnant women and their male partners attending clinic for syphilis-screening were obtained from the Shenzhen Program for Prevention of Congenital Syphilis. Contact tracing rate of syphilis-seropositive pregnant women and syphilis prevalence among male partners were counted, and related factors were also analyzed using a random-effects logistic regression model. Result Of the 1299 syphilis-seropositive pregnant women, 74.1% (963/1299) had their male partners receiving syphilis-screening and 19.1% (184/963) of male partners were syphilis-infected. For pregnant women, being divorced (adjusted odds ratio [AOR] =0.39; 95%CI: 0.17–0.87), seeking for emergency services at their first antenatal clinics visits (AOR = 0.58; 95%CI: 0.44–0.77), reporting willingness to notify partner(AOR = 7.65; 95%CI: 4.69–12.49), multi-partners (AOR = 1.38; 95%CI:1.03–1.86) and having a history of drug abuse (AOR = 0.37; 95%CI: 0.14–1.00)were independently associated with successful contact tracing. For male partners, of minority ethnicity (AOR = 4.15; 95%CI: 1.66–10.34), age at first sex>20(AOR = 0.57; 95%CI: 0.37–0.87), reporting multi-partners (AOR = 1.60; 95%CI: 1.04–2.46), having a history of drug abuse (AOR = 4.07; 95%CI: 1.31–12.64) were independently associated with syphilis-infection. In addition, pregnant women with TRUST titer ≥1:8 (AOR = 2.81; 95%CI: 1.87–4.21), having a history of adverse pregnancy outcomes (AOR = 1.70; 95%CI: 1.14–2.53), reporting multi-partners (AOR = 0.43; 95%CI: 0.29–0.64) and reporting the current partner as the source of syphilis (AOR = 5.05; 95%CI: 2.82–9.03) were independently associated with partners’ syphilis-infection. Conclusion Contact tracing is feasible and effective in identifying syphilis-infected partners among syphilis-seropositive pregnant women. Contact tracing is associated with many factors such as women’s marital status, services at their first antenatal clinics visit and willingness of partner notification. Partners’ ethnicity, age at first sex, multi-partners and history of drug abuse as well as women’s levels of TRUST titer were associated with partners’ syphilis-infection.

show abstract

Section: Discussionsupporting

confidence: 86%

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an district, Shenzhen, China

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Contact tracing was recommended by World Health Organization as a critical strategy of PMTCT [10]. In our study, 74.1% of male partners of syphilis-seropositive pregnant women received further screening for syphilis, similar to the contact tracing rate reported in Bolivia (76.9%) [11], and higher than that reported in Uganda (18%) [12], Peruvian (33.7%) [13], Botswana(52.9%) [4], Kenya (67%) [3] and that reported among non-pregnant women with STD (13.6%-58%) [14][15][16]. 19.1% of the male partners screened for syphilis were syphilis-seropositive, of whom 60% were newly diagnosed, similar to the prevalence of 18.1% reported in Kenya [3].…”

Section: Discussionsupporting

confidence: 86%

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an District, Shenzhen, China

Huang¹,

Yan²,

Deng³

et al. 2020

Preprint

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Background: Untreated male partners are a critical source of maternal re-infection. Contact tracing is a good way to identify infection among partners and reduce risk of mother-to-child transmission related to maternal re-infection. This study aimed to analyze the current situation and related factors of contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners.Method: Data of syphilis-seropositive pregnant women and their male partners attending clinic for syphilis-screening were obtained from the Shenzhen Program for Prevention of Congenital Syphilis. Contact tracing rate of syphilis-seropositive pregnant women and syphilis prevalence among male partners were counted, and related factors were also analyzed using a random-effects logistic regression model.Result: Of the 1299 syphilis-seropositive pregnant women, 74.1% (963/1299) had their male partners receiving syphilis-screening and 19.1% (184/963) of male partners were syphilis-infected. For pregnant women, being divorced (adjusted odds ratio [AOR] =0.39; 95%CI: 0.17-0.87), seeking for emergency services at their first antenatal clinics visits (AOR=0.58; 95%CI: 0.44-0.77), reporting willingness to notify partner(AOR=7.65; 95%CI: 4.69-12.49), multi-partners (AOR= 1.38; 95%CI:1.03-1.86) and having a history of drug abuse (AOR=0.37; 95%CI: 0.14-1.00)were independently associated with successful contact tracing. For male partners, of minority ethnicity (AOR=4.15; 95%CI: 1.66-10.34), age of first sex＞20(AOR=0.57; 95%CI: 0.37-0.87), reporting multi-partners (AOR = 1.60; 95%CI: 1.04-2.46), having a history of drug abuse (AOR=4.07; 95%CI: 1.31-12.64) were independently associated with syphilis-infection. In addition, pregnant women with TRUST titer ≥1:8 (AOR=2.81; 95%CI: 1.87-4.21), having a history of adverse pregnancy outcomes (AOR=1.70; 95%CI: 1.14-2.53), reporting multi-partners (AOR=0.43; 95%CI: 0.29-0.64) and reporting the current partner as the source of syphilis (AOR=5.05; 95%CI: 2.82-9.03) were independently associated with partners' syphilis-infection.Conclusion: Contact tracing is feasible and effective in identifying syphilis-infected partners among syphilis-seropositive pregnant women. Contact tracing is associated with many factors such as women's marital status, services at their first antenatal clinics visit and willingness of partner notification. Partners' ethnicity, age of first sex, multi-partners and history of drug abuse as well as women's levels of TRUST titer were associated with partners' syphilis-infection.

show abstract

“…In our study, 74.1% of male partners of syphilis-seropositive pregnant women received further screening for syphilis, similar to the contact tracing rate reported in Bolivia (76.9%) [11], and higher than that reported in Uganda (18%) [12], Peruvian (33.7%) [13], Botswana (52.9%) [4], Kenya (67%) [3] and that reported among non-pregnant women with STD (13.6%-58%) [14][15][16]. 19.1% of the male partners screened for syphilis were syphilis-seropositive, of whom 60% were newly diagnosed, similar to the prevalence of 18.1% reported in Kenya [3].…”

Section: Discussionsupporting

confidence: 86%

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an District, Shenzhen, China

Yan

Deng

Wen

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Untreated male partners are critical source of maternal re-infection. Contact tracing is a good way to identify infection among partners and reduce risk of mother-to-child transmission related to maternal re-infection. This study aimed to analyze the current situation and related factors of contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners.Method Data of syphilis-seropositive pregnant women and their male partners attending clinics for syphilis-screening were obtained from the Shenzhen Program for Prevention of Congenital Syphilis.Contact tracing rate of syphilis-seropositive pregnant women and syphilis prevalence among male partners were counted, and related factors were also analyzed using a random-effects logistic regression model. ResultOf the 1299 syphilis-seropositive pregnant women, 74.1% (963/1299) had their male partners receiving syphilis-screening and 19.1% (184/963) of male partners were syphilis-infected. For pregnant women, being divorced (adjusted odds ratio [AOR] =0.39; 95%CI: 0.17-0.88), seeking for emergency services at their first antenatal clinics visit (AOR=0.59; 95%CI: 0.44-0.79), reporting willingness to notify partner (AOR=7.75; 95%CI: 4.73-12.70), and having a history of drug abuse (AOR=0.35; 95%CI: 0.13-0.93) were independently associated with successful contact tracing. For male partners, of minority nationality (AOR=4.15; 95%CI: 1.66-10.34), age of first sex>20(AOR=0.57;95%CI: 0.37-0.87), reporting multi-partner (AOR = 1.60; 95%CI: 1.04-2.46), having a history of drug abuse (AOR=4.07; 95%CI: 1.31-12.64) were independently associated with syphilis-infection. In addition, pregnant women with TRUST titer ≥1:8 (AOR=2.81; 95%CI: 1.87-4.21), having a history of adverse pregnancy outcomes (AOR=1.70; 95%CI: 1.14-2.53), reporting multi-partners (AOR=0.43; 95%CI: 0.29-0.64) and reporting the current partner as the source of syphilis (AOR=5.05; 95%CI: 2.82-9.03) were independently associated with partners' syphilis-infection.Conclusion Contact tracing is feasible and effective in identifying syphilis-infected partners among syphilis-seropositive pregnant women. Contact tracing is associated with many factors such as women's marital status, services at their first antenatal clinics visit and willingness of partner

show abstract

An audit of partner notification for syphilis and HIV

Cited by 9 publications

References 14 publications

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an district, Shenzhen, China

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an district, Shenzhen, China

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an District, Shenzhen, China

Contact tracing of syphilis-seropositive pregnant women and syphilis-infection among their male partners in Bao'an District, Shenzhen, China

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