Opportunities for Improving Partner Notification for HIV: Results from a Community-Based Participatory Research Study

Edelman, E. Jennifer; Cole, Christopher; Richardson, Wanda; Boshnack, Nicholas; Jenkins, Heidi; Rosenthal, Marjorie S.

doi:10.1007/s10461-013-0692-9

Cited by 21 publications

(18 citation statements)

References 36 publications

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“…34,35] and some research studies exploring trust have linked it to disclosure decision [e.g. 27,36,37]. Our findings indicate that relationship trust has an influence that is more pervasive than this, affecting a range of disclosure outcomes also.…”

Section: Discussionsupporting

confidence: 53%

Taking into Account the Quality of the Relationship in HIV Disclosure

2016

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This article may not exactly replicate the final version published in the journal 2 Taking into account the quality of the relationship in HIV disclosure AbstractDespite growing interest in HIV disclosure, most theoretical frameworks and empirical studies focus on individual and social factors affecting the process, leaving the contribution of interpersonal factors relatively unexplored. HIV transmission and disclosure often occur within a couple however, and this is where disclosure has the most scope as a HIV transmission intervention. With this in mind, this study explores whether perceived relationship quality influences HIV disclosure outcomes. Ninety-five UK individuals with HIV participated in a crosssectional survey. Retrospective data were collected on their perceived relationship quality prior to disclosing their HIV positive status, and on disclosure outcomes. Perceived relationship quality was found to significantly affect disclosure outcomes. Positive qualities in the relationship were associated with positive outcomes, whereas negative qualities were associated with negative outcomes. Results further confirmed that this association was not merely correlational, but demonstrated predictive power. Relationship quality might act as either a risk or a resilience factor in the disclosure process, and thus warrants greater attention in future research.

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Section: Discussionsupporting

confidence: 53%

Taking into Account the Quality of the Relationship in HIV Disclosure

2016

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“…Mistrust in health workers and concerns about maintaining confidentiality were found to be barriers to partner notification in other settings as well. 9,13,14 If confidentiality is broken, many clients expressed a fear of stigma in the community and creating conflict in relationships. These fears are consistent with those found in other settings.…”

Section: Discussionmentioning

confidence: 99%

Understanding Barriers to Scaling Up HIV Assisted Partner Services in Kenya

Goyette

Wamuti

Owuor

et al. 2016

AIDS Patient Care and STDs

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Assisted partner services (APS) are more effective than passive referral in identifying new cases of HIV in many settings. Understanding the barriers to the uptake of APS in sub-Saharan Africa is important before its scale up. In this qualitative study, we explored client, community, and healthcare worker barriers to APS within a cluster randomized trial of APS in Kenya. We conducted 20 in-depth interviews with clients who declined enrollment in the APS study and 9 focus group discussions with health advisors, HIV testing and counseling (HTC) counselors, and the general HTC client population. Two analysts coded the data using an open coding approach and identified major themes and subthemes. Many participants reported needing more time to process an HIV-positive result before providing partner information. Lack of trust in the HTC counselor led many to fear a breach of confidentiality, which exacerbated the fears of stigma in the community and relationship conflicts. The type of relationship affected the decision to provide partner information, and the lack of understanding of APS at the community level contributed to the discomfort in enrolling in the study. Establishing trust between the client and HTC counselor may increase uptake of APS in Kenya. A client's decision to provide partner information may depend on the type of relationship he or she is in, and alternative methods of disclosure may need to be offered to accommodate different contexts. Spreading awareness about APS in the community may make clients more comfortable providing partner information.

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“…This is an important innovation to web-notification services, given that provider notification is thought to be more effective than patient referral alone(12,14,28,29). A main barrier to effective implementation of partner services is the rejection or suboptimal use of those services by patients(30,31). This may be related to a number of factors, including distrust of health departments and HIV-related stigma(31).…”

Section: Discussionmentioning

confidence: 99%

Next-Generation Methods for HIV Partner Services

Hochberg¹,

Berringer²,

Schneider³

2015

Sexually Transmitted Diseases

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Partner notification is a widely accepted method whose intent is to limit onwards HIV transmission. With acceleration in the use of new technologies such as text-messaging, e-mail and social network sites, there has been growing interest in utilizing these techniques for “next-generation” HIV partner services (PS). We conducted a systematic review to assess the utilization and effectiveness of these technologies in HIV PS. Our literature search resulted in 1,343 citations, and 8 met our inclusion criteria. We found efforts focused in 3 domains: 1) patient-led anonymous referral online (n=3); 2) provider-led efforts to augment traditional partner notification techniques at public health departments (n=4); 3) a hybrid approach utilizing a website for e-notification available to those with confirmed STI through an STI clinic (n=1). For the provider-led efforts a modest increase in HIV case-finding was noted despite a generally lower rate of successful notification in comparison to traditional PS. The public websites had a high total number of e-notifications sent, but less than 10% of cards were sent for HIV. Furthermore, low awareness of these services was found in surveys amongat-risk target populations. When given a choice, the majority of clients chose to send an e-notification via text versus e-mail. Although successful notification may be lower overall, use of next-generation services provides an avenue to contact those that would previously have been untraceable. Additional research is needed to determine to what extent technology enhanced partner services improves identification of newly infected persons as well as initiating new prevention for HIV negative clients within high-risk networks.

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Opportunities for Improving Partner Notification for HIV: Results from a Community-Based Participatory Research Study

Cited by 21 publications

References 36 publications

Taking into Account the Quality of the Relationship in HIV Disclosure

Taking into Account the Quality of the Relationship in HIV Disclosure

Understanding Barriers to Scaling Up HIV Assisted Partner Services in Kenya

Next-Generation Methods for HIV Partner Services

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