Partner notification for control of HIV: results after 2 years of a statewide program in Utah.

Pavia, A T; Benyó, Mátyás; Niler, L; Risk, Ilene

doi:10.2105/ajph.83.10.1418

Cited by 53 publications

(19 citation statements)

References 23 publications

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“…The proportion of index clients who provided information about their partners in this project was lower than that found in previously published reports of PCRS. [15][16][17][18] However, a substantial number of the participating index clients at the Los Angeles site were interviewed three or more months after being diagnosed with HIV; when we excluded these individuals from the analysis, we found that 69% of the remaining index clients at all sites had provided partner information, a proportion that is consistent with previous reports.…”

Section: Discussionsupporting

confidence: 82%

Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

et al. 2008

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SYNOPSISObjectives. Partner counseling and referral services (PCRS) provide a unique opportunity to decrease transmission of human immunodeficiency virus (HIV) by notifying sex and drug-injection partners of HIV-infected individuals of their exposure to HIV. We incorporated rapid HIV testing into PCRS to reduce barriers associated with conventional HIV testing and identify undiagnosed HIV infection within this high-risk population. Results. A total of 2,678 index clients were identified, of whom 779 (29%) provided partner locating information. A total of 1,048 partners were elicited, of whom 463 (44%) were both interviewed and tested for HIV. Thirty-seven partners (8%) were newly diagnosed with HIV. The number of index clients interviewed to identify one partner with newly diagnosed HIV infection ranged from 10 to 137 at the participating sites.

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Section: Discussionsupporting

confidence: 82%

Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

et al. 2008

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“…In two studies that used partner notification, the cost of a new HIV diagnosis was $3,800 (seroprevalence, 15%) in Colorado 22 and $6,400 (seroprevalence, 14%) in Utah. 23 In both of these studies, people with newly diagnosed HIV infection provided the names of sexual or needle-sharing partners to state health department staff, who then offered HIV testing to the partners.…”

Section: Discussionmentioning

confidence: 99%

Cost-Effectiveness of Finding New HIV Diagnoses Using Rapid HIV Testing in Community-Based Organizations

et al. 2008

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Objective. We assessed the cost-effectiveness of determining new human immunodeficiency virus (HIV) diagnoses using rapid HIV testing performed by community-based organizations (CBOs) in Kansas City, Missouri, and Detroit, Michigan.Methods. The CBOs performed rapid HIV testing during April 2004 through March 2006. In Kansas City, testing was performed in a clinic and in outreach settings. In Detroit, testing was performed in outreach settings only. Both CBOs used mobile testing vans. Measures of effectiveness were the number of HIV tests performed and the number of people notified of new HIV diagnoses, based on rapid tests. We retrospectively collected program costs, including those for personnel, test kits, mobile vans, and facility space. Results.The CBO in Kansas City tested a mean of 855 people a year in its clinic and 703 people a year in outreach settings. The number of people notified of new HIV diagnoses was 19 (2.2%) in the clinic and five (0.7%) in outreach settings. The CBO in Detroit tested 976 people a year in outreach settings, and the number notified of new HIV diagnoses was 15 (1.5%). In Kansas City, the cost per person notified of a new HIV diagnosis was $3,637 in the clinic and $16,985 in outreach settings. In the Detroit outreach settings, the cost per notification was $13,448.Conclusions. The cost of providing a new HIV diagnosis was considerably higher in the outreach settings than in the clinic. The variation can be largely explained by differences in the number of undiagnosed infections among the people tested and by the costs of purchasing and operating a mobile van.

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“…For example, the contacts of the first IDU to be diagnosed with HIV in Australia (Blacker ct al, 1986) found four new cases of infection among six identified contacts, and two new cases were found among the five sexual contacts of another early case in Australia (Cooper et al, 1984). More recently in the United States contract tracing has identified cases of HIV infection in individuals who were unaware that they were infected and, hence, at risk of unknowingly infecting others (Landis et al, 1992;Pavio et al, 1993;Waldron et al, 1995).…”

Section: Is There a Role For Contact Tracing In Preventing Hiv Transmmentioning

confidence: 99%

“…Landis et al, 1992;Pavio et al, 1993;Waldron et al, 1995) may not be applicable in all countries. It may be, for example, that in the absence of a comprehensive public health care system IDUs regard a preparedness to identify one's contacts as one of the costs of receiving health care.…”

Section: Is There a Role For Contact Tracing In Preventing Hiv Transmmentioning

confidence: 99%

Is there a role for contact tracing in preventing HIV transmission among injecting drug users?

Hall

Dolan

1996

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Partner notification for control of HIV: results after 2 years of a statewide program in Utah.

Abstract: 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.

Cited by 53 publications

References 23 publications

Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

Incorporating Rapid HIV Testing into Partner Counseling and Referral Services

Cost-Effectiveness of Finding New HIV Diagnoses Using Rapid HIV Testing in Community-Based Organizations

Is there a role for contact tracing in preventing HIV transmission among injecting drug users?

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