Partner Notification Techniques

Fenton, Kevin; Chippindale, Sarah; Cowan, Frances M

doi:10.1016/s0733-8635(05)70031-0

Cited by 9 publications

(7 citation statements)

References 11 publications

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“…The present study demonstrates the opportunities and challenges to performing PNS in New England. At a time when the number of new STD cases across the US is increasing [ 2 ], PNS is an effective public health intervention for reducing HIV/STD transmission [ 6 , 7 ]. All six New England states reported PNS programs implemented in accordance with current CDC guidelines [ 4 ] for both HIV and other STDs.…”

Section: Discussionmentioning

confidence: 99%

“…In the case of HIV, this may also include injection drug users who share needles with others. By promoting awareness, education and treatment, PNS has been shown to reduce STD transmission within sexual networks and to identify a greater number of asymptomatic infections and prevent adverse health outcomes [ 6 , 7 ]. Testing partners of index cases through partner notification often results in a high yield of seropositivity for HIV and other STDs [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Public health opportunities and challenges in the provision of partner notification services: the New England experience

Magaziner

Montgomery

Bertrand

et al. 2018

BMC Health Serv Res

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BackgroundPartner notification services (PNS) are recommended by the Centers for Disease Control and Prevention as a public health intervention for addressing the spread of HIV and other sexually transmitted diseases (STDs). Barriers and facilitators to the partner notification process from a public health perspective have not been well described.MethodsIn 2015, a coalition of New England public health STD directors and investigators formed to address the increasing STD prevalence across the region (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) and to promote communication between state STD programs. To evaluate barriers and facilitators of PNS programs, a survey was administered to representatives from each state to describe PNS processes and approaches.ResultsOf the six PNS programs, Connecticut, Maine, Massachusetts, Vermont, and New Hampshire had combined HIV and STD PNS programs; Rhode Island’s programs were integrated but employed separate disease intervention specialists (DIS). All states performed PNS for HIV and syphilis. Maine, New Hampshire and Vermont performed services for all gonorrhea cases. Rhode Island, Connecticut, and Massachusetts performed limited partner notification for gonorrhea due to lack of resources. None of the six states routinely provided services for chlamydia, though Maine and Vermont did so for high-priority populations such as HIV co-infected or pregnant individuals. Across all programs, clients received risk reduction counseling and general STD education as a component of PNS, in addition to referrals for HIV/STD care at locations ranging from Planned Parenthood to community- or hospital-based clinics. Notable barriers to successful partner notification across all states included anonymous partners and index cases who did not feel comfortable sharing partners’ names with DIS. Other common barriers included insufficient staff, inability of DIS to identify and contact partners, and index cases declining to speak with DIS staff.ConclusionsIn New England, state health departments use different strategies to implement PNS programs and referral to STD care. Despite this, similar challenges exist across settings, including difficulty with anonymous partners and limited state resources.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Public health opportunities and challenges in the provision of partner notification services: the New England experience

Magaziner

Montgomery

Bertrand

et al. 2018

BMC Health Serv Res

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“…The overall aim of partner notification, according to Fenton et al (1998), is to notify partners at risk in order to avoid transmitting infection to others and to provide early treatment for infected contacts so as to reduce the levels of morbidity associated with long-term infection. The process of partner notification for STIs can be divided into three approaches: patient, provider and conditional referral.…”

Section: Introductionmentioning

confidence: 99%

Men Who Have Sex with Men and Partner Notification in Ireland

Coleman

2009

Current Sociology

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The process of partner notification (or contact tracing) is regarded as the cornerstone in the prevention and control of sexually transmitted infections, yet almost nothing is known of the lay experience of partner notification. This article draws on a mixed methods study designed to explore lay perspectives among men who have sex with men (MSM) in the Greater Dublin Area in relation to partner notification for syphilis. Specifically, this article tests two related hypotheses with regard to gay men's help-seeking behaviour: first that MSM might contest a hegemonic masculine model of help-seeking behaviour and second that MSM have difficulties engaging with partner notification because of the difficulties of tracing anonymous sexual contacts. The findings suggest that the health-seeking behaviours of MSM in this study disrupt binary dualisms of hegemonic masculine and hegemonic feminine patterns of health-seeking behaviours and also contradict some health professional stereotypes of gay relationships.

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“…In public health terms, PN is regarded as standard best practice globally for the prevention and control of sexually acquired infections (Cates et al 1990, Oxman et al 1994, Cowan et al 1996, Fenton et al 1998, Macke and Maher 1999, WHO/Joint United Nations Programme on HIV/AIDS 1999, Mathews et al 2002, Tomnay et al 2004, Osterterlund et al 2005. However, internationally there has been a failure to investigate lay perspectives on partner notification with any patient group (for exceptions, but mainly relating to HIV, see Jones et al 1990, Gorbach 2000, Tyde´n and Ramstedt 2000, Maman et al 2001, Carballo-Dieguez et al 2002, Golden et al 2003, Lichtenstein and Schwebke 2005, Coleman and Lohan 2007.…”

Section: Introductionmentioning

confidence: 99%

Regulating sexual bodies or addressing health needs? Men who have sex with men and partner notification

Coleman

Begley

2009

Critical Public Health

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Partner notification is the process by which people who are thought to have been exposed to sexually transmitted infections (STIs) are traced, informed about their exposure and invited to attend clinical services. It is the cornerstone of genitourinary medicine for the prevention and treatment of STIs. The central question of the article is whether partner notification (PN) represents the medical regulation of sexual bodies or is an appropriate medical response to health care needs. The question is first of all addressed through contrasting theoretical lenses: a Functionalist Parsonian perspective, a Post-structuralist, Foucauldian perspective and a critical theory Habermasian perspective. The question is then explored empirically by drawing on the perspectives of men who have sex with men (MSM) as drawn from a study of MSM's lay perspectives on partner notification in the context of a syphilis outbreak in Dublin. The findings show that the views of MSM in this study suggest that PN is an appropriate response to health care needs and, thus, the lay views most clearly resonate with a functionalist understanding of trust in the expert and moral status of public health. However, the difficulties MSM experience in complying with PN also suggests that the medical logic of PN needs to be counter-balanced with the social logic as derived from lay experiences of its practice in their lives. A critical theory approach holds potential for mediating between medicine's regulation of sexual health and individual health care needs.

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Partner Notification Techniques

Cited by 9 publications

References 11 publications

Public health opportunities and challenges in the provision of partner notification services: the New England experience

Public health opportunities and challenges in the provision of partner notification services: the New England experience

Men Who Have Sex with Men and Partner Notification in Ireland

Regulating sexual bodies or addressing health needs? Men who have sex with men and partner notification

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