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Cited by 41Reproductive tract infections researchHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual Risk

A randomized, controlled trial of inSPOT and patient-delivered partner therapy for gonorrhea and chlamydial infection among men who have sex with men.

Kerani, Roxanne Pieper, Fleming, Mark, DeYoung, Bill, Golden, Matthew Robert·2011·Sexually Transmitted Diseases
DOI 10.1097/olq.0b013e318223fcbc
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Abstract

BACKGROUND: The efficacy of patient-delivered partner therapy (PDPT) and inSPOT, a web-based partner notification service, in increasing partner treatment and/or notification among men who have sex with men (MSM) has not been evaluated. METHODS: We enrolled MSM with chlamydia and/or gonorrhea in a randomized, controlled trial with the following 4 arms: inSPOT, PDPT, combined inSPOT and PDPT (inSPOT/PDPT), and standard partner management. Men were offered enrollment when contacted for partner services. Participants completed baseline and follow-up interviews approximately 2 weeks apart. RESULTS: We offered enrollment to 393 eligible MSM, of whom 75 (19%) enrolled and 318 (81%) declined enrollment. The study was halted early due to low enrollment. Among the 75 enrollees, 53 (71%) completed baseline and follow-up interviews. Of these 53 men, 13, 10, 17, and 13 were assigned to the PDPT, inSPOT, inSPOT/PDPT, and standard arms, respectively; participants provided information about 186 partners. The number of partners treated per original patient was 2.33 in the PDPT arm and 1.52 in the non-PDPT arms. PDPT assignment increased the mean number of partners treated per original patient by 54% (ratio of means = 1.54, 95% confidence interval: 1.01-2.34), after adjustment for inSPOT assignment. Among 27 men assigned to inSPOT or inSPOT/PDPT, 1 (4%) used inSPOT to notify ≥ 1 partner. inSPOT did not affect partner notification, but decreased partner human immunodeficiency virus testing (ratio of means: 0.42, 95% confidence interval: 0.18-0.99). CONCLUSIONS: PDPT may increase partner treatment among MSM. Few MSM appear to be willing to use inSPOT to notify their sex partners. Traditional randomized trials of partner notification strategies may not be feasible among MSM.

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  • Data are limited regarding use of EPT for gonococcal or chlamydial infections among MSM, compared with heterosexuals.

    “Data are limited regarding use of EPT for gonococcal or chlamydial infections among MSM, compared with heterosexuals (131,132).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [132]

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Authors
Kerani, R. P., Fleming, M., DeYoung, B., & Golden, M. R.
Affiliations
Public Health – Seattle & King County (US)
Corresponding author
  • Kerani, Roxanne Pieper
  • Fleming, Mark
  • DeYoung, Bill
  • Golden, Matthew Robert
ORCID
Venue
Sexually Transmitted Diseases
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2011-10
Volume
38
Issue
10
Pages
941-946
ISSN
0148-5717 (ISSN-L)
DOI
10.1097/olq.0b013e318223fcbc
OpenAlex
W2022863747
Cited by
41
References
18
Citations by year
2026: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 3 · 2019: 4 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 8
FWCI
5.31
Type
journal article
Language
en
Open access
closed
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
patient-delivered partner therapy, partner notification, gonorrhea, chlamydia, men who have sex with men, partner treatment, HIV testing, sexually transmitted infections
MeSH terms
Adult, Anti-Bacterial Agents, Chlamydia Infections, Follow-Up Studies, Gonorrhea, Humans, Male, Sexual Behavior, Sexual Partners, Washington, Contact Tracing, Homosexuality, Male, Internet, Young Adult, Coinfection

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