A randomized controlled trial for reducing risks for sexually transmitted infections through enhanced patient-based partner notification.
Open accessAbstract
OBJECTIVES: We sought to assess the effectiveness of approaches targeting improved sexually transmitted infection (STI) sexual partner notification through patient referral. METHODS: From January 2002 through December 2004, 600 patients with Neisseria gonorrhoeae or Chlamydia trachomatis were recruited from STI clinics and randomly assigned to either a standard-of-care group or a group that was counseled at the time of diagnosis and given additional follow-up contact. Participants completed an interview at baseline, 1 month, and 6 months and were checked at 6 months for gonorrhea or chlamydial infection via nucleic acid amplification testing of urine. RESULTS: Program participants were more likely to report sexual partner notification at 1 month (86% control, 92% intervention; adjusted odds ratio [AOR] = 1.8; 95% confidence interval [CI] = 1.02, 3.0) and were more likely to report no unprotected sexual intercourse at 6 months (38% control, 48% intervention; AOR = 1.5; 95% CI = 1.1, 2.1). Gonorrhea or chlamydial infection was detected in 6% of intervention and 11% of control participants at follow-up (AOR = 2.2; 95% CI = 1.1, 4.1), with greatest benefits seen among men (for gender interaction, P = .03). CONCLUSIONS: This patient-based sexual partner notification program can help reduce risks for subsequent STIs among urban, minority patients presenting for care at STI clinics.
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Time spent counseling patients about the importance of notifying partners is associated with improved notification outcomes.
“Time spent counseling patients about the importance of notifying partners is associated with improved notification outcomes (115).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [115]
Additional counselling compared with simple patient referral suggested a positive effect on reinfection of patients.
“One study that compared additional counselling versus simple patient referral suggested a positive effect of counselling on reinfection of patients (96).”
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- Authors
- Wilson, T. E., Hogben, M., Malka, E. S., Liddon, N., McCormack, W. M., Rubin, S. R., & Augenbraun, M. A.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2009-04
- Volume
- 99
- Issue
- S1
- Pages
- S104-S110
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC2724934
- OpenAlex
- W1990065983
- Cited by
- 54
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 1 · 2015: 5 · 2014: 5 · 2013: 4 · 2012: 2
- FWCI
- 5.76
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- SUNY Digital Repository Support (State University of New York System) (submittedVersion, cc-by-nc-nd)
- Funders
- U.S. Public Health Service (R30 CCR219136)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Social Sciences › General Social Sciences › HIV, TB, and STIs Epidemiology
- Keywords
- sexually transmitted infections, Neisseria gonorrhoeae, Chlamydia trachomatis, gonorrhea, chlamydia, patient counseling, follow-up contact, unprotected sex, men, minority patients, STD clinics
- MeSH terms
- Adult, Chlamydia Infections, Chlamydia trachomatis, Female, Humans, Male, Neisseria gonorrhoeae, New York, Population Surveillance, Risk-Taking, United States, Confidence Intervals, Odds Ratio, Neisseriaceae Infections, Disease Notification, Risk Reduction Behavior
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Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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