L M Niccolai1, J R Ickovics, K Zeller, T S Kershaw, S Milan, J B Lewis, K A Ethier. 1. Yale University School of Medicine, Department of Epidemiology and Public Health, Center for Interdisciplinary Research on AIDS, 60 College Street, PO Box 208034, New Haven, CT 06520-8034, USA. linda.niccolai@yale.edu
Abstract
OBJECTIVES: Effective partner management is critical in reducing the spread of bacterial sexually transmitted infections (STIs). The purpose of this study was to determine the relation between knowledge of partner treatment for a past STI and current infection in the index patient. METHODS: In a cross sectional analysis, 97 adolescent females sampled from community based health clinics reported that they had a past diagnosis of chlamydia or gonorrhoea in structured, face to face interviews. At the time of the interview, adolescents were also tested for chlamydia and gonorrhoea using urine based ligase chain reaction testing. RESULTS: 66% of the adolescents reported knowing that their partner was treated for the past infection. Those who knew their partner was treated were less likely to have a current infection, compared to those who did not know (11% v 30%, adjusted odds ratio and 95% confidence interval 4.46 (1.41 to 14.29), p<0.05). Correlates of not knowing the sex partner was treated included younger age and being in new sex partnership. CONCLUSIONS: Efforts to encourage young women to follow up directly with their partners regarding treatment may help to reduce repeat infections and further spread. Furthermore, alternative strategies such as patient delivered therapy may help with partner treatment in this vulnerable population.
OBJECTIVES: Effective partner management is critical in reducing the spread of bacterial sexually transmitted infections (STIs). The purpose of this study was to determine the relation between knowledge of partner treatment for a past STI and current infection in the index patient. METHODS: In a cross sectional analysis, 97 adolescent females sampled from community based health clinics reported that they had a past diagnosis of chlamydia or gonorrhoea in structured, face to face interviews. At the time of the interview, adolescents were also tested for chlamydia and gonorrhoea using urine based ligase chain reaction testing. RESULTS: 66% of the adolescents reported knowing that their partner was treated for the past infection. Those who knew their partner was treated were less likely to have a current infection, compared to those who did not know (11% v 30%, adjusted odds ratio and 95% confidence interval 4.46 (1.41 to 14.29), p<0.05). Correlates of not knowing the sex partner was treated included younger age and being in new sex partnership. CONCLUSIONS: Efforts to encourage young women to follow up directly with their partners regarding treatment may help to reduce repeat infections and further spread. Furthermore, alternative strategies such as patient delivered therapy may help with partner treatment in this vulnerable population.
Authors: Ralph J DiClemente; Gina M Wingood; Richard A Crosby; Catlainn Sionean; Brenda K Cobb; Kathy Harrington; Susan L Davies; Edward W Hook; M Kim Oh Journal: Sex Transm Dis Date: 2002-01 Impact factor: 2.830
Authors: Janet S St Lawrence; Daniel E Montaño; Danuta Kasprzyk; William R Phillips; Keira Armstrong; Jami S Leichliter Journal: Am J Public Health Date: 2002-11 Impact factor: 9.308
Authors: M R Golden; W L Whittington; H H Handsfield; C Malinski; A Clark; J P Hughes; P M Gorbach; K K Holmes Journal: Sex Transm Dis Date: 2001-11 Impact factor: 2.830
Authors: Patricia Kissinger; John L Clayton; Megan E O'Brien; Charlotte Kent; William L H Whittington; M Kim Oh; Dennis Fortenberry; Susan E Hillis; Billy Litchfield; Gail A Bolan; H Hunter Handsfield; Thomas A Farley; Stuart Berman Journal: Sex Transm Dis Date: 2002-03 Impact factor: 2.830
Authors: Katherine C Steiner; Veronica Davila; Charlotte K Kent; Janice K Chaw; Lyn Fischer; Jeffrey D Klausner Journal: Am J Public Health Date: 2003-06 Impact factor: 9.308
Authors: Linda M Niccolai; Kathleen A Ethier; Trace S Kershaw; Jessica B Lewis; Jeannette R Ickovics Journal: Am J Obstet Gynecol Date: 2003-01 Impact factor: 8.661
Authors: Julia A Schillinger; Patricia Kissinger; Helene Calvet; William L H Whittington; Ray L Ransom; Maya R Sternberg; Stuart M Berman; Charlotte K Kent; David H Martin; M Kim Oh; H Hunter Handsfield; Gail Bolan; Lauri E Markowitz; J Dennis Fortenberry Journal: Sex Transm Dis Date: 2003-01 Impact factor: 2.830
Authors: Nicola Low; Anne McCarthy; Tracy E Roberts; Mia Huengsberg; Emma Sanford; Jonathan A C Sterne; John Macleod; Chris Salisbury; Karl Pye; Aisha Holloway; Andrea Morcom; Rita Patel; Suzanne M Robinson; Paddy Horner; Pelham M Barton; Matthias Egger Journal: BMJ Date: 2005-12-15
Authors: Joan Marie Kraft; Maura K Whiteman; Marion W Carter; M Christine Snead; Ralph J DiClemente; Collen Crittenden Murray; Kendra Hatfield-Timajchy; Melissa Kottke Journal: Sex Transm Dis Date: 2015-04 Impact factor: 2.830