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Golden, Matthew R.; AugsJoost, Brett; Bender, Melverta; Brady, Kathleen A.; Collins, Lyell S.; Dombrowski, Julia D.; Ealey, Jamila; Garcia, Christopher; George, Dan; Gilliard, Bernard; Harris, Terrainia; Johnson, Cynthia; Khosropour, Christine M.; Rumanes, Sophia F.; Surita, Karen; Tabidze, Irina; Udeagu, Chi-Chi N.; Walker-Baban, Cherie; Cramer, Natalie O.

The Organization, Content, and Case-Finding Effectiveness of HIV Assisted Partner Services in High HIV Morbidity Areas of the United States

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  • Media type: E-Article
  • Title: The Organization, Content, and Case-Finding Effectiveness of HIV Assisted Partner Services in High HIV Morbidity Areas of the United States
  • Contributor: Golden, Matthew R.; AugsJoost, Brett; Bender, Melverta; Brady, Kathleen A.; Collins, Lyell S.; Dombrowski, Julia D.; Ealey, Jamila; Garcia, Christopher; George, Dan; Gilliard, Bernard; Harris, Terrainia; Johnson, Cynthia; Khosropour, Christine M.; Rumanes, Sophia F.; Surita, Karen; Tabidze, Irina; Udeagu, Chi-Chi N.; Walker-Baban, Cherie; Cramer, Natalie O.
  • Published: Ovid Technologies (Wolters Kluwer Health), 2022
  • Published in: JAIDS Journal of Acquired Immune Deficiency Syndromes, 89 (2022) 5, Seite 498-504
  • Language: English
  • DOI: 10.1097/qai.0000000000002904
  • ISSN: 1525-4135
  • Origination:
  • Footnote:
  • Description: Background: The contemporary effectiveness of assisted partner notification services (APS) in the United States is uncertain. Setting: State and local jurisdictions in the United States that reported ≥300 new HIV diagnoses in 2018 and were participating in the Ending the Epidemic Initiative. Methods: The study surveyed health departments to collect data on the content and organization of APS and aggregate data on APS outcomes for 2019. Analyses defined contact and case-finding indices (i.e., sex partners named and newly diagnosed per index case receiving APS) and estimated staff case-finding productivity. Results: Sixteen (84%) of 19 jurisdictions responded to the survey, providing APS outcome data for 14 areas (74%). Most health departments routinely integrated APS with linkage of cases and partners to HIV care (88%) and pre-exposure prophylaxis (88%). A total of 19,164 persons were newly diagnosed with HIV in the 14 areas. Staff initiated APS investigations on 14,203 cases (74%) and provided APS to 9937 cases (52%). Cases named 6799 partners (contact index = 0.68), of whom 1841 (27%) had previously diagnosed HIV, 2202 (32%) tested HIV negative, 541 (8% of named and 20% of tested partners) were newly diagnosed with HIV, and 2215 (33%) were not known to have tested. Across jurisdictions, the case-finding index was 0.054 (median = 0.05, range 0.015–0.12). Health departments employed 292 full-time equivalent staff to provide APS. These staff identified a median of 2.0 new HIV infections per staff per year. APS accounted for 2.8% of new diagnoses in 2019. Conclusions: HIV case-finding resulting from APS in the United States is low.
  • Access State: Open Access