1. Assisted partner services for people who inject drugs: Index characteristics associated with untreated HIV in partners
- Author
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Carey Farquhar, John D. Scott, Aliza Monroe-Wise, William Sinkele, Natasha Ludwig-Barron, Loice W. Mbogo, Brandon L. Guthrie, Sarah Masyuko, Bhavna Chohan, Ashley S. Tseng, Betsy Sambai, and Joshua T. Herbeck
- Subjects
medicine.medical_specialty ,Index (economics) ,business.industry ,Family medicine ,medicine ,Human immunodeficiency virus (HIV) ,Hiv testing ,Hiv status ,business ,Prospective cohort study ,medicine.disease_cause ,Methadone ,medicine.drug - Abstract
ObjectiveIdentify characteristics of persons who inject drugs living with HIV (PWID-LWH) associated with greater assisted partner services (APS) efficiency in identifying partners in need of HIV care and treatment services.DesignProspective cohort studyMethodsPWID-LWH (index participants) were enrolled and asked to provide contact information for sexual and injecting partners who were traced and offered HIV testing. APS efficiency was assessed by the number of indexes needed to interview (NNTI) to find one additional partner who was unaware of their HIV status or not on ART. We defined index participant characteristics associated with greater efficiency, defined as lower NNTIs.ResultsAmong 783 indexes, the NNTI to identify one partner unaware of their HIV status was 7.1 and to identify one HIV-positive partner not on ART (regardless of status awareness) was 4.1. APS was provided to 977 partners and was more efficient in identifying partners who were not on ART (n=201) among indexes who were female (n=381, 49%; NNTI=2.9 vs. 5.7, pConclusionsScaling up APS among PWID-LWH with certain characteristics could result in more efficient APS and greater partner engagement in HIV care.
- Published
- 2021
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