Partner Notification of Sexually Transmitted Infections among Pregnant Women

The object of this study was to determine the factors associated with partner notification (PN) of sexually transmitted infection (STI) exposure among pregnant, low income, Mexican-American (MA) and African-American (AA) women and their male sexual partners. We used a cross-sectional analysis of 166 pregnant women with an STI, enrolled in a randomized controlled trial of behavioural intervention to prevent recurrent STIs. The primary outcome, PN, is notification of, or intent to notify male sexual partner(s) of STI exposure. Pregnant women with one (n = 136) versus multiple (n = 30) partners reported PN for 88.2% and 54.5% of male partners, respectively (P < 0.001). Multivariate logistic regression demonstrated three variables that independently predicted PN: a steady relationship, with one male sexual partner and recent (<30 days) intercourse with the partner. Among the low income, pregnant MA and AA women, the three relationship variables predicted 81.6% of PN and correctly classified 78.5% of males notified and 65.7% of males not notified.

[1]  J. Piper,et al.  Partner Notification of Sexually Transmitted Infections: A Large Cohort of Mexican American and African American Women , 2008, Sexually transmitted diseases.

[2]  A. Carballo-Diéguez,et al.  Effects of Partner Notification on Reducing Gonorrhea Incidence Rate , 2007, Sexually transmitted diseases.

[3]  J. Fortenberry,et al.  Partner age not associated with recurrent Chlamydia trachomatis infection, condom use, or partner treatment and referral among adolescent women. , 2006, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[4]  J. Silverman,et al.  Intimate partner violence victimization prior to and during pregnancy among women residing in 26 U.S. states: associations with maternal and neonatal health. , 2006, American journal of obstetrics and gynecology.

[5]  M. Hogben,et al.  Predictors of Partner Notification for C. trachomatis and N. gonorrhoeae: An Examination of Social Cognitive and Psychological Factors , 2006, Journal of Urban Health.

[6]  K. Holmes,et al.  Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection. , 2005, The New England journal of medicine.

[7]  J. Piper,et al.  Prevention of Gonorrhea and Chlamydia Through Behavioral Intervention: Results of a Two-Year Controlled Randomized Trial in Minority Women , 2004, Sexually transmitted diseases.

[8]  J. Piper,et al.  Abused Women and Risk for Pelvic Inflammatory Disease1 , 2004, Western journal of nursing research.

[9]  K. Holmes,et al.  Partner Notification for HIV and STD in the United States:: Low Coverage for Gonorrhea, Chlamydial Infection, and HIV , 2003, Sexually transmitted diseases.

[10]  J. Fortenberry,et al.  Patient-Delivered Partner Treatment With Azithromycin to Prevent Repeated Chlamydia trachomatis Infection Among Women: A Randomized, Controlled Trial , 2003, Sexually transmitted diseases.

[11]  J. Fortenberry,et al.  The role of self-efficacy and relationship quality in partner notification by adolescents with sexually transmitted infections. , 2002, Archives of pediatrics & adolescent medicine.

[12]  P. Brocklehurst Antibiotics for gonorrhoea in pregnancy. , 2002, The Cochrane database of systematic reviews.

[13]  K. Holmes,et al.  Partner Management for Gonococcal and Chlamydial Infection: Expansion of Public Health Services to the Private Sector and Expedited Sex Partner Treatment Through a Partnership With Commercial Pharmacies , 2001, Sexually transmitted diseases.

[14]  A. Oxman,et al.  Strategies for partner notification for sexually transmitted diseases. , 2001, The Cochrane database of systematic reviews.

[15]  J. Piper,et al.  Sexual Abuse and Sexual Risk Behaviors of Minority Women with Sexually Transmitted Diseases , 2001, Western journal of nursing research.

[16]  K. Holmes,et al.  To Notify or Not To Notify: STD Patients' Perspectives of Partner Notification in Seattle , 2000, Sexually transmitted diseases.

[17]  B. Höjer,et al.  Psychosocial determinants for sexual partner referral in Uganda: qualitative results , 2000, International journal of STD & AIDS.

[18]  M. Chacko,et al.  Understanding partner notification (Patient self-referral method) by young women. , 2000, Journal of pediatric and adolescent gynecology.

[19]  P. Brocklehurst,et al.  Interventions for treating genital chlamydia trachomatis infection in pregnancy. , 1998, The Cochrane database of systematic reviews.

[20]  B. A. Macke,et al.  Partner notification in the United States: an evidence-based review. , 1999, American journal of preventive medicine.

[21]  K. Holmes,et al.  Partner notification for chlamydial infections among private sector clinicians in Seattle-King County: a clinician and patient survey. , 1999, Sexually transmitted diseases.

[22]  Y. V. van Duynhoven,et al.  Patient referral outcome in gonorrhoea and chlamydial infections. , 1998, Sexually transmitted infections.

[23]  T. Farley,et al.  Effectiveness of patient delivered partner medication for preventing recurrent Chlamydia trachomatis. , 1998, Sexually transmitted infections.

[24]  S. L. Jackson,et al.  Sexually transmitted diseases in pregnancy. , 1997, Obstetrics and gynecology clinics of North America.

[25]  A. van den Hoek,et al.  Partner Referral by Patients With Gonorrhea and Chlamydial Infection: Case‐Finding Observations , 1997, Sexually transmitted diseases.

[26]  T. Eng,et al.  The Hidden Epidemic: Confronting Sexually Transmitted Diseases , 1997 .

[27]  G. Cloud,et al.  Sexual contact tracing outcome in adolescent chlamydial and gonococcal cervicitis cases. , 1996, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[28]  F. Biro,et al.  Secondary prevention of STD transmission during adolescence: Partner notification , 1995 .

[29]  L. Forssman,et al.  Contact Tracing in the Control of Genital Chlamydia Trachomatis Infection , 1991, International journal of STD & AIDS.