Beyond Disease Intervention: Exploring an Expanded Role for Partner Services in the MATRix-NC Demonstration Project.

Autor:	Hurt CB; From the Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill., Morrison AS; From the Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill., Guy J; From the Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill., Mobley VL; Communicable Diseases Branch, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh., Dennis AM; From the Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill., Barrington C; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill., Samoff E; Communicable Diseases Branch, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh., Hightow-Weidman LB, McNeil CJ; Department of Internal Medicine, Section of Infectious Diseases, Wake Forest School of Medicine, Winston-Salem, NC., Carry MG; Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA., Hogben M; Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA., Seña AC; From the Institute for Global Health & Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill.
Jazyk:	angličtina
Zdroj:	Sexually transmitted diseases [Sex Transm Dis] 2022 Feb 01; Vol. 49 (2), pp. 93-98.
DOI:	10.1097/OLQ.0000000000001544
Abstrakt:	Background: Disease intervention specialists (DIS) provide partner services for sexually transmitted infections (STIs). We assessed an expansion of DIS services for clients with HIV and/or syphilis, and contacts within their social and sexual networks. Methods: Black and Latinx cisgender men and transgender women who have sex with men diagnosed with HIV and/or syphilis in 4 urban North Carolina counties were referred to designated DIS, who were trained to recruit clients as "seeds" for chain-referral sampling of sociosexual network "peers." All received HIV/STI testing and care; referrals for preexposure prophylaxis (PrEP) and social, behavioral, and non-STI medical services were offered. Participants completed baseline, 1-month, and 3-month computerized surveys. Results: Of 213 cases referred to DIS from May 2018 to February 2020, 42 seeds (25 with syphilis, 17 with HIV) and 50 peers participated. Median age was 27 years; 93% were Black and 86% were cisgender men. Most peers came from seeds' social networks: 66% were friends, 20% were relatives, and 38% were cisgender women. Incomes were low, 41% were uninsured, and 10% experienced recent homelessness. More seeds than peers had baseline PrEP awareness; attitudes were favorable, but utilization was poor. Thirty-seven participants were referred for PrEP 50 times; 17 (46%) accessed PrEP by month 3. Thirty-nine participants received 129 non-PrEP referrals, most commonly for housing assistance, primary care, Medicaid navigation, and food insecurity. Conclusions: Chain-referral sampling from partner services clients allowed DIS to access persons with significant medical and social service needs, demonstrating that DIS can support marginalized communities beyond STI intervention. Competing Interests: Conflict of Interest and Sources of Funding: C.B.H. supervised local research activities for a clinical trial of preexposure prophylaxis sponsored by Gilead Sciences. A.C.S. received a Frontlines of Communities of the United States grant from Gilead Sciences and royalties from UpToDate. (Copyright © 2021 American Sexually Transmitted Diseases Association. All rights reserved.)
Databáze:	MEDLINE
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