Factors associated with partner notification intentions among symptomatic sexually transmitted infection service attendees in South Africa

Autor: B Da Costas Dias, T Kufa, R S Kularatne
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: South African Medical Journal, Vol 113, Iss 2 (2023)
Druh dokumentu: article
ISSN: 0256-9574
2078-5135
DOI: 10.7196/SAMJ.2023.v113i2.16510
Popis: Background. In South Africa (SA), a client-initiated partner notification (PN) approach is implemented for the management of sexual partners of patients presenting with sexually transmitted infections (STIs) or STI syndromes. Objectives. To explore the demographic, sexual behavioural and clinical characteristics associated with PN intentions among symptomatic STI service attendees at sentinel primary healthcare facilities in three SA provinces. Methods. We analysed cross-sectional data obtained from 1 293 adults enrolled into STI aetiological surveillance during 2019 - 2020 in Gauteng, KwaZulu-Natal and Western Cape provinces. Self-reported sexual practices, PN intentions and clinical data were collected using nurse-administrated questionnaires. We assessed gender-stratified factors associated with the index case’s willingness to notify their sexual partners of their STI syndrome diagnosis. Univariable and multivariable Poisson regression models with robust error variance were used to determine factors associated with gender-stratified PN intentions. Results. The enrolled participants comprised 887 male (68.6%) and 406 female (31.4%) STI clients. Self-reported PN intentions were higher among women than men (83.5% v. 64.4%; p
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