35998
document
A randomized controlled trial for reducing risks for sexually transmitted infections through enhanced patient-based partner notification . OBJECTIVES We sought to assess the effectiveness of approaches targeting improved sexually transmitted infection ( STI ) sexual partner notification through patient referral . METHODS From January 2002 through December 2004 , 600 patients with Neisseria gonorrhoeae or Chlamydia trachomatis were recruited from STI clinics and randomly assigned to either a standard-of-care group or a group that was counseled at the time of diagnosis and given additional follow-up contact . Participants completed an interview at baseline , 1 month , and 6 months and were checked at 6 months for gonorrhea or chlamydial infection via nucleic acid amplification testing of urine . RESULTS Program participants were more likely to report sexual partner notification at 1 month ( 86 % control , 92 % intervention ; adjusted odds ratio [ AOR ] = 1.8 ; 95 % confidence interval [ CI ] = 1.02 , 3.0 ) and were more likely to report no unprotected sexual intercourse at 6 months ( 38 % control , 48 % intervention ; AOR = 1.5 ; 95 % CI = 1.1 , 2.1 ) . Gonorrhea or chlamydial infection was detected in 6 % of intervention and 11 % of control participants at follow-up ( AOR = 2.2 ; 95 % CI = 1.1 , 4.1 ) , with greatest benefits seen among men ( for gender interaction , P = .03 ) . CONCLUSIONS This patient-based sexual partner notification program can help reduce risks for subsequent STIs among urban , minority patients presenting for care at STI clinics .
35999
Intervention_Educational
enhanced patient-based partner notification
36000
Intervention_Educational
standard-of-care group
36001
Intervention_Control
a group that was counseled at the time of diagnosis and given additional follow-up contact
36002
Outcome_Mental
risks for sexually transmitted infections
36003
Outcome_Mental
unprotected sexual intercourse
36004
Outcome_Physical
Gonorrhea or chlamydial infection
36005
Participant_Condition
sexually transmitted infections
36006
Participant_Sample-size
600