{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:14:32Z","timestamp":1759515272139,"version":"3.37.3"},"reference-count":10,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>A detailed understanding of intentions and practices related to partner notification (PN) following STI diagnosis can improve control strategies. We assessed participant-level and partner-level factors guiding notification behaviour among men who have sex with men and\/or with transgender women (MSM-TW) in Lima, Peru, including discordances between anticipated and actual notification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Men newly diagnosed with gonorrhoea, chlamydia and\/or syphilis between 2012 and 2014 reported recent partners\u2019 characteristics, anticipated PN practices, and actual PN outcomes following diagnosis. Generalised estimating equation Poisson regression analyses assessed factors guiding PN outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants (n=150) predominantly identified as homosexual (70%) and <jats:italic>moderno<\/jats:italic> (versatile sexual role, 55%); 55% of partners (n=402) were casual. Among all sexual partners, 35% were notified of the STI diagnosis, though only 51% of predicted PN occurred and 26% of actual notifications were unanticipated. 47% of participants notified no partners, while 24% notified all partners. PN was more common with stable versus casual (adjusted prevalence ratio (aPR), 95%\u2009CI: 0.53, 0.39 to 0.73) or commercial (aPR, 95%\u2009CI: 0.38, 0.12 to 1.21) partners, and among participants who perceived PN as normative among their peers (aPR, 95%\u2009CI: 1.96, 1.37 to 2.82). A trend towards greater notification following condom-protected intercourse was observed (aPR, 95%\u2009CI: 1.33, 0.98 to 1.81). PN frequency did not differ by type of STI diagnosed.<\/jats:p><jats:p>Anticipated notification predicted actual notification (aPR, 95%\u2009CI: 1.67, 1.19 to 2.33) only imperfectly: 81 (54%) participants\u2019 PN practices did not match their anticipated behaviour. Successful notification despite anticipated silence (40 participants, 63 partners) was associated with stable partnerships and a normative perception of PN. Non-notification despite intention (43 participants, 73 partners) frequently occurred among participants reporting exclusively oral sex with the partner or with partners identified as <jats:italic>activo<\/jats:italic> (insertive role).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anticipated notification imperfectly reflects actual PN behaviour. Future interventions to improve PN among MSM-TW in Peru need to acknowledge partnership contexts.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2017-053292","type":"journal-article","created":{"date-parts":[[2017,11,30]],"date-time":"2017-11-30T17:15:33Z","timestamp":1512062133000},"page":"607-610","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Individual and partnership factors associated with anticipated versus actual partner notification following STI diagnosis among men who have sex with men and\/or with transgender women in Lima, Peru"],"prefix":"10.1136","volume":"94","clinical-trial-number":[{"clinical-trial-number":"nct01720654","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct01720641","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct01720654","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct01720641","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct01720654","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0864-4807","authenticated-orcid":false,"given":"Hannan M","family":"Braun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eddy R","family":"Segura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordan E","family":"Lake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Gandhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Rios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel V","family":"Villaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Javier R","family":"Lama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5862-6530","authenticated-orcid":false,"given":"Jesse L","family":"Clark","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,11,30]]},"reference":[{"key":"2020050723340500000_94.8.607.1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050229"},{"key":"2020050723340500000_94.8.607.2","unstructured":"Vega M , Chinarro MP . An\u00e1lisis de la situaci\u00f3n epidemiol\u00f3gica del VIH\/SIDAen el Per\u00fa, 2013. Lima, Peru: Ministerio de Salud de Salud, Direcci\u00f3n General de Epidemiolog\u00eda, 2013."},{"key":"2020050723340500000_94.8.607.3","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/s12916-017-0858-9","article-title":"Expedited partner therapy (EPT) increases the frequency of partner notification among MSM in Lima, Peru: a pilot randomized controlled trial","volume":"15","author":"Clark","year":"2017","journal-title":"BMC Med"},{"key":"2020050723340500000_94.8.607.4","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000068"},{"key":"2020050723340500000_94.8.607.5","doi-asserted-by":"crossref","first-page":"2178","DOI":"10.1007\/s10461-015-1276-7","article-title":"Sexual orientation, gender identity and perceived source of infection among men who have sex with men (MSM) and transgender women (TW) recently diagnosed with HIV and\/or STI in Lima, Peru","volume":"20","author":"Blair","year":"2016","journal-title":"AIDS Behav"},{"key":"2020050723340500000_94.8.607.6","doi-asserted-by":"crossref","unstructured":"Clark JL , Perez-Brumer AG , Segura ER , et al . Anticipated notification of sexual partners following std diagnosis among men who have sex with men and transgender women in lima, peru: A mixed methods analysis. PLoS One 2016;11:e0163905. doi:10.1371\/journal.pone.0163905","DOI":"10.1371\/journal.pone.0163905"},{"key":"2020050723340500000_94.8.607.7","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-199909000-00011"},{"key":"2020050723340500000_94.8.607.8","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0210-5"},{"key":"2020050723340500000_94.8.607.9","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1097\/01.olq.0000240289.84094.93","article-title":"Partner notification for sexually transmitted diseases in Peru: knowledge, attitudes, and practices in a high-risk community","volume":"34","author":"Clark","year":"2007","journal-title":"Sex Transm Dis"},{"key":"2020050723340500000_94.8.607.10","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1001\/archpedi.156.11.1133","article-title":"The role of self-efficacy and relationship quality in partner notification by adolescents with sexually transmitted infections","volume":"156","author":"Fortenberry","year":"2002","journal-title":"Arch Pediatr Adolesc Med"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2017-053292","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T10:19:51Z","timestamp":1601115591000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2017-053292"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,30]]},"references-count":10,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,11,22]]},"published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1136\/sextrans-2017-053292"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2017-053292","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"type":"print","value":"1368-4973"},{"type":"electronic","value":"1472-3263"}],"subject":[],"published":{"date-parts":[[2017,11,30]]}}}