{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:46:54Z","timestamp":1778946414765,"version":"3.51.4"},"reference-count":16,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/100008269","name":"Michigan Institute for Clinical & Health Research","doi-asserted-by":"crossref","award":["UL1T3002240"],"award-info":[{"award-number":["UL1T3002240"]}],"id":[{"id":"10.13039\/100008269","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2019,9,1]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Expedited partner therapy (EPT) is an effective strategy to reduce rates of chlamydia and gonorrhoea infection and ensure sexual partners are treated. Currently, EPT is provided to heterosexual patients; however, EPT is not routinely recommended for use with gay, bisexual and other men who have sex with men (GBMSM) because of concerns about HIV coinfection. The objective of the qualitative study was to understand provider and community views on the use of EPT with GBMSM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using convenience sampling methods, we recruited a sample of 18 healthcare providers and 21 GBMSM to participate in in-depth, semistructured interviews. Interviews were conducted over the phone and included questions about knowledge, experiences and potential barriers and facilitators to the use of EPT with GBMSM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most providers wanted to provide EPT to GBMSM and believed that the potential barriers and concerns to EPT use were not unique to a patient\u2019s sexual orientation. Several providers noted that they were currently providing EPT to GBMSM as part of HIV prevention services. Community members were generally unaware of EPT as a service and most indicated that they would only use EPT if they were in a committed relationship. Barriers included partner allergies and resistance, pharmacy protocols, structural concerns (eg, insurance coverage, pharmacists onsite and transportation) and potential disclosure issues. Facilitators included cultural humility and telemedicine with patients\u2019 partners to overcome these barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Acceptability of EPT use for both chlamydia and gonorrhoea was high among providers and community members. Barriers to EPT use, including concerns about patients\u2019 partners\u2019 allergies and resistance, disclosure concerns and linkage to HIV prevention services can be overcome through cultural humility trainings and telemedicine. Changing EPT recommendations at the national level to be inclusive of GBMSM is critical to curtail the rising STI and HIV epidemic.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2019-054156","type":"journal-article","created":{"date-parts":[[2019,9,11]],"date-time":"2019-09-11T21:19:12Z","timestamp":1568236752000},"page":"101-105","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Healthcare providers and community perspectives on expedited partner therapy (EPT) for use with gay, bisexual and other men who have sex with men"],"prefix":"10.1136","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9405-7515","authenticated-orcid":false,"given":"Kristi E","family":"Gamarel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raha","family":"Mouzoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Rivas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob","family":"Stephenson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Okeoma","family":"Mmeje","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,9,11]]},"reference":[{"key":"2024092304051231000_96.2.101.1","unstructured":"Centers for Disease Controal and Prevention. . Sexually transmitted diseases (STDs): Expedited partner therapy. division of STD prevention, National center for HIV\/AIDS, viral hepatitis, STD, and TB prevention, centers for disease control and prevention 2017."},{"key":"2024092304051231000_96.2.101.2","unstructured":"American College of Obstetricians and Gynecologists . Expedited partner therapy 2018."},{"key":"2024092304051231000_96.2.101.3","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1056\/NEJMoa041681","article-title":"Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection","volume":"352","author":"Golden","year":"2005","journal-title":"N Engl J Med Overseas Ed"},{"key":"2024092304051231000_96.2.101.4","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.mpmed.2018.02.001","article-title":"Public health aspects of STIs including partner notification","volume":"46","author":"Cassell","year":"2018","journal-title":"Medicine"},{"key":"2024092304051231000_96.2.101.5","unstructured":"Center for Disease Control and Prevention . Stds in men who have sex with men. U.S. Department of Health & Human Services, 2018."},{"key":"2024092304051231000_96.2.101.6","unstructured":"Center for Disease Control and Prevention . Hiv among gay and bisexual men. U.S. Department of Health & Human Services, 2019."},{"key":"2024092304051231000_96.2.101.7","doi-asserted-by":"crossref","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":"2024092304051231000_96.2.101.8","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1080\/14780887.2014.955224","article-title":"The utility of template analysis in qualitative psychology research","volume":"12","author":"Brooks","year":"2015","journal-title":"Qual Res Psychol"},{"key":"2024092304051231000_96.2.101.9","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1097\/OLQ.0000000000001021","article-title":"Assessing patient opinions about electronic messaging for gonorrhea and Chlamydia result notification and partner services, Durham, North Carolina","volume":"46","author":"Cope","year":"2019","journal-title":"Sex Transm Dis"},{"key":"2024092304051231000_96.2.101.10","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1097\/COH.0000000000000400","article-title":"Using technology to support HIV self-testing among MSM","volume":"12","author":"LeGrand","year":"2017","journal-title":"Curr Opin HIV AIDS"},{"key":"2024092304051231000_96.2.101.11","doi-asserted-by":"crossref","unstructured":"John SA , Starks TJ , Rendina HJ , et al . High willingness to use novel HIV and bacterial sexually transmitted infection partner notification, testing, and treatment strategies among gay and bisexual men. Sex Transm Infect 2019:sextrans-2019-053974.doi:10.1136\/sextrans-2019-053974","DOI":"10.1136\/sextrans-2019-053974"},{"key":"2024092304051231000_96.2.101.12","doi-asserted-by":"publisher","DOI":"10.1177\/0008417413500465"},{"key":"2024092304051231000_96.2.101.13","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2014-051873"},{"key":"2024092304051231000_96.2.101.14","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304570"},{"key":"2024092304051231000_96.2.101.15","doi-asserted-by":"crossref","first-page":"504.e1","DOI":"10.1016\/j.ajog.2018.01.036","article-title":"Pharmacy-level barriers to implementing expedited partner therapy in Baltimore, Maryland","volume":"218","author":"Qin","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"2024092304051231000_96.2.101.16","doi-asserted-by":"crossref","unstructured":"Weiss K , Jones J , Katz D , et al . Epidemiological impact of expedited partner therapy or men who have sex with men: 012.3 Epidemiological impact of expedited partner therapy or men who have sex with men: a modeling studya modeling study. Sex Trans Infections 2019;95(Suppl 1).","DOI":"10.1136\/sextrans-2019-sti.172"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2019-054156","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T11:05:48Z","timestamp":1727089548000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2019-054156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,11]]},"references-count":16,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,2,17]]},"published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1136\/sextrans-2019-054156"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2019-054156","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,11]]}}}