Evidence map›Paper›PMID 33927009›Full record

ArticleSexually transmitted infections2022

Going beyond 'regular and casual': development of a classification of sexual partner types to enhance partner notification for STIs.

Claudia S Estcourt, Paul Flowers, Jackie A Cassell, Maria Pothoulaki, Gabriele Vojt, Fiona Mapp, Melvina Woode-Owusu, Nicola Low, John Saunders, Merle Symonds and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Sexually transmitted infections, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Optimising partner notification outcomes for bacterial sexually transmitted infections: a deliberative process and consensus, United Kingdom, 2019.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 12 institutions in 6 countries.

Claudia S EstcourtSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK claudia.estcourt@gcu.ac.uk.ORCID 0000-0001-5523-5630
Paul FlowersSchool of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK.
Jackie A CassellPrimary Care and Public Health, Brighton and Sussex Medical School, Brighton, Brighton and Hove, UK.
Maria PothoulakiSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Gabriele VojtSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Fiona MappInstitute for Global Health, University College London, London, UK.
Melvina Woode-OwusuInstitute for Global Health, University College London, London, UK.
Nicola LowInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0002-4725-0475
John SaundersInstitute for Global Health, University College London, London, UK.
Merle SymondsDepartment of Sexual Health, West Sussex Health and Social Care NHS Trust, Worthing, West Sussex, UK.
Alison HowarthInstitute for Global Health, University College London, London, UK.ORCID 0000-0002-0597-6614
Sonali WayalDevelopment Media International CIC, London, UK.
Rak NandwaniSandyford Sexual Health Service, NHS Greater Glasgow and Clyde, Glasgow, UK.
Susie BriceBarts Health NHS Trust, London, UK.
Alex ComerCentral and North West London NHS Foundation Trust, London, UK.
Anne M JohnsonDepartment of Infection & Population Health, University College London, London, UK.
Catherine H MercerCentre for Sexual Health and HIV Research, University College London, London, UK.ORCID 0000-0002-4220-5034
University College London · GBGlasgow Caledonian University · GBBarts Health NHS Trust · GBBrighton and Sussex Medical School · GBCentral and North West London NHS Foundation Trust · GBCentre for Sexual Health and HIV AIDS Research · ZWLondon International Development Centre · GBNHS Greater Glasgow and Clyde · GBPublic Health England · GBSurrey and Sussex Healthcare NHS Trust · GBUniversity of Bern · CHUniversity of Strathclyde · GB

Funding

Department of Health RP-PG-0614-20009
6 · The paper itself

Abstract

objectivesTo develop a classification of sexual partner types for use in partner notification (PN) for STIs.

methodsA four-step process: (1) an iterative synthesis of five sources of evidence: scoping review of social and health sciences literature on partner types; analysis of relationship types in dating apps; systematic review of PN intervention content; and review of PN guidelines; qualitative interviews with public, patients and health professionals to generate an initial comprehensive classification; (2) multidisciplinary clinical expert consultation to revise the classification; (3) piloting of the revised classification in sexual health clinics during a randomised controlled trial of PN; (4) application of the Theoretical Domains Framework (TDF) to identify index patients' willingness to engage in PN for each partner type.

resultsFive main partner types emerged from the evidence synthesis and consultation: 'established partner', 'new partner', 'occasional partner', 'one-off partner' and 'sex worker'. The types differed across several dimensions, including likely perceptions of sexual exclusivity, likelihood of sex reoccurring between index patient and sex partner. Sexual health professionals found the classification easy to operationalise. During the trial, they assigned all 3288 partners described by 2223 index patients to a category. The TDF analysis suggested that the partner types might be associated with different risks of STI reinfection, onward transmission and index patients' engagement with PN.

conclusionsWe developed an evidence-informed, useable classification of five sexual partner types to underpin PN practice and other STI prevention interventions. Analysis of biomedical, psychological and social factors that distinguish different partner types shows how each could warrant a tailored PN approach. This classification could facilitate the use of partner-centred outcomes. Additional studies are needed to determine the utility of the classification to improve measurement of the impact of PN strategies and help focus resources.

Indexed as

Contact TracingHumansReferral and ConsultationSexual BehaviorSexually Transmitted DiseasesSexual Partnerschlamydia infectionscontact tracinggonorrheaHIVsexual health

Identifiers

PMID33927009
PMCPMC8862076
OpenAlexW3157686823

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.