Register      Login
Sexual Health Sexual Health Society
Publishing on sexual health from the widest perspective
RESEARCH ARTICLE

Promotion and uptake of a new online partner notification and retesting reminder service for gay men

Chris Bourne A D , Iryna Zablotska B , Anthony Williamson A , Yves Calmette C and Rebecca Guy B
+ Author Affiliations
- Author Affiliations

A Sydney Sexual Health Centre, Sydney 2001, NSW, Australia.

B The Kirby Institute, University of New South Wales, Sydney 2031, NSW, Australia.

C AIDS Council of New South Wales, Surry Hills 2010, NSW, Australia.

D Corresponding author. Email: christopher.bourne@sesiahs.health.nsw.gov.au

Sexual Health 9(4) 360-367 https://doi.org/10.1071/SH11132
Submitted: 17 September 2011  Accepted: 30 January 2012   Published: 25 May 2012

Abstract

Background: In 2006, two new innovative features were added to a website called WhyTest which provided HIV/sexually transmissable infection (STI) information for gay men. The features were the ‘Tell them’ service allowing visitors to forward anonymous e-postcard or short message services (SMS) to sexual partners who may have been exposed to an STI, and the ‘Remind me’ service allowing visitors to register for a 3-, 6- or 12-monthly SMS reminder for a sexual health check. We describe the uptake of the new website functionality, and recognition of a health promotion campaign conducted in January–June 2007 to promote these new features. Methods: We used Poisson regression to assess trends in monthly partner notification messages and STI testing reminders sent in August 2007–June 2010. We also analysed 2007 Sydney Gay Community Periodic Survey data to measure recall of the campaign. Results: A total of 7923 partner notification messages were sent in the period August 2007–June 2010, with a significant increasing trend in monthly messages sent (P < 0001). Of the total messages sent, 7581 (96%) were by SMS and 342 (4%) by e-postcards. A total of 1023 STI testing reminders were sent in the same period, with a significant increasing trend in monthly reminders sent (P < 0.001); 516 reminders were by SMS (50.4%) and 507 by email (49.6%). The 2007 Sydney Gay Community Periodic Survey showed that 55% of the 2342 participants recognised the WhyTest image in the campaign. Conclusion: There was high awareness of WhyTest campaign images and the SMS partner notification service was more popular than the e-postcard feature.

Additional keywords: Australia, campaign recall, SMS, WhyTest.


References

[1]  National Centre in HIV Epidemiology and Clinical Research (NCHECR). HIV/AIDS, viral hepatitis and sexually transmissible infections in Australia annual surveillance report 2009. Sydney: NCHECR, The University of New South Wales; 2009.

[2]  Guy R, McDonald A, Bartlett M, Murray J, Giele C, Davey T, et al HIV diagnoses in Australia: diverging epidemics within a low-prevalence country. Med J Aust 2007; 187 437–40.
| 17937639PubMed |

[3]  Guy R, Leslie D, Simpson K, Hatch B, Leydon J, Hellard M, et al Sustained increase in infectious syphilis notifications in Victoria. Med J Aust 2005; 183 218–9.
| 16097926PubMed |

[4]  Peterman TA, Heffelfinger JD, Swint EB, Groseclose SL. The changing epidemiology of syphilis. Sex Transm Dis 2005; 32 S4–10.
The changing epidemiology of syphilis.Crossref | GoogleScholarGoogle Scholar | 16205291PubMed |

[5]  Jin F, Prestage G, Kippax S, Pell C, Donovan B, Kaldor J, et al Epidemic syphilis among homosexually active men in Sydney. MJA 2005; 183 179–83.
| 16097913PubMed |

[6]  Centers for Disease Control and Prevention. Sexually transmitted diseases surveillance, 2008. Atlanta: Department of Health and Human Services; 2009.

[7]  Middleton M, Grulich A, McDonald A, Donovan B, Hocking J, Kaldor J. Could sexually transmissible infections be contributing to the increase in HIV infections among men who have sex with men in Australia? Sex Health 2008; 5 131–40.
Could sexually transmissible infections be contributing to the increase in HIV infections among men who have sex with men in Australia?Crossref | GoogleScholarGoogle Scholar | 18588778PubMed |

[8]  Guy RJ, Wand H, Wilson DP, Prestage G, Jin F, Templeton DJ, et al Using population attributable risk to choose HIV prevention strategies in men who have sex with men. BMC Public Health 2011; 11 247
Using population attributable risk to choose HIV prevention strategies in men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 21504574PubMed |

[9]  Buchacz K, Patel P, Taylor M, Kerndt PR, Byers RH, Holmberg SD, et al Syphilis increases HIV viral load and decreases CD4 cell counts in HIV-infected patients with new syphilis infections. AIDS 2004; 18 2075–9.
Syphilis increases HIV viral load and decreases CD4 cell counts in HIV-infected patients with new syphilis infections.Crossref | GoogleScholarGoogle Scholar | 15577629PubMed |

[10]  Guy RJ, Spelman T, Stoove M, El-Hayek C, Goller J, Fairley CK, et al Risk factors for HIV seroconversion in men who have sex with men in Victoria, Australia: results from a sentinel surveillance system. Sex Health 2011; 8 319–29.
Risk factors for HIV seroconversion in men who have sex with men in Victoria, Australia: results from a sentinel surveillance system.Crossref | GoogleScholarGoogle Scholar | 21851771PubMed |

[11]  Bernstein KT, Marcus JL, Nieri G, Philip SS, Klausner JD. Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversion. J Acquir Immune Defic Syndr 2010; 53 537–43.
Rectal gonorrhea and chlamydia reinfection is associated with increased risk of HIV seroconversion.Crossref | GoogleScholarGoogle Scholar | 19935075PubMed |

[12]  Guy R, Wand H, Franklin N, Fairley CK, Chen MY, O’Connor CC, et al Re-testing for chlamydia at sexual health services in Australia, 2004–08. Sex Health 2011; 8 242–7.
Re-testing for chlamydia at sexual health services in Australia, 2004–08.Crossref | GoogleScholarGoogle Scholar | 21592440PubMed |

[13]  Bilardi JE, Hopkins CA, Fairley CK, Hocking JS, Tomnay JE, Pavlin NL, et al Innovative resources could help improve partner notification for chlamydia in primary care. Sex Transm Dis 2009; 36 779–83.
Innovative resources could help improve partner notification for chlamydia in primary care.Crossref | GoogleScholarGoogle Scholar | 19704390PubMed |

[14]  McCarthy M, Haddow LJ, Furner V, Mindel A. Contact tracing for sexually transmitted infections in New South Wales, Australia. Sex Health 2007; 4 21–5.
Contact tracing for sexually transmitted infections in New South Wales, Australia.Crossref | GoogleScholarGoogle Scholar | 17382033PubMed |

[15]  Bilardi JE, Fairley CK, Hopkins CA, Hocking JS, Temple-Smith MJ, Bowden FJ, et al Experiences and outcomes of partner notification among men and women recently diagnosed with chlamydia and their views on innovative resources aimed at improving notification rates. Sex Transm Dis 2010; 37 253–8.
Experiences and outcomes of partner notification among men and women recently diagnosed with chlamydia and their views on innovative resources aimed at improving notification rates.Crossref | GoogleScholarGoogle Scholar | 20182407PubMed |

[16]  Bilardi JE, Fairley CK, Hopkins CA, Hocking JS, Sze JK, Chen MY. Let Them Know: evaluation of an online partner notification service for chlamydia that offers E-mail and SMS messaging. Sex Transm Dis 2010; 37 563–5.
Let Them Know: evaluation of an online partner notification service for chlamydia that offers E-mail and SMS messaging.Crossref | GoogleScholarGoogle Scholar | 20351621PubMed |

[17]  Mimiaga MJ, Tetu AM, Gortmaker S, Koenen KC, Fair AD, Novak DS, et al HIV and STD status among MSM and attitudes about internet partner notification for STD exposure. Sex Transm Dis 2008; 35 111–6.
HIV and STD status among MSM and attitudes about internet partner notification for STD exposure.Crossref | GoogleScholarGoogle Scholar | 18007274PubMed |

[18]  Guy R, Goller JL, Spelman T, El-Hayek C, Gold J, Lim M, et al Does the frequency of HIV and STI testing among MSM in primary care adhere with Australian guidelines? Sex Transm Infect 2010; 86 371–6.
Does the frequency of HIV and STI testing among MSM in primary care adhere with Australian guidelines?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3cflsVyjug%3D%3D&md5=592f62a40264901a32693255fc2dba4aCAS | 20460263PubMed |

[19]  Prestage G, Ferris J, Grierson J, Thorpe R, Zablotska I, Imrie J, et al Homosexual men in Australia: population, distribution and HIV prevalence. Sex Health 2008; 5 97–102.
Homosexual men in Australia: population, distribution and HIV prevalence.Crossref | GoogleScholarGoogle Scholar | 18588772PubMed |

[20]  Levine D, Woodruff AJ, Mocello AR, Lebrija J, Klausner JD. inSPOT: the first online STD partner notification system using electronic postcards. PLoS Med 2008; 5 e213
inSPOT: the first online STD partner notification system using electronic postcards.Crossref | GoogleScholarGoogle Scholar | 18942887PubMed |

[21]  Bradley J, Prestage G. Rapid HIV testing: What we want, and when we want it. Australasian Society for HIV Medicine Conference; 2010, 26–28 October; Sydney, Australia.

[22]  Holt M, Bernard D, Race K. Gay men’s perceptions of sexually transmissible infections and their experiences of diagnosis: ‘part of the way of life’ to feeling ‘dirty and ashamed’. Sex Health 2010; 7 411–6.
Gay men’s perceptions of sexually transmissible infections and their experiences of diagnosis: ‘part of the way of life’ to feeling ‘dirty and ashamed’.Crossref | GoogleScholarGoogle Scholar | 21062579PubMed |

[23]  Bourne C, Knight V, Guy R, Wand H, Lu H, McNulty A. Short message service reminder intervention doubles sexually transmitted infection/HIV re-testing rates among men who have sex with men. Sex Transm Infect 2011; 87 229–31.
Short message service reminder intervention doubles sexually transmitted infection/HIV re-testing rates among men who have sex with men.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3M3ot1Wqug%3D%3D&md5=b2614b6674667b563c62cedcbc656c0aCAS | 21296796PubMed |

[24]  National Centre in HIV Epidemiology and Clinical Research. Final technical report: phase A of the National Gay Men’s Syphilis Action Plan: modelling evidence and research on acceptability of interventions for controlling syphilis in Australia. Sydney: University of New South Wales; 2009. Available online at: http://www.nchecr.unsw.edu.au/NCHECRweb.nsf/resources/Reports/$file/SyphilisPhaseAReport.pdf [verified 14 February 2012].