PT  - JOURNAL ARTICLE
AU  - Liu, Gui
AU  - Broshkevitch, Cara
AU  - Katz, David
AU  - Silverman, Rachel
AU  - Golden, Matthew
AU  - Barnabas, Ruanne
TI  - O19.3 Partner services for gonorrhea can decrease new HIV among MSM in king county, washington: a mathematical modeling study
AID  - 10.1136/sextrans-2019-sti.212
DP  - 2019 Jul 01
TA  - Sexually Transmitted Infections
PG  - A83--A83
VI  - 95
IP  - Suppl 1
4099  - http://sti.bmj.com/content/95/Suppl_1/A83.1.short
4100  - http://sti.bmj.com/content/95/Suppl_1/A83.1.full
SO  - Sex Transm Infect2019 Jul 01; 95
AB  - Background Partner services (PS) for bacterial STIs has potential to increase STI treatment among infected sex partners and HIV testing among people diagnosed with STIs and their partners. The population-level impact of PS on gonorrhea and HIV incidence has not been estimated.Methods Calibrated to King County’s MSM population, our compartmental gonorrhea-HIV coinfection model captures sexual mixing, gonorrhea and HIV transmission, and scale-up of antiretroviral therapy (ART), pre-exposure prophylaxis (PrEP), and routine STI screening. We assessed incremental impact of PS over 5 and 20 years, and compared gonorrhea and HIV incidence and prevalence without PS, with PS, and with PS that integrates promotion of HIV testing (PS+HIV). In the absence of PS, we assumed that 10%, 10%, and 95% of rectal, pharyngeal, and urethral gonorrhea were treated and 63% of MSM receiving gonorrhea treatment also received HIV testing. With PS, 40% of treated cases received PS, increasing the proportion of partners treated for gonorrhea and tested for HIV by 4%, 4%, and 38% at each site. PS+HIV increased the proportion of gonorrhea-infected MSM tested for HIV to 83%.Results After 5 and 20 years, PS modestly changed rectal, pharyngeal, and urethral gonorrhea incidence and prevalence (<7%). After 5 years, HIV prevalence decreased 0.1% with PS and 0.5% with PS+HIV. HIV incidence decreased 6.0% (from 187.1 to 176.0 per 100,000 persons) with PS and 14.7% (187.1 to 159.6/100,000) with PS+HIV. After 20 years, HIV prevalence decreased 3.2% with PS and 5.6% with PS+HIV. PS reduced incidence 23.3% (75.2 to 57.7/100,000) and PS+HIV 37.7% (75.2 to 46.9/100,000).Conclusion Moderate gonorrhea PS coverage had modest impact on gonorrhea, given high rates of STI testing and treatment in King County. However, long-term PS+HIV increased HIV testing opportunities and substantially reduced HIV incidence. PS+HIV is a potential approach for prioritizing HIV testing in high ART and PrEP coverage settings.Disclosure No significant relationships.