Nathan Maclyn Thielman, MD

Professor of Medicine
Research Professor of Global Health
Professor of Pathology
Campus mail 310 Trent Drive, Room 201, Trent Hall, Durham, NC 27710
Phone (919) 668-7174

Broadly, my research focuses on a range of clinical and social issues that affect persons living with or at risk for HIV infection in resource-poor settings. In Tanzania, our group is applying novel methods to optimize HIV testing uptake among high-risk groups. We recently demonstrated that the Discrete Choice Experiment (DCE), a form of stated preference survey research, is a robust tool for identifying (a) which characteristics of HIV testing options are most preferred by different populations and (b) which tradeoffs individuals make in evaluating testing options. Building on more than a decade of productive HIV testing research in the Kilimanjaro Region, the next phase of our NIMH funded project will test the hypothesis that DCE-derived HIV testing options significantly increases rates of testing among groups at high risk for HIV infection. This work holds promise not only for optimizing HIV testing uptake in the Kilimanjaro Region, but also for applying novel tools in the service of translational epidemiology and implementation research.

Education and Training

  • Fellow in Infectious Diseases, Medicine, University of Virginia, 1993 - 1996
  • Medical Resident, Medicine, Duke University, 1990 - 1993
  • M.D., Duke University, 1990
  • M.P.H., University of North Carolina - Chapel Hill, 1989

Publications

Hertz, Julian T., Francis M. Sakita, Godfrey L. Kweka, Tumsifu G. Tarimo, Sumana Goli, Sainikitha Prattipati, Janet P. Bettger, Nathan M. Thielman, and Gerald S. Bloomfield. “One-Year Outcomes and Factors Associated With Mortality Following Acute Myocardial Infarction in Northern Tanzania.” Circ Cardiovasc Qual Outcomes 15, no. 4 (April 2022): e008528. https://doi.org/10.1161/CIRCOUTCOMES.121.008528.

PMID
35300504
Full Text

Hertz, Julian T., Sainikitha Prattipati, Godfrey L. Kweka, Jerome J. Mlangi, Tumsifu G. Tarimo, Blandina T. Mmbaga, Nathan M. Thielman, et al. “Prevalence and predictors of uncontrolled hypertension, diabetes, and obesity among adults with HIV in northern Tanzania.” Glob Public Health, March 13, 2022, 1–13. https://doi.org/10.1080/17441692.2022.2049344.

PMID
35282776
Full Text

Ostermann, Jan, Bernard Njau, Martha Masaki, Tara Mtuy, Dafrosa Itemba, Amy Hobbie, Valerie Yelverton, Spencer Moore, Thespina Yamanis, and Nathan M. Thielman. “Feasibility, acceptability, and potential cost-effectiveness of a novel mobile phone intervention to promote HIV testing within social networks in Tanzania.” Sex Transm Dis, January 28, 2022. https://doi.org/10.1097/OLQ.0000000000001611.

PMID
35093981
Full Text

Ngeno, G Titus K., Felix Barasa, Jemimah Kamano, Edith Kwobah, Charity Wambui, Cynthia Binanay, Joseph R. Egger, Peter S. Kussin, Nathan M. Thielman, and Gerald S. Bloomfield. “Feasibility of Cardiac Rehabilitation Models in Kenya.” Ann Glob Health 88, no. 1 (2022): 7. https://doi.org/10.5334/aogh.3392.

PMID
35087707
Full Text

Smith, Colin M., Nicholas A. Turner, Nathan M. Thielman, Damon S. Tweedy, Joseph Egger, and Jane P. Gagliardi. “Association of Black Race With Physical and Chemical Restraint Use Among Patients Undergoing Emergency Psychiatric Evaluation.” Psychiatr Serv, December 21, 2021, appips202100474. https://doi.org/10.1176/appi.ps.202100474.

PMID
34932385
Full Text

Prattipati, Sainikitha, Jerome J. Mlangi, Tumsifu G. Tarimo, Godfrey L. Kweka, Nathan M. Thielman, Janet P. Bettger, Blandina T. Mmbaga, Francis M. Sakita, and Julian T. Hertz. “Knowledge, attitudes, and preventive practices regarding ischemic heart disease among HIV-positive individuals in northern Tanzania.” Trop Med Int Health 26, no. 12 (December 2021): 1652–58. https://doi.org/10.1111/tmi.13690.

PMID
34637597
Full Text

Goli, Sumana, Francis M. Sakita, Godfrey L. Kweka, Tumsifu G. Tarimo, Gloria Temu, Nathan M. Thielman, Janet P. Bettger, Gerald S. Bloomfield, Alexander T. Limkakeng, and Julian T. Hertz. “Thirty-day outcomes and predictors of mortality following acute myocardial infarction in northern Tanzania: A prospective observational cohort study.” Int J Cardiol 342 (November 1, 2021): 23–28. https://doi.org/10.1016/j.ijcard.2021.08.002.

PMID
34364908
Full Text

Ostermann, Jan, Brian P. Flaherty, Derek S. Brown, Bernard Njau, Amy M. Hobbie, Tara B. Mtuy, Max Masnick, Axel C. Mühlbacher, and Nathan M. Thielman. “What factors influence HIV testing? Modeling preference heterogeneity using latent classes and class-independent random effects.” J Choice Model 40 (September 2021). https://doi.org/10.1016/j.jocm.2021.100305.

PMID
35422879
Full Text

Hertz, Julian T., Deng B. Madut, Matthew P. Rubach, Gwamaka William, John A. Crump, Sophie W. Galson, Venance P. Maro, et al. “Incidence of Acute Myocardial Infarction in Northern Tanzania: A Modeling Approach Within a Prospective Observational Study.” J Am Heart Assoc 10, no. 15 (August 3, 2021): e021004. https://doi.org/10.1161/JAHA.121.021004.

PMID
34320841
Full Text

Pages