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

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, J., B. P. Flaherty, D. S. Brown, B. Njau, A. M. Hobbie, T. B. Mtuy, M. Masnick, A. C. Mühlbacher, and N. M. Thielman. “What factors influence HIV testing? Modeling preference heterogeneity using latent classes and class-independent random effects.” Journal of Choice Modelling 40 (September 1, 2021). https://doi.org/10.1016/j.jocm.2021.100305.

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

Madut, Deng B., Preeti Manavalan, Antipas Mtalo, Timothy A. Peter, Jan Ostermann, Bernard Njau, and Nathan M. Thielman. “Increasing the Uptake of HIV Testing among Men in Tanzania: A Novel Intervention for Bar Patrons.” Aids Behav 25, no. 7 (July 2021): 2014–22. https://doi.org/10.1007/s10461-020-03131-6.

PMID
33389376
Full Text

Navuluri, Neelima, Maria L. Srour, Peter S. Kussin, David M. Murdoch, Neil R. MacIntyre, Loretta G. Que, Nathan M. Thielman, and Eric D. McCollum. “Oxygen delivery systems for adults in Sub-Saharan Africa: A scoping review.” Journal of Global Health 11 (May 8, 2021): 04018. https://doi.org/10.7189/jogh.11.04018.

PMID
34026051
Full Text

Adaken, Charlene, Janet T. Scott, Raman Sharma, Robin Gopal, Steven Dicks, Saidia Niazi, Samreen Ijaz, et al. “Ebola virus antibody decay-stimulation in a high proportion of survivors.” Nature 590, no. 7846 (February 2021): 468–72. https://doi.org/10.1038/s41586-020-03146-y.

PMID
33505020
Full Text

Prattipati, Sainikitha, Francis M. Sakita, Godfrey L. Kweka, Tumsifu G. Tarimo, Timothy Peterson, Blandina T. Mmbaga, Nathan M. Thielman, Alexander T. Limkakeng, Gerald S. Bloomfield, and Julian T. Hertz. “Heart failure care and outcomes in a Tanzanian emergency department: A prospective observational study.” Plos One 16, no. 7 (2021): e0254609. https://doi.org/10.1371/journal.pone.0254609.

PMID
34255782
Full Text

Ostermann, Jan, Bernard Njau, Amy Hobbie, Tara Mtuy, Martha L. Masaki, Aisa Shayo, Marco van Zwetselaar, et al. “Using discrete choice experiments to design interventions for heterogeneous preferences: protocol for a pragmatic randomised controlled trial of a preference-informed, heterogeneity-focused, HIV testing offer for high-risk populations.” Bmj Open 10, no. 11 (November 6, 2020): e039313. https://doi.org/10.1136/bmjopen-2020-039313.

PMID
33158826
Full Text

Hertz, Julian T., Francis M. Sakita, Godfrey L. Kweka, Gerald S. Bloomfield, John A. Bartlett, Tumsifu G. Tarimo, Gloria Temu, Janet P. Bettger, and Nathan M. Thielman. “Effect of a Triage-Based Screening Protocol on Diagnosis and Treatment of Acute Coronary Syndrome in a Tanzanian Emergency Department: A Prospective Pre-Post Study.” J Am Heart Assoc 9, no. 16 (August 18, 2020): e016501. https://doi.org/10.1161/JAHA.120.016501.

PMID
32772764
Full Text

Pages