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

Lewandowski, Laura, Christiaan Scott, Laura Schanberg, and Nathan Thielman. “Treatment and Outcomes in Pediatric SLE Patients in South Africa.” In Arthritis & Rheumatology, Vol. 67. WILEY-BLACKWELL, 2015.

Scholars@Duke

Pence, Brian W., Bradley N. Gaynes, Julie L. Adams, Nathan M. Thielman, Amy D. Heine, Michael J. Mugavero, Teena McGuinness, et al. “The effect of antidepressant treatment on HIV and depression outcomes: results from a randomized trial.” Aids 29, no. 15 (September 24, 2015): 1975–86. https://doi.org/10.1097/QAD.0000000000000797.

PMID
26134881
Full Text

Gray, Christine L., Brian W. Pence, Jan Ostermann, Rachel A. Whetten, Karen O’Donnell, Nathan M. Thielman, and Kathryn Whetten. “Prevalence and Incidence of Traumatic Experiences Among Orphans in Institutional and Family-Based Settings in 5 Low- and Middle-Income Countries: A Longitudinal Study.” Glob Health Sci Pract 3, no. 3 (August 25, 2015): 395–404. https://doi.org/10.9745/GHSP-D-15-00093.

PMID
26374801
Full Text

Pence, Brian W., E Byrd Quinlivan, Amy Heine, Malaika Edwards, Nathan M. Thielman, and Bradley N. Gaynes. “When "need plus supply" does not equal demand: challenges in uptake of depression treatment in HIV clinical care.” Psychiatr Serv 66, no. 3 (March 1, 2015): 321–23. https://doi.org/10.1176/appi.ps.201400132.

PMID
25727123
Full Text

Gray, C. L., B. W. Pence, J. Ostermann, R. A. Whetten, K. O’Donnell, N. M. Thielman, and K. Whetten. “Gender (in) differences in prevalence and incidence of traumatic experiences among orphaned and separated children living in five low- and middle-income countries.” Glob Ment Health (Camb) 2 (January 2015). https://doi.org/10.1017/gmh.2015.1.

PMID
26085939
Full Text

Bengtson, Angela M., Brian W. Pence, Julie O’Donnell, Nathan Thielman, Amy Heine, Anne Zinski, Riddhi Modi, Teena McGuinness, and Bradley Gaynes. “Improvements in depression and changes in quality of life among HIV-infected adults.” Aids Care 27, no. 1 (2015): 47–53. https://doi.org/10.1080/09540121.2014.946386.

PMID
25105320
Full Text

Ostermann, Jan, Bernard Njau, Tara Mtuy, Derek S. Brown, Axel Mühlbacher, and Nathan Thielman. “One size does not fit all: HIV testing preferences differ among high-risk groups in Northern Tanzania.” Aids Care 27, no. 5 (2015): 595–603. https://doi.org/10.1080/09540121.2014.998612.

PMID
25616562
Full Text

Stanifer, John W., Uptal D. Patel, Francis Karia, Nathan Thielman, Venance Maro, Dionis Shimbi, Humphrey Kilaweh, et al. “The determinants of traditional medicine use in Northern Tanzania: a mixed-methods study.” Plos One 10, no. 4 (2015): e0122638. https://doi.org/10.1371/journal.pone.0122638.

PMID
25848762
Full Text

Stanifer, John W., Venance Maro, Joseph Egger, Francis Karia, Nathan Thielman, Elizabeth L. Turner, Dionis Shimbi, Humphrey Kilaweh, Oliver Matemu, and Uptal D. Patel. “The epidemiology of chronic kidney disease in Northern Tanzania: a population-based survey.” Plos One 10, no. 4 (2015): e0124506. https://doi.org/10.1371/journal.pone.0124506.

PMID
25886472
Full Text

Ostermann, Jan, Brian Pence, Kathryn Whetten, Jia Yao, Dafrosa Itemba, Venance Maro, Elizabeth Reddy, and Nathan Thielman. “HIV serostatus disclosure in the treatment cascade: evidence from Northern Tanzania.” Aids Care 27 Suppl 1 (2015): 59–64. https://doi.org/10.1080/09540121.2015.1090534.

PMID
26616126
Full Text

Pages