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

Okeke, N Lance, Jan Ostermann, and Nathan M. Thielman. “Enhancing linkage and retention in HIV care: a review of interventions for highly resourced and resource-poor settings.” Curr Hiv/Aids Rep 11, no. 4 (December 2014): 376–92. https://doi.org/10.1007/s11904-014-0233-9.

PMID
25323298
Full Text

Sumner, Steven A., Anthony J. Pallangyo, Elizabeth A. Reddy, Venance Maro, Brian W. Pence, Catherine Lynch, Elizabeth L. Turner, Joseph R. Egger, and Nathan M. Thielman. “Effect of free distribution of safety equipment on usage among motorcycle-taxi drivers in Tanzania--A cluster randomised controlled trial.” Injury 45, no. 11 (November 2014): 1681–86. https://doi.org/10.1016/j.injury.2014.04.034.

PMID
24861418
Full Text

Lewandowski, Laura, Laura Schanberg, Nathan Thielman, and Christiaan Scott. “Pulse- Pediatric Update on Lupus in South Africa: Epidemiology and Management.” In Arthritis & Rheumatology, 66:S567–68. WILEY-BLACKWELL, 2014.

Scholars@Duke

Ramadhani, Habib O., John A. Bartlett, Nathan M. Thielman, Brian W. Pence, Stephen M. Kimani, Venance P. Maro, Mtumwa S. Mwako, et al. “Association of first-line and second-line antiretroviral therapy adherence.” Open Forum Infect Dis 1, no. 2 (September 2014): ofu079. https://doi.org/10.1093/ofid/ofu079.

PMID
25734147
Full Text

Njau, Bernard, Jan Ostermann, Derek Brown, Axel Mühlbacher, Elizabeth Reddy, and Nathan Thielman. “HIV testing preferences in Tanzania: a qualitative exploration of the importance of confidentiality, accessibility, and quality of service.” Bmc Public Health 14 (August 12, 2014): 838. https://doi.org/10.1186/1471-2458-14-838.

PMID
25124140
Full Text

Thielman, Nathan M., Jan Ostermann, Kathryn Whetten, Rachel Whetten, Dafrosa Itemba, Venance Maro, Brian Pence, Elizabeth Reddy, and Elizabeth CHAT Research Team. “Reduced adherence to antiretroviral therapy among HIV-infected Tanzanians seeking cure from the Loliondo healer.” J Acquir Immune Defic Syndr 65, no. 3 (March 1, 2014): e104–9. https://doi.org/10.1097/01.qai.0000437619.23031.83.

PMID
24525471
Full Text

Reddy, Elizabeth A., Boniface N. Njau, Susan C. Morpeth, Kathryn E. Lancaster, Alison C. Tribble, Venance P. Maro, Levina J. Msuya, et al. “A randomized controlled trial of standard versus intensified tuberculosis diagnostics on treatment decisions by physicians in Northern Tanzania.” Bmc Infect Dis 14 (February 20, 2014): 89. https://doi.org/10.1186/1471-2334-14-89.

PMID
24552306
Full Text

Reddy, E. A., B. N. Njau, S. C. Morpeth, K. E. Lancaster, A. C. Tribble, V. P. Maro, L. J. Msuya, et al. “A randomized controlled trial of standard versus intensified tuberculosis diagnostics on treatment decisions by physicians in Northern Tanzania.” Bmc Infectious Diseases 14, no. 1 (February 20, 2014). https://doi.org/10.1186/1471-2334-14-89.

Full Text

Ostermann, Jan, Kathryn Whetten, Elizabeth Reddy, Brian Pence, Andrew Weinhold, Dafrosa Itemba, Venance Maro, Eligy Mosille, Nathan Thielman, and Nathan CHAT Research Team. “Treatment retention and care transitions during and after the scale-up of HIV care and treatment in Northern Tanzania.” Aids Care 26, no. 11 (2014): 1352–58. https://doi.org/10.1080/09540121.2014.882493.

PMID
24517083
Full Text

Ostermann, Jan, Bernard Njau, Derek S. Brown, Axel Mühlbacher, and Nathan Thielman. “Heterogeneous HIV testing preferences in an urban setting in Tanzania: results from a discrete choice experiment.” Plos One 9, no. 3 (2014): e92100. https://doi.org/10.1371/journal.pone.0092100.

PMID
24643047
Full Text

Pages