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

Whetten, Kathryn, Jan Ostermann, Brian W. Pence, Rachel A. Whetten, Lynne C. Messer, Sumedha Ariely, Karen O’Donnell, et al. “Three-year change in the wellbeing of orphaned and separated children in institutional and family-based care settings in five low- and middle-income countries.” Plos One 9, no. 8 (2014): e104872. https://doi.org/10.1371/journal.pone.0104872.

PMID
25162410
Full Text

Bruno, Theodore O., Charles B. Hicks, Susanna Naggie, David A. Wohl, Helmut Albrecht, Nathan M. Thielman, Daniel U. Rabin, et al. “VISION: a regional performance improvement initiative for HIV health care providers.” J Contin Educ Health Prof 34, no. 3 (2014): 171–78. https://doi.org/10.1002/chp.21248.

PMID
25258129
Full Text

O’Donnell, Karen, Jia Yao, Jan Ostermann, Nathan Thielman, Elisabeth Reddy, Rachel Whetten, Venance Maro, et al. “Low rates of child testing for HIV persist in a high-risk area of East Africa.” Aids Care 26, no. 3 (2014): 326–31. https://doi.org/10.1080/09540121.2013.819405.

PMID
23875966
Full Text

Sumner, Steven A., Elizabeth L. Turner, and Nathan M. Thielman. “Association between earthquake events and cholera outbreaks: a cross-country 15-year longitudinal analysis.” Prehosp Disaster Med 28, no. 6 (December 2013): 567–72. https://doi.org/10.1017/S1049023X13008984.

PMID
24168784
Full Text

Whetten, K., K. Shirey, B. W. Pence, J. Yao, N. Thielman, R. Whetten, J. Adams, et al. “Trauma History and Depression Predict Incomplete Adherence to Antiretroviral Therapies in a Low Income Country.” Plos One 8, no. 10 (October 4, 2013). https://doi.org/10.1371/journal.pone.0074771.

Full Text

Bess, Kiana D., Julie Adams, Melissa H. Watt, Julie K. O’Donnell, Bradley N. Gaynes, Nathan M. Thielman, Amy Heine, Anne Zinski, James L. Raper, and Brian W. Pence. “Providers' attitudes towards treating depression and self-reported depression treatment practices in HIV outpatient care.” Aids Patient Care Stds 27, no. 3 (March 2013): 171–80. https://doi.org/10.1089/apc.2012.0406.

PMID
23442030
Full Text

Homaifar, Nazaneen, David Mwesigye, Samuel Tchwenko, Ayaba Worjoloh, Shahrzad Joharifard, Patrick Kyamanywa, Jeff Wilkinson, Stephen Rulisa, and Nathan M. Thielman. “Emergency obstetrics knowledge and practical skills retention among medical students in Rwanda following a short training course.” Int J Gynaecol Obstet 120, no. 2 (February 2013): 195–99. https://doi.org/10.1016/j.ijgo.2012.07.031.

PMID
23260993
Full Text

Pence, Brian W., Kathryn Whetten, Kristen G. Shirey, Jia Yao, Nathan M. Thielman, Rachel Whetten, Dafrosa Itemba, and Venance Maro. “Factors associated with change in sexual transmission risk behavior over 3 years among HIV-infected patients in Tanzania.” Plos One 8, no. 12 (2013): e82974. https://doi.org/10.1371/journal.pone.0082974.

PMID
24367575
Full Text

Whetten, Kathryn, Kristen Shirey, Brian Wells Pence, Jia Yao, Nathan Thielman, Rachel Whetten, Julie Adams, et al. “Trauma history and depression predict incomplete adherence to antiretroviral therapies in a low income country.” Plos One 8, no. 10 (2013): e74771. https://doi.org/10.1371/journal.pone.0074771.

PMID
24124455
Full Text

Joharifard, Shahrzad, Stephen Rulisa, Francine Niyonkuru, Andrew Weinhold, Felix Sayinzoga, Jeffrey Wilkinson, Jan Ostermann, and Nathan M. Thielman. “Prevalence and predictors of giving birth in health facilities in Bugesera District, Rwanda.” Bmc Public Health 12 (December 5, 2012): 1049. https://doi.org/10.1186/1471-2458-12-1049.

PMID
23217157
Full Text

Pages