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

Waters, Richard C., Jan Ostermann, Travis D. Reeves, Max F. Masnick, Nathan M. Thielman, John A. Bartlett, and John A. Crump. “A cost-effectiveness analysis of alternative HIV retesting strategies in sub-saharan Africa.” J Acquir Immune Defic Syndr 56, no. 5 (April 15, 2011): 443–52. https://doi.org/10.1097/QAI.0b013e3182118f8c.

PMID
21297484
Full Text

Prabhu, Malavika, Bariki McHome, Jan Ostermann, Dafrosa Itemba, Bernard Njau, Nathan Thielman, and Nathan KIWAKKUKI-Duke VCT Study Group. “Prevalence and correlates of intimate partner violence among women attending HIV voluntary counseling and testing in northern Tanzania, 2005-2008.” Int J Gynaecol Obstet 113, no. 1 (April 2011): 63–67. https://doi.org/10.1016/j.ijgo.2010.10.019.

PMID
21257168
Full Text

Whetten, Kathryn, Jan Ostermann, Rachel Whetten, Karen O’Donnell, Nathan Thielman, and Nathan Positive Outcomes for Orphans Research Team. “More than the loss of a parent: potentially traumatic events among orphaned and abandoned children.” J Trauma Stress 24, no. 2 (April 2011): 174–82. https://doi.org/10.1002/jts.20625.

PMID
21442663
Full Text

Reif, Susan, Michael Mugavero, James Raper, Nathan Thielman, Jane Leserman, Kathryn Whetten, and Brian Wells Pence. “Highly stressed: stressful and traumatic experiences among individuals with HIV/AIDS in the Deep South.” Aids Care 23, no. 2 (February 2011): 152–62. https://doi.org/10.1080/09540121.2010.498872.

PMID
21259127
Full Text

Ostermann, Jan, Elizabeth A. Reddy, Meghan M. Shorter, Charles Muiruri, Antipas Mtalo, Dafrosa K. Itemba, Bernard Njau, John A. Bartlett, John A. Crump, and Nathan M. Thielman. “Who tests, who doesn't, and why? Uptake of mobile HIV counseling and testing in the Kilimanjaro Region of Tanzania.” Plos One 6, no. 1 (January 31, 2011): e16488. https://doi.org/10.1371/journal.pone.0016488.

PMID
21304973
Full Text

Whetten, Rachel, Lynne Messer, Jan Ostermann, Kathryn Whetten, Brian Wells Pence, Megan Buckner, Nathan Thielman, Karen O’Donnell, and Karen Positive Outcomes for Orphans (POFO) Research Team. “Child work and labour among orphaned and abandoned children in five low and middle income countries.” Bmc Int Health Hum Rights 11 (January 13, 2011): 1. https://doi.org/10.1186/1472-698X-11-1.

PMID
21232140
Full Text

Saunders, Kevin O., Cavin Ward-Caviness, Robert J. Schutte, Stephanie A. Freel, R Glenn Overman, Nathan M. Thielman, Coleen K. Cunningham, Thomas B. Kepler, and Georgia D. Tomaras. “Secretion of MIP-1β and MIP-1α by CD8(+) T-lymphocytes correlates with HIV-1 inhibition independent of coreceptor usage.” Cell Immunol 266, no. 2 (2011): 154–64. https://doi.org/10.1016/j.cellimm.2010.09.011.

PMID
21030011
Full Text

Watt, Melissa H., Elizabeth H. Aronin, Suzanne Maman, Nathan Thielman, John Laiser, and Muze John. “Acceptability of a group intervention for initiates of antiretroviral therapy in Tanzania.” Glob Public Health 6, no. 4 (2011): 433–46. https://doi.org/10.1080/17441692.2010.494162.

PMID
20635269
Full Text

Pence, Brian Wells, James L. Raper, Susan Reif, Nathan M. Thielman, Jane Leserman, and Michael J. Mugavero. “Incident stressful and traumatic life events and human immunodeficiency virus sexual transmission risk behaviors in a longitudinal, multisite cohort study.” Psychosom Med 72, no. 7 (September 2010): 720–26. https://doi.org/10.1097/PSY.0b013e3181e9eef3.

PMID
20595416
Full Text

Messer, Lynne C., Brian W. Pence, Kathryn Whetten, Rachel Whetten, Nathan Thielman, Karen O’Donnell, and Jan Ostermann. “Prevalence and predictors of HIV-related stigma among institutional- and community-based caregivers of orphans and vulnerable children living in five less-wealthy countries.” Bmc Public Health 10 (August 19, 2010): 504. https://doi.org/10.1186/1471-2458-10-504.

PMID
20723246
Full Text

Pages