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Nathan Maclyn Thielman

Professor of Medicine
Medicine, Infectious Diseases
Duke Box 90519, Durham, NC 27708-0519
310 Trent Drive, Room 201, Trent Hall, Durham, NC 27710

Overview


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.

Current Appointments & Affiliations


Professor of Medicine · 2014 - Present Medicine, Infectious Diseases, Medicine
Research Professor of Global Health · 2011 - Present Duke Global Health Institute, University Institutes and Centers
Professor of Pathology · 2014 - Present Pathology, Clinical Science Departments

In the News


Published April 14, 2015
Duke researchers: Ebola stigma like AIDS hysteria
Published April 9, 2015
Duke Symposium to Examine Ebola Outbreaks, Recovery
Published March 21, 2014
Study Identifies Preferences for HIV Testing in Sub-Saharan Africa

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Recent Publications


The prevalence of HIV among patients with cardiovascular disease in a Tanzanian emergency department: results from a prospective observational study.

Journal Article AIDS Care · December 15, 2025 OBJECTIVES: Persons living with HIV (PLWH) face double the risk of cardiovascular disease (CVD) compared to others. We assessed HIV prevalence among patients presenting to a Tanzanian emergency department (ED) with acute myocardial infarction (AMI) or hear ... Full text Link to item Cite

Acute myocardial infarction diagnosis and treatment following implementation of a multicomponent intervention in Tanzania: the MIMIC pilot trial.

Journal Article BMJ Open · November 11, 2025 BACKGROUND: In Tanzania, acute myocardial infarction (AMI) is underdiagnosed, and uptake of evidence-based care is suboptimal. Using an implementation science approach, an intervention was developed to address local barriers to care: the Multicomponent Int ... Full text Link to item Cite

Alterations of the Upper Respiratory Microbiome Among Children Living With HIV Infection in Botswana.

Journal Article J Infect Dis · October 15, 2025 Children living with HIV (CLWH) are at high risk of colonization and infection by respiratory pathogens, though this risk can be reduced by other microbes in the upper respiratory microbiome. The impact of HIV infection on the pediatric upper respiratory m ... Full text Link to item Cite
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Recent Grants


Interdisciplinary Research Training Program in AIDS

Inst. Training Prgm or CMEPrincipal Investigator · Awarded by National Institutes of Health · 2010 - 2030

2/3 CTSA K12 Program at Duke University

ResearchMentor · Awarded by National Institutes of Health · 2025 - 2030

Cardiac function and proteomic biomarkers in individuals with perinatal HIV infection or exposure

ResearchCo Investigator · Awarded by National Institutes of Health · 2025 - 2030

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Education, Training & Certifications


Duke University · 1990 M.D.
University of North Carolina, Chapel Hill · 1989 M.P.H.