| Titre : | "Broken windows" and the risk of gonorrhea. (2000) |
| Auteurs : | D. Cohen ; P. KISSINGER ; K. MASON ; R. SCRIBNER ; S. SPEAR ; J. WILDGEN ; Louisiana State University Medical Center. New Orleans. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 2, 2000) |
| Pagination : | 230-236 |
| Langues: | Anglais |
| Mots-clés : | Gonococcie ; Bactériose ; Infection ; Homme ; Association ; Environnement ; Domicile ; Facteur risque ; Facteur socioéconomique ; Etats Unis ; Amérique ; Epidémiologie ; Pauvreté ; Maladie sexuellement transmissible ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 8VX4PR0x. Diffusion soumise à autorisation]. Objectives. We examined the relationships between neighborhood condi tions and gonorrhea. Methods. We assessed 55 block groups by rating housing and street conditions. We mapped all cascs of gonorrhea between 1994 and 1996 and calculated aggregated case rates by block group. We obtained public school inspection reports and assigned findings to the block groups served by the neighborhood schoois. A "biocken windows" index measured housing quality, abandoned cars, graffiti, trash, and public school deterioration. Using data from the 1990 census and 1995 updates, we determined the association between "broken windows, demographic characteristics, and gonorrhea rates Results. The broken windows index explained more of the variance in gonor rhea rates than did a poverty index measuring income, unemployment, and low education. In high-poverty neighborhoods block groups with high broken had sigmticantly higher gonorrhea rates than block groups with low broken windows scores (46.6 per 1000 vs 35.8 per 1000 : P<. 001), Conclusions. The robust associa tion of deterioated physical conditions of local neighborhoods with gonorrhea rates, independent of poverty, merits an intervention trial to test whether the environment has a causal role in influsexual behaviors. |
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