| Titre : | Comparative geographic concentrations of 4 sexually transmitted infections. (2005) |
| Auteurs : | Roxanne-P KERANI ; HANDCOCK (Mark-S) : USA. Department of Statistics at the University of Washington. ; HANDSFIELD (Hhunter) : USA. Public Health-Seattle and King County. Seattle. WA. ; King-K HOLMES ; University of Washington School of Medicine. Center for Aids and Std. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 95, n° 2, 2005) |
| Pagination : | 324-330 |
| Langues: | Anglais |
| Mots-clés : | Maladie sexuellement transmissible ; Etude comparée ; Homme ; Epidémiologie ; Etats Unis ; Amérique ; Infection ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS ziR0x303. Diffusion soumise à autorisation]. Objectives. We measured and compared the concentration of primary and secondary syphilis, gonorrhea, chlamydial infection, and genital herpes in a large county with urban, suburban, and rural settings. Methods. We geocoded sexually transmitted infections reported to King County, Washington health department in 2000-2001 to census tract of residence. We used a model-based approach to measure concentration with Lorenz curves and Gini coefficients. Results. Syphilis exhibited the highest level of concentration (estimated Gini coefficient=0.68,95% confidence interval [CI]=0.64,0.78), followed by gonorrhea (estimated Gini coefficient=0.57 ; 95% CI=0.54,0.60), chlamydial infection (estimated Gini coefficient=0.45 ; 95% CI=0.40,0.43), and herpes (estimated Gini coefficient=0.26 ; 95% CI=0.22,0.29). Conclusions. Geographically targeted interventions may be most appropriate for syphilis and gonorrhea. For less-concentrated infections, control strategies must reach a wider portion of the population. |
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