Sexually transmitted diseases among American Indians in Arizona: an important public health disparity.

Public Health Reports
Michelle WinscottKerry Kenney

Abstract

We conducted an analysis of rates, geographic distribution, and time to treatment of chlamydia, gonorrhea, and early syphilis (ES) among Arizona American Indians (AIs) to address racial disparities affecting this group. We used the Arizona Department of Health Services' sexually transmitted disease (STD) surveillance database to identify STD cases and calculate rates among AIs in Arizona from 2003 to 2007. We mapped AI ES cases reported during that time frame by reported resident ZIP code, calculated days elapsed from specimen collection to initial treatment, and compared rates and time to treatment for AIs with those of non-Hispanic white (NHW) individuals. Annual Arizona AI STD rates for chlamydia, gonorrhea, and ES from 2003 to 2007 ranged from 2.7 to 7.8 times those of NHW people. During the same time period, the annual rates for all three STDs among adolescents aged 15 to 19 years were also higher among AIs and ranged from 2.0 to 14.8 times those of NHW individuals. The majority of cases for ES reported ZIP codes located in the northeastern and southern central portions of the state. The median time to treatment in AI populations was significantly longer than in NHW populations for chlamydia and gonorrhea, but not for ES. ...Continue Reading

References

Jun 6, 2002·American Journal of Epidemiology·Douglas A ThoroughmanJames E Cheek
May 27, 2005·Journal of Psychoactive Drugs·Suzanne SpearPhyllis Ellickson
Nov 2, 2006·American Journal of Public Health·Wendy L HellerstedtAnn Garwick
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May 24, 2007·Public Health Reports·Jeanne BertolliUNKNOWN AI/AN Race /Ethnicity Data Validation Workgroup
May 2, 2008·Sexually Transmitted Diseases·Linda GorgosJeanne Marrazzo

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Citations

Feb 15, 2011·Sexually Transmitted Diseases·Robert D KirkcaldyHillard S Weinstock
Jan 2, 2018·The Journal of Early Adolescence·Kaylin M GreeneTamela McNulty Eitle
Sep 11, 2019·Sexual Health·Robert D KirkcaldyGwenda Hughes
Jan 11, 2020·Sexually Transmitted Diseases·Rachel Strom ChambersLauren Tingey
Jun 7, 2017·International Journal for Equity in Health·Adele Schwartz BenzakenDavid Mabey
Oct 1, 2021·Substance Use & Misuse·Kelsey N SerierAlexandra Hernandez-Vallant

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