Sexually transmitted infections in the Delta Regional Authority: significant disparities in the 252 counties of the eight-state Delta Region Authority

Sexually Transmitted Infections
Alexandra C BargerWiley D Jenkins

Abstract

Chlamydia, gonorrhoea and syphilis (primary and secondary) are at high levels in the USA. Disparities by race, gender and sexual orientation have been characterised, but while there are indications that rural poor populations may also be at distinct risk this has been subjected to little study by comparison. The federally designated Delta Regional Authority, similar in structure to the Appalachian Regional Commission, oversees 252 counties within eight Mississippi Delta states experiencing chronic economic and health disparities. Our objective was to identify differences in infection risk between Delta Region (DR)/non-DR counties and examine how they might vary by rurality, population density, primary care access and education attainment. Reported chlamydia/gonorrhoea/syphilis data were obtained from the Centers for Disease Control and Prevention AtlasPlus, county demographic data from the Area Health Resource File and rurality classifications from the Department of Agriculture. Data were subjected to analysis by t-test, χ2 and linear regression to assess geographical disparities in incidence and their association with measures of rurality, population and primary care density, and education. Overall rates for each infection wer...Continue Reading

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Citations

Apr 12, 2019·Cancer Causes & Control : CCC·Whitney E ZahndKarin A Rosenblatt
Dec 5, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Elisa M RodriguezDeborah O Erwin
Aug 26, 2020·Cancer Causes & Control : CCC·Joëlle Atere-RobertsIngrid J Hall
Aug 27, 2021·AIDS and Behavior·Jo A ValentineMatthew Hogben
Jul 16, 2021·Sexually Transmitted Diseases·Wiley D JenkinsWilliam S Pearson

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