Sociodemographic factors and the variation in syphilis rates among US counties, 1984 through 1993: an ecological analysis

American Journal of Public Health
P H KilmarxT A Peterman

Abstract

Syphilis in the United States is focally distributed, with high incidence rates in the South and in metropolitan areas nationwide. In this study an ecological analysis, using the county as the unit of analysis, was performed to generate hypotheses about community-level determinants of syphilis rates. Bivariate rank correlations and multivariate, backward stepwise elimination linear regressions were performed. Mean annual incidence of primary- and secondary-stage syphilis in a county was the dependent variable, and county sociodemographic characteristics (from census data) were the independent variables. In the multivariate regression model, sociodemographic characteristics accounted for 71% of the variation in syphilis rates among counties. With other factors accounted for, the most highly correlated characteristics were percentage non-Hispanic Black population, county location in the South, percentage of the population that was urban, percentage Hispanic population, and percentage of births to women younger than 20 years. Most of the variation in syphilis rates among counties is accounted for by sociodemographic characteristics. Identification and remediation of modifiable health determinants for which these factors are marker...Continue Reading

References

May 1, 1976·American Journal of Public Health·W W Darrow
Sep 1, 1992·American Journal of Public Health·S N Seidman, S Aral
Nov 1, 1990·The Medical Clinics of North America·R C Brunham, F A Plummer
Oct 1, 1990·Sexually Transmitted Diseases·T A FarleyR A Gunn
Jul 1, 1990·American Journal of Public Health·R T RolfsR G Sharrar
Sep 1, 1980·American Journal of Public Health·R RothenbergT M Vernon
Aug 1, 1995·American Journal of Public Health·J C ThomasV J Schoenbach
May 1, 1995·Sexually Transmitted Diseases·D R Smucker, J C Thomas
May 1, 1994·American Journal of Public Health·M Susser
May 1, 1994·American Journal of Public Health·M Susser
May 1, 1994·American Journal of Public Health·J S Koopman, I M Longini
Jan 1, 1996·Sexually Transmitted Diseases·A K NakashimaJ R Greenspan
Jan 1, 1996·Sexually Transmitted Diseases·S O Aral

❮ Previous
Next ❯

Citations

Feb 9, 2010·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Caroline M FichtenbergJonathan M Ellen
Jul 2, 1999·Social Science & Medicine·J C ThomasT A Peterman
Jul 1, 1999·Public Health Nursing·L AnderkoJ F Robertson
Apr 14, 2000·AIDS Patient Care and STDs·B Lichtenstein
Nov 1, 2001·AIDS·A BuvéUNKNOWN Study Group on Heterogeneity of HIV Epidemics in African Cities
Dec 6, 2002·Sexually Transmitted Diseases·Jonathan M EllenJeanne Tschann
May 21, 2008·Sexually Transmitted Diseases·Kathryn R BushAmi Singh
Jan 7, 2009·Sexually Transmitted Diseases·Mark S KaplanGary Marks
Oct 22, 2008·Sexually Transmitted Diseases·Matthew Hogben, Jami S Leichliter
May 18, 2012·Sexually Transmitted Diseases·Harrell W ChessonSevgi O Aral
Dec 21, 2012·Sexually Transmitted Diseases·Dionne C GesinkWilliam C Miller
May 17, 2013·Sexually Transmitted Diseases·River A PugsleyKate L Lapane
Apr 1, 2004·Sexually Transmitted Infections·M W RossL Leonard
Jul 28, 2004·BMC Public Health·Christopher J WilliamsPaul R Hunter
Oct 14, 2004·International Journal of STD & AIDS·Anneli UuskülaMari Kibur-Nygård
Sep 19, 2009·American Journal of Public Health·Kirsten P Smith, Nicholas A Christakis
Jul 21, 2012·American Journal of Public Health·Hector P RodriguezBetty Bekemeier
Mar 16, 2013·American Journal of Public Health·Kwame Owusu-EduseiSevgi O Aral
Sep 24, 2008·American Journal of Public Health·James C Thomas, Elizabeth Torrone
Sep 30, 2006·American Journal of Public Health·James C Thomas, Elizabeth Torrone
Feb 10, 2000·American Journal of Public Health·D CohenJ Wildgen
Jun 7, 2011·The Journal of Infection·Raul Neghina, Adriana M Neghina
Mar 8, 2011·Annals of Epidemiology·Ashleigh B SullivanWilliam C Miller
Oct 28, 2008·Social Science & Medicine·Harrell Chesson, Kwame Owusu-Edusei
Mar 21, 2008·The Lancet Infectious Diseases·Kevin A FentonSally Blower
Mar 26, 2015·Women & Health·Pamela S LillestonSusan G Sherman
Nov 6, 2010·Social Science & Medicine·David GrembowskiWilliam Kreuter
Nov 26, 2003·Respiratory Medicine·Jeremy I HawkerRichard C Wilson
Jan 1, 2005·The Journal of Infectious Diseases·Thomas A PetermanRichard M Selik
Jan 1, 2005·The Journal of Infectious Diseases·James C Thomas, Lynne A Sampson
Aug 4, 2018·International Journal of STD & AIDS·Hector P RodriguezLynn Silver

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.