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Comparative geographic concentrations of 4 sexually transmitted infections

Author

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  • Kerani, R.P.
  • Handcock, M.S.
  • Handsfield, H.H.
  • Holmes, K.K.

Abstract

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.

Suggested Citation

  • Kerani, R.P. & Handcock, M.S. & Handsfield, H.H. & Holmes, K.K., 2005. "Comparative geographic concentrations of 4 sexually transmitted infections," American Journal of Public Health, American Public Health Association, vol. 95(2), pages 324-330.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.029413_4
    DOI: 10.2105/AJPH.2003.029413
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    Cited by:

    1. Roth, David & Otterstatter, Michael & Wong, Jason & Cook, Victoria & Johnston, James & Mak, Sunny, 2016. "Identification of spatial and cohort clustering of tuberculosis using surveillance data from British Columbia, Canada, 1990–2013," Social Science & Medicine, Elsevier, vol. 168(C), pages 214-222.
    2. Semaan, Salaam & Sternberg, Maya & Zaidi, Akbar & Aral, Sevgi O., 2007. "Social capital and rates of gonorrhea and syphilis in the United States: Spatial regression analyses of state-level associations," Social Science & Medicine, Elsevier, vol. 64(11), pages 2324-2341, June.

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