IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2011.300497_1.html
   My bibliography  Save this article

Local public health systems and the incidence of sexually transmitted diseases

Author

Listed:
  • Rodriguez, H.P.
  • Chen, J.
  • Owusu-Edusei, K.
  • Suh, A.
  • Bekemeier, B.

Abstract

Objectives. We examined the associations of local public health system organization and local health department resources with county-level sexually transmitted disease (STD) incidence rates in large US health jurisdictions. Methods. We linked annual county STD incidence data (2005-2008) to local health department director responses (n = 211) to the 2006 wave of the National Longitudinal Study of Local Public Health Systems, the 2005 national Local Health Department Profile Survey, and the Area Resource File. We used nested mixed effects regression models to assess the relative contribution of local public health system organization, local health department financial and resource factors, and sociodemographic factors known to be associated with STD incidence to county-level (n = 307) STD incidence. Results. Jurisdictions with local governing boards had significantly lower county-level STD incidence. Local public health systems with comprehensive services where local health departments shoulder much of the effort had higher county-level STD rates than did conventional systems. Conclusions. More integration of system partners in local public health system activities, through governance and interorganizational arrangements, may reduce the incidence and burden of STDs. (Am J Public Health.

Suggested Citation

  • Rodriguez, H.P. & Chen, J. & Owusu-Edusei, K. & Suh, A. & Bekemeier, B., 2012. "Local public health systems and the incidence of sexually transmitted diseases," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1773-1781.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300497_1
    DOI: 10.2105/AJPH.2011.300497
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2011.300497
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2011.300497?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Craig Arthur Gallet, 2017. "The Impact of Public Health Spending on California STD Rates," International Advances in Economic Research, Springer;International Atlantic Economic Society, vol. 23(2), pages 149-159, May.
    2. Chuang, Emmeline & Collins-Camargo, Crystal & McBeath, Bowen & Wells, Rebecca & Bunger, Alicia, 2014. "An empirical typology of private child and family serving agencies," Children and Youth Services Review, Elsevier, vol. 38(C), pages 101-112.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300497_1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.