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The impact of HIV infection and socioeconomic factors on the incidence of gonorrhea: A county-level, US-wide analysis

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  • Nikolaos Andreatos
  • Christos Grigoras
  • Fadi Shehadeh
  • Elina Eleftheria Pliakos
  • Georgianna Stoukides
  • Jenna Port
  • Myrto Eleni Flokas
  • Eleftherios Mylonakis

Abstract

Background: Gonorrhea is the second most commonly reported identifiable disease in the United States (U.S.). Importantly, more than 25% of gonorrheal infections demonstrate antibiotic resistance, leading the Centers for Disease Control and Prevention (CDC) to classify gonorrhea as an “urgent threat”. Methods: We examined the association of gonorrhea infection rates with the incidence of HIV and socioeconomic factors. A county-level multivariable model was then constructed. Results: Multivariable analysis demonstrated that HIV incidence [Coefficient (Coeff): 1.26, 95% Confidence Interval (CI): 0.86, 1.66, P

Suggested Citation

  • Nikolaos Andreatos & Christos Grigoras & Fadi Shehadeh & Elina Eleftheria Pliakos & Georgianna Stoukides & Jenna Port & Myrto Eleni Flokas & Eleftherios Mylonakis, 2017. "The impact of HIV infection and socioeconomic factors on the incidence of gonorrhea: A county-level, US-wide analysis," PLOS ONE, Public Library of Science, vol. 12(9), pages 1-11, September.
    • Handle: RePEc:plo:pone00:0183938
    DOI: 10.1371/journal.pone.0183938
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    References listed on IDEAS

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    1. Rice, R.J. & Roberts, P.L. & Handsfield, H.H. & Holmes, K.K., 1991. "Sociodemographic distribution of gonorrhea incidence: implications for prevention and behavioral research," American Journal of Public Health, American Public Health Association, vol. 81(10), pages 1252-1258.
    2. Springer, Y.P. & Samuel, M.C. & Bolan, G., 2010. "Erratum: Socioeconomic gradients in sexually transmitted diseases: A geographic information system-based analysis of poverty, race/ethnicity, and gonorrhea rates in California, 2004-2006. (American Jo," American Journal of Public Health, American Public Health Association, vol. 100(9), pages 1560-1560.
    3. Springer, Y.P. & Samuel, M.C. & Bolan, G., 2010. "Socioeconomic gradients in sexually transmitted diseases: A geographic information system-based analysis of poverty, race/ethnicity, and gonorrhea rates in California, 2004-2006," American Journal of Public Health, American Public Health Association, vol. 100(6), pages 1060-1067.
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