In:
American Journal of Public Health, American Public Health Association, Vol. 95, No. 2 ( 2005-02), p. 324-330
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.
Type of Medium:
Online Resource
ISSN:
0090-0036
,
1541-0048
DOI:
10.2105/AJPH.2003.029413
Language:
English
Publisher:
American Public Health Association
Publication Date:
2005
detail.hit.zdb_id:
2054583-6
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