Sexually transmitted infections in the Delta Regional Authority: significant disparities in the 252 counties of the eight-state Delta Region Authority
| Autor: | David Crumly, William S. Pearson, Wiley D. Jenkins, Christofer Rodriguez, Georgia Mueller-Luckey, Alexandra C Barger |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Rural Population Sexual Behavior Population Sexually Transmitted Diseases Dermatology medicine.disease_cause 03 medical and health sciences Gonorrhea 0302 clinical medicine Rurality Risk Factors Medicine Humans 030212 general & internal medicine Syphilis education education.field_of_study 030505 public health Chlamydia business.industry Incidence (epidemiology) Incidence Health Status Disparities Chlamydia Infections medicine.disease Health equity United States Infectious Diseases Sexual orientation Female 0305 other medical science business Chlamydia trachomatis Demography |
| Zdroj: | Sexually transmitted infections. 94(8) |
| ISSN: | 1472-3263 |
| Popis: | ObjectiveChlamydia, gonorrhoea and syphilis (primary and secondary) are at high levels in the USA. Disparities by race, gender and sexual orientation have been characterised, but while there are indications that rural poor populations may also be at distinct risk this has been subjected to little study by comparison. The federally designated Delta Regional Authority, similar in structure to the Appalachian Regional Commission, oversees 252 counties within eight Mississippi Delta states experiencing chronic economic and health disparities. Our objective was to identify differences in infection risk between Delta Region (DR)/non-DR counties and examine how they might vary by rurality, population density, primary care access and education attainment.MethodsReported chlamydia/gonorrhoea/syphilis data were obtained from the Centers for Disease Control and Prevention AtlasPlus, county demographic data from the Area Health Resource File and rurality classifications from the Department of Agriculture. Data were subjected to analysis by t-test, χ2 and linear regression to assess geographical disparities in incidence and their association with measures of rurality, population and primary care density, and education.ResultsOverall rates for each infection were significantly higher in DR versus non-DR counties (577.8 vs 330.1/100 000 for chlamydia; 142.8 vs 61.8 for gonorrhoea; 3.6 vs 1.7 for syphilis; all PConclusionsThe nearly 10 million people living in the DR face significant disparities in the incidence of chlamydia, gonorrhoea and syphilis—in many instances a near-doubling of risk. Our findings suggest that resource-constrained areas, as measured by rurality, should be considered a priority for future intervention efforts. |
| Databáze: | OpenAIRE |
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