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迈阿密的梅毒和淋病:相似的聚集情况,不同的趋势。

Syphilis and gonorrhea in Miami: similar clustering, different trends.

作者信息

Hamers F F, Peterman T A, Zaidi A A, Ransom R L, Wroten J E, Witte J J

机构信息

Division of STD/HIV Prevention, National Center for Prevention Services, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

出版信息

Am J Public Health. 1995 Aug;85(8 Pt 1):1104-8. doi: 10.2105/ajph.85.8_pt_1.1104.

Abstract

During the second half of the 1980s, Miami had a syphilis epidemic while gonorrhea rates decreased. To determine whether the direction of these trends truly differed within all population subgroups or whether they resulted from aggregating groups within which trends were similar, records from four sexually transmitted disease clinics from 1986 to 1990 and census data from 1990 were used to compare race-, sex-, age-, and zip code-specific groups. Syphilis and gonorrhea clustering was similar; 50% of cases occurred in the same zip codes, representing 10% of the population. In all groups, gonorrhea decreased (aggregate 48%) while syphilis first increased (aggregate 47%) and then decreased. Determining reasons for these different trends may facilitate controlling these diseases.

摘要

在20世纪80年代后半期,迈阿密梅毒疫情肆虐,而淋病发病率下降。为了确定这些趋势的方向在所有人群亚组中是否真的不同,或者它们是否是由汇总趋势相似的组导致的,研究使用了1986年至1990年四家性传播疾病诊所的记录以及1990年的人口普查数据,对种族、性别、年龄和邮政编码特定的组进行比较。梅毒和淋病的聚集情况相似;50%的病例发生在相同的邮政编码区域,占人口的10%。在所有组中,淋病发病率下降(总计48%),而梅毒发病率先是上升(总计47%),然后下降。确定这些不同趋势的原因可能有助于控制这些疾病。

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