美国南部的梅毒情况：北卡罗来纳州农村地区的发病率超过城市地区。
Syphilis in the South: rural rates surpass urban rates in North Carolina.
作者信息
Thomas J C, Kulik A L, Schoenbach V J
机构信息
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27599-7400, USA.
出版信息
Am J Public Health. 1995 Aug;85(8 Pt 1):1119-22. doi: 10.2105/ajph.85.8_pt_1.1119.
Abstract
We studied primary and secondary syphilis rates in North Carolina for 1985 through 1993 to elucidate demographic trends and the role of rurality in the state's high rates. Each of the state's 100 counties was classified by rural-urban character; and county-level rates, adjusted for gender, race, and age group, were compared. Syphilis rates rose dramatically during the 9-year period, with most of the increase occurring among women, non-Whites, and rural counties. The rural rates recently surpassed urban rates, with the greatest increase experienced by non-White rural women. The exchange of sex for drugs and characteristics of rural poverty may be fueling these trends.
摘要
我们研究了1985年至1993年北卡罗来纳州一期和二期梅毒的发病率，以阐明人口统计学趋势以及农村地区在该州高发病率中所起的作用。该州的100个县根据城乡特征进行了分类；并对经性别、种族和年龄组调整后的县级发病率进行了比较。在这9年期间，梅毒发病率急剧上升，大部分增长发生在女性、非白人以及农村县。农村发病率最近超过了城市发病率，其中非白人农村女性的增幅最大。以性换毒品的行为和农村贫困特征可能助长了这些趋势。
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