Kretzschmar M, Morris M
National Institute of Public Health and Environmental Protection, Bilthoven, Netherlands.
Math Biosci. 1996 Apr 15;133(2):165-95. doi: 10.1016/0025-5564(95)00093-3.
An investigation is made into the impact of concurrent partnerships on epidemic spread. Starting from a definition of concurrency on the level of individuals, the authors define ways to quantify concurrency on the population level. An index of concurrency based on graph theoretical considerations is introduced, and the way in which it is related to the degree distribution of the contact graph is demonstrated. Then the spread of an infectious disease on a dynamic partnership network is investigated. The model is based on a stochastic process of pair formation and separation and a process of disease transmission within partnerships of susceptible and infected individuals. Using Monte Carlo simulation, the spread of the epidemic is compared for contact patterns ranging from serial monogamy to situations where individuals can have many partners simultaneously. It is found that for a fixed mean number of partners per individual the distribution of these partnerships over the population has a major influence on the speed of the epidemic in its initial phase and consequently in the number of individuals who are infected after a certain time period.
对同时存在的性伙伴关系对疾病传播的影响进行了调查。作者从个体层面的性伙伴关系定义出发,定义了在人群层面量化性伙伴关系的方法。引入了基于图论考虑的性伙伴关系指数,并展示了它与接触图度分布的关系。然后研究了传染病在动态性伙伴关系网络中的传播。该模型基于配对形成和分离的随机过程以及易感个体和感染个体在性伙伴关系中的疾病传播过程。使用蒙特卡罗模拟,比较了从连续一夫一妻制到个体可同时拥有多个性伙伴情况的接触模式下的疾病传播情况。研究发现,对于固定的人均性伙伴平均数,这些性伙伴关系在人群中的分布对疫情初期的传播速度有重大影响,进而对一定时间段后感染的个体数量有重大影响。