Characteristics of persons with syphilis in areas of persisting syphilis in the United States - Sustained transmission associated with concurrent partnerships

Characteristics of persons with syphilis in areas of persisting syphilis in the United States - Sustained transmission associated with concurrent partnerships
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DOI:
10.1097/00007435-200109000-00004
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发表时间:
2001-09-01
影响因子:
3.1
通讯作者:
St Louis, ME
St Louis, ME
中科院分区:
医学4区
文献类型:
--
作者:
Koumans, EH;Farley, TA;St Louis, ME

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背景和目标:在持续梅毒的地区,确定传播梅毒的高危人群的特征。研究设计:队列研究。结果:在743例梅毒患者中,229例(31%)在前一个月有两个或两个以上的性伴侣,57例(8%)在前三个月接受过性行为金钱或药物。在梅毒早期至少有一个伴侣的人被定义为传播者;早期梅毒患者中有63人(8.5%)符合这一定义。同时有性伴(最近一个月的一周内有两个或两个以上)与梅毒传播者无关。结论:梅毒患者及其伴侣的性网络/行为特征,如并发,有助于识别梅毒传播的高危人群,应在疾病预防活动中给予重视。
Background and Goal: In areas with persistent syphilis, to characterize persons at higher risk for transmitting syphilis.Study Design: Cohort study. Structured interviews of persons with early syphilis from four research centers were linked to outcomes of partner tracing.Results: Of 743 persons with syphilis, 229 (31%) reported two or more partners in the previous month, and 57 (8%) received money or drugs for sex in the previous three months. Persons with at least one partner at an earlier stage of syphilis than themselves were defined as transmitters; 63 (8.5%) of persons with early syphilis met this definition. Having concurrent partners (two or more in one week in the last month) was independently associated with being a transmitter.Conclusion: Sexual network/behavioral characteristics of syphilis patients and their partners, such as concurrency, can help identify persons at higher risk for transmitting syphilis who should receive emphasis in disease prevention activities.