Syphilis outbreak among Hispanic immigrants in Decatur, Alabama - Association with commercial sex
Syphilis outbreak among Hispanic immigrants in Decatur, Alabama - Association with commercial sex
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DOI：
10.1097/01.olq.0000104813.21860.e1
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发表时间：
2004-01-01
影响因子：
3.1
通讯作者：
Markowitz, LE
中科院分区：
文献类型：
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作者：
Paz-Bailey, G;Teran, S;Markowitz, LE
背景：尽管全国在梅毒控制方面取得了进展，但梅毒发病率最近有所上升，梅毒仍然是美国南部的一个地方性问题。在阿拉巴马州迪凯特市发现拉美裔人中爆发了传染性梅毒。目标：启动了一项调查，以描述疫情并协助预防活动。研究设计：我们回顾了病例访谈记录和梅毒监测数据。摩根县卫生局(MCHD)在发现大量梅毒病例的社区进行了自愿挨家挨户的梅毒筛查。结果：2000年6月至2001年2月共报告梅毒49例，其中原发或继发性梅毒26例(53%)，早期潜伏17例(35%)，晚期潜伏6例(12%)。在早期梅毒病例中，70%是男性。一半是西班牙裔；93%的病例与商业性行为有关，70%的女性病例报告使用强效可卡因。在筛查过程中，172人完成了问卷调查；70%的参与者是男性，83%是西班牙裔，17%的西班牙裔参与者说英语，21%的人报告与商业性工作者发生了性关系，8人(5%)的梅毒血清学呈阳性。在男性中，与商业性行为相关的因素包括没有固定的伴侣(优势比[OR]3.9；可信区间[CI]1.1-14.3)、未与美国家庭成员同住(OR，4.5；CI，1.6-12.8)以及抵达美国后曾去过原籍国(OR，9.2；CI，2.3-36.5)。结论：强效可卡因的使用和西班牙裔社区附近卖淫活动的增加是导致此次暴发的因素。目前，美国的拉美裔移民越来越多，其中大多数人不会说英语。为了防止未来出现类似的疫情，公共卫生官员需要意识到这些人群的健康和健康教育需求。
Background: Despite national progress in syphilis control, increases in rates have recently occurred, and syphilis is still an endemic problem in the southern United States. An outbreak of infectious syphilis among Hispanics was identified in Decatur, Alabama.Goal: An investigation was initiated to describe the outbreak and to assist with prevention activities. Study Design: We reviewed case interview records and syphilis surveillance data. The Morgan County Health Department (MCHD) performed voluntary door-to-door syphilis screening in neighborhoods where a large number of cases had been identified. During screening activities, sociodemographic and behavioral data were collected.Results: From June 2000 to February 2001, 49 cases of syphilis were reported; 26 (53%) were primary or secondary, 17 (35%) were early latent, and 6 (12%) late latent. Of the early syphilis cases, 70% were male. and half were Hispanic; 93% of cases were linked to commercial sex and 70% of female cases reported crack cocaine use. During the screening, 172 individuals completed a questionnaire; 70% of participants were male, 83% were Hispanic, 17% of Hispanic participants spoke English, 21% reported sex with a commercial sex worker, and 8 (5%) had positive syphilis serology. Among men, factors associated with commercial sex were not having a regular partner (odds ratio [OR], 3.9; confidence interval [CI], 1.1-14.3), not living with a family member in the United States (OR, 4.5; CI, 1.6-12.8), and having visited their country of origin since arrival to the United States (OR, 9.2; CI, 2.3-36.5).Conclusions: Factors contributing to this outbreak were crack cocaine use and increased prostitution in close proximity to the Hispanic community. At present, there are an increasing number of Hispanic immigrants in the United States, the majority of whom do not speak English. To prevent similar outbreaks in the future, public health officials need to be aware of the health and health education needs of these populations.