Neighborhood drug markets: A risk environment for bacterial sexually transmitted infections among urban youth
Neighborhood drug markets: A risk environment for bacterial sexually transmitted infections among urban youth
复制标题
DOI：
10.1016/j.socscimed.2011.12.040
复制
发表时间：
2012-04-01
影响因子：
5.4
通讯作者：
Ellen, Jonathan M.
中科院分区：
文献类型：
--
作者：
Jennings, Jacky M.;Taylor, Ralph B.;Ellen, Jonathan M.
我们假设，与没有毒品市场的社区相比，有毒品市场的社区有更多受感染的性伴侣，即核心传播者，并且在这些地区，性传播感染的风险环境增加。本研究在马里兰州巴尔的摩市的年轻人家庭样本中控制了个人人口统计学和性风险因素后，确定了社区药物市场是否与高风险的性伙伴关系有关，并单独与当前的细菌性传播感染（衣原体和/或淋病）有关。分析还测试了这种联系是否独立于社区的社会经济地位。本研究的数据收集自家庭研究、系统的社会观察和警察逮捕、公共卫生性传播感染监测和美国人口普查数据。非线性多层模型显示，在控制了个人层面的人口因素、非法药物使用和社区社会经济地位之后，居住在家庭调查报告毒品市场的社区增加了发生高风险性伴侣的可能性。此外，在控制了个人层面的人口统计学和性风险因素以及社区社会经济地位之后，居住在有调查报告的毒品市场的社区增加了当前细菌性传播感染的可能性。结果表明，毒品市场社区的当地条件可能在建立高风险性伙伴关系和细菌性传播感染的风险环境方面发挥重要作用。观察到的模式似乎取决于所使用的药品市场指标的类型。未来的研究应该探索当地毒品市场地区的条件如何改变性网络结构，以及特定类型的毒品市场在确定性传播感染风险方面是否特别重要。(C) 2012 Elsevier Ltd.版权所有。
We hypothesized that neighborhoods with drug markets, as compared to those without, have a greater concentration of infected sex partners, i.e. core transmitters, and that in these areas, there is an increased risk environment for STIs. This study determined if neighborhood drug markets were associated with a high-risk sex partnership and, separately, with a current bacterial STI (chlamydia and/or gonorrhea) after controlling for individual demographic and sexual risk factors among a household sample of young people in Baltimore City, MD. Analyses also tested whether links were independent of neighborhood socioeconomic status. Data for this study were collected from a household study, systematic social observations and police arrest, public health STI surveillance and U.S. census data. Nonlinear multilevel models showed that living in neighborhoods with household survey-reported drug markets increased the likelihood of having a high-risk sex partnership after controlling for individual-level demographic factors and illicit drug use and neighborhood socioeconomic status. Further, living in neighborhoods with survey-reported drug markets increased the likelihood of having a current bacterial STI after controlling for individual-level demographic and sexual risk factors and neighborhood socioeconomic status. The results suggest that local conditions in neighborhoods with drug markets may play an important role in setting-up risk environments for high-risk sex partnerships and bacterial STIs. Patterns observed appeared dependent on the type of drug market indicator used. Future studies should explore how conditions in areas with local drug markets may alter sexual networks structures and whether specific types of drug markets are particularly important in determining STI risk. (C) 2012 Elsevier Ltd. All rights reserved.