SOCIAL NETWORKS AND INFECTIOUS-DISEASE - THE COLORADO-SPRINGS STUDY

SOCIAL NETWORKS AND INFECTIOUS-DISEASE - THE COLORADO-SPRINGS STUDY
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DOI:
10.1016/0277-9536(94)90302-6
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发表时间:
1994-01-01
影响因子:
5.4
通讯作者:
DARROW, WW
DARROW, WW
中科院分区:
医学2区
文献类型:
--
作者:
KLOVDAHL, AS;POTTERAT, JJ;DARROW, WW

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社会网络范式为研究人群结构提供了一套有用的概念和方法,通过这种结构,传染病在密切的个人接触中传播,并为制定改进的疾病控制计划提供了机会。该研究是第一次尝试使用社会网络方法来更好地了解影响多种病原体传播的因素,包括乙型肝炎病毒(HBV)和人类免疫缺陷病毒(HIV),在一个中等规模的城市(科罗拉多州科罗拉多斯普林斯)的妓女,注射吸毒者(IDU)和他们的个人伙伴。本文描述了在流行病学研究中研究大型社会网络的一些挑战,报告了一些初步结果,并提供了一种关于高危人群中相互联系的新观点。总体而言,在流行病学研究中首次发现大量个体(超过600人)通过网络设计直接或间接地相互联系。在核心网络区域,HIV感染者与易感人群之间的平均距离(沿观察到的社会关系)约为3步(3.1)。核心易感人群均在HIV感染的7步以内。
The social network paradigm provides a set of concepts and methods useful for studying the structure of a population through which infectious agents transmitted during close personal contact spread, and an opportunity to develop improved disease control programs.The research discussed was a first attempt to use a social network approach to better understand factors affecting the transmission of a variety of pathogens, including hepatitis B virus (HBV) and human immunodeficiency viruses (HIV), in a population of prostitutes, injecting drug users (IDU) and their personal associates in a moderate-sized city (Colorado Springs, CO).Some of the challenges of studying large social networks in epidemiological research are described, some initial results reported and a new view of interconnections in an at risk population provided. Overall, for the first time in epidemiologic research a large number of individuals (over 600) were found connected to each other, directly or indirectly, using a network design. The average distance (along observed social relationships) between persons infected with HIV and susceptible persons was about three steps (3.1) in the core network region. All susceptibles in the core were within seven steps of HIV infection.