Are Neighborhood Sociocultural Factors Influencing the Spatial Pattern of Gonorrhea in North Carolina?
Are Neighborhood Sociocultural Factors Influencing the Spatial Pattern of Gonorrhea in North Carolina?
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DOI：
10.1016/j.annepidem.2010.11.015
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发表时间：
2011-04-01
影响因子：
5.6
通讯作者：
Miller, William C.
中科院分区：
文献类型：
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作者：
Sullivan, Ashleigh B.;Gesink, Dionne C.;Miller, William C.
目得：确定北卡罗来纳州淋病的空间分布是否受到社区水平的社会文化健康决定因素的影响，包括种族/民族。一个具有空间相关随机效应的广义线性混合模型被用来衡量社会文化因素对北卡罗来纳州卫生部报告的淋病空间格局的影响结果：社区淋病发病率随单身母亲比例的增加而增加（第25 ~ 75百分位数相对发病率1.18，95%CI 1.12，1.25），随社会经济地位的提高而降低（相对发病率0.89，95%CI 0.84，0.95）。在女性多于男性的社区中，男性人数的增加并没有改变淋病的发病率，但与男性多于女性的社区中发病率的下降有关。生活在山区对所有种族/民族都有保护作用。农村与黑人的发病率下降和美洲原住民的发病率增加outside the mountains.Purpose：邻里水平的社会文化因素，主要是那些指示邻里剥夺，解释了一个显着的比例在城市和农村社区的淋病的空间格局。种族/族裔是衡量社会经济地位所没有的社会和文化因素的一个重要指标。Ann Epidemiol 2011;21：245-252. (C)2011 Elsevier Inc. All rights reserved.
PURPOSE: To determine if the spatial pattern of gonorrhea observed for North Carolina was influenced by neighborhood-level sociocultural determinants of health, including race/ethnicity.METHODS: A generalized linear mixed model with spatially correlated random effects was fit to measure the influence of socio-cultural factors on the spatial pattern of gonorrhea reported to the North Carolina State Health Department (January 1, 2005 to March 31, 2008).RESULTS: Neighborhood gonorrhea rates increased as the percent single mothers increased (25th to 75th neighborhood percentile Relative Rate 1.18, 95% CI 1.12, 1.25), and decreased as socioeconomic status increased (Relative Rate 0.89, 95% CI 0.84, 0.95). Increasing numbers of men in neighborhoods with more women than men did not change the gonorrhea rate, but was associated with decreased rates in neighborhoods with more men than women. Living in the mountains was protective for all race/ethnicities. Rurality was associated with decreased rates for Blacks and increased rates for Native Americans outside the mountains.PURPOSE: Neighborhood-level sociocultural factors, primarily those indicative of neighborhood deprivation, explained a significant proportion of the spatial pattern of gonorrhea in both urban and rural communities. Race/ethnicity was an important proxy for social and cultural factors not captured by measures of socioeconomic status. Ann Epidemiol 2011;21:245-252. (C) 2011 Elsevier Inc. All rights reserved.