Cocaine use and syphilis trends: Findings from the arrestee drug abuse monitoring (ADAM) program and syphilis epidemiology in Houston

Cocaine use and syphilis trends: Findings from the arrestee drug abuse monitoring (ADAM) program and syphilis epidemiology in Houston
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DOI:
10.1080/10550490601000462
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发表时间:
2006-11-01
影响因子:
3.7
通讯作者:
Johnson, Regina J.
Johnson, Regina J.
中科院分区:
医学4区
文献类型:
--
作者:
Ross, Michael W.;Risser, Jan;Johnson, Regina J.

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有人猜测,强效可卡因的使用加剧了梅毒的流行趋势。本研究检查了梅毒通知和被捕者药物滥用监测 (ADAM) 的数据,以确定三个种族/族裔群体中梅毒和可卡因使用趋势之间的关系。使用线性回归方程对 1991 年至 1998 年德克萨斯州休斯顿/哈里斯县的梅毒通知和 ADAM 项目的数据进行了比较。数据表明,非裔美国人的可卡因使用数据与梅毒之间存在显着关系,但西班牙裔或非西班牙裔白人则不然。对于非裔美国人来说,可卡因使用与梅毒之间 58% 的差异得到了解释。当对非裔美国人中仅限于监狱梅毒通知和 ADAM 可卡因的数据进行检查时,男性的这种关联比女性更强。对于非裔美国人来说,可卡因(可能是强效可卡因)的使用趋势与该人群的梅毒趋势显着相关。这些数据表明,对强效可卡因的控制可能会影响梅毒发病率,并且某些性传播疾病与药物滥用之间可能存在密切关系。
There has been speculation that trends in syphilis have been fueled by crack cocaine use. This study examined the data on syphilis notifications and arrestee drug abuse monitoring ( ADAM) to ascertain the relationships between syphilis and cocaine use trends in three racial/ethnic groups. Syphilis notifications and data from the ADAM project were compared in Houston/Harris County, Texas, from 1991-1998 using a linear regression equation. Data indicated significant relationships between the data for cocaine use and syphilis in African Americans but not Hispanics or non-Hispanic whites. For African Americans, 58% of the variance between cocaine use and syphilis was explained. When data limited to jail syphilis notifications and ADAM cocaine in African Americans were examined, the association was stronger for males than for females. For African Americans, cocaine (probably crack cocaine) use trends were significantly associated with syphilis trends in this population. These data suggest that control of crack cocaine may have an impact on syphilis rates and that there may be close relationships between some STDs and drug abuse.