Concurrent Partnerships and HIV Prevalence Disparities by Race: Linking Science and Public Health Practice

Concurrent Partnerships and HIV Prevalence Disparities by Race: Linking Science and Public Health Practice
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DOI:
10.2105/ajph.2008.147835
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发表时间:
2009-06-01
影响因子:
12.7
通讯作者:
Wakefield, Steve
Wakefield, Steve
中科院分区:
医学2区
文献类型:
--
作者:
Morris, Martina;Kurth, Ann E.;Wakefield, Steve

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同时发生的性伴侣关系可能有助于解释非裔美国人中艾滋病毒和其他性传播感染发病率高得不成比例的原因。这种差异的持续存在还需要种族之间的强选型混合。我们研究了来自4项具有全国代表性的美国调查的描述性证据,发现这两个假设的要素都得到了一致的支持。使用数据驱动的网络模拟模型,我们发现,观察到的并发性和排斥性混合水平在年轻的非裔美国人成年人中产生了2.6倍的流行潜力种族差异。(Am J公共卫生。2009;99:1023-1031。doi:10.2105/AJPH.2008.147835)
Concurrent sexual partnerships may help to explain the disproportionately high prevalence of HIV and other sexually transmitted infections among African Americans. The persistence of such disparities would also require strong assortative mixing by race. We examined descriptive evidence from 4 nationally representative US surveys and found consistent support for both elements of this hypothesis. Using a data-driven network simulation model, we found that the levels of concurrency and assortative mixing observed produced a 2.6-fold racial disparity in the epidemic potential among young African American adults. (Am J Public Health. 2009;99:1023-1031. doi:10.2105/AJPH.2008.147835)