Male Incarceration Rates and Rates of Sexually Transmitted Infections: Results From a Longitudinal Analysis in a Southeastern US City
Male Incarceration Rates and Rates of Sexually Transmitted Infections: Results From a Longitudinal Analysis in a Southeastern US City
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DOI：
10.1097/olq.0000000000000268
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发表时间：
2015-06-01
影响因子：
3.1
通讯作者：
Cooper, Hannah L. F.
中科院分区：
文献类型：
--
作者：
Dauria, Emily F.;Elifson, Kirk;Cooper, Hannah L. F.
背景：在美国，某些性传播感染（STI）的发病率正在上升。背景因素似乎在塑造性病传播动态方面发挥着重要作用。这项纵向研究探讨了佐治亚州亚特兰大人口普查区的一个健康背景决定因素（男性监禁率）与新诊断性传播感染率之间的关系。方法：样本由亚特兰大的所有人口普查区组成（n = 946）。性传播感染诊断的年度数据取自 2005 年至 2010 年佐治亚州监测系统；年度男性监禁数据取自佐治亚州惩教署 2005 年至 2010 年；有关潜在混杂因素的数据来自美国人口普查。使用多变量增长模型来检查男性监禁率与新诊断性传播感染率之间的关联，并控制协变量。结果：基线男性监禁率较高的人口普查区的新诊断性传播感染基线率较高。男性监禁率上升的人口普查区新诊断性传播感染的比率增加得更快。随着时间的推移，具有中等和高基线男性监禁率的人口普查区的新诊断性传播感染率有所下降。结论：本研究强化了男性监禁率对性健康结果产生负面影响的证据，尽管这种关系可能比最初想象的更加微妙。未来的多层次研究应该在男性监禁率较高的背景下探索个人性风险行为和网络，以更好地了解男性监禁如何影响性传播感染的发生率。
Background: In the United States, rates of certain sexually transmitted infections (STIs) are increasing. Contextual factors seem to play an important role in shaping STI transmission dynamics. This longitudinal study explores the relationship between one contextual determinant of health (the male incarceration rate) and rates of newly diagnosed STIs in census tracts in Atlanta, GA.Methods: The sample consisted of all census tracts in Atlanta (n = 946). Annual data on STI diagnoses were drawn from the Georgia surveillance system for 2005 to 2010; annual male incarceration data were drawn from the Georgia Department of Corrections for 2005 to 2010; and data on potential confounders were drawn from the US Census. Multivariable growth models were used to examine the association between the male incarceration rate and rates of newly diagnosed STIs, controlling for covariates.Results: Census tracts with higher baseline male incarceration rates had a higher baseline rate of newly diagnosed STIs. Census tracts with increasing male incarceration rates experienced a more rapid increase in their rate of newly diagnosed STIs. Census tracts with medium and high baseline male incarceration rates experienced a decrease in their rate of newly diagnosed STIs over time.Conclusions: The present study strengthens the evidence that male incarceration rates have negative consequences on sexual health outcomes, although the relationship may be more nuanced than originally thought. Future multilevel research should explore individual sexual risk behaviors and networks in the context of high male incarceration rates to better understand how male incarceration shapes rates of STIs.