Sex, drugs, and race: how behaviors differentially contribute to the sexually transmitted infection risk network structure.
Sex, drugs, and race: how behaviors differentially contribute to the sexually transmitted infection risk network structure.
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DOI:
10.2105/ajph.2012.300908
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发表时间:
2013-02
影响因子:
12.7
通讯作者:
Morris M
中科院分区:
文献类型:
--
作者:
Adams J;Moody J;Morris M
To examine how risk behaviors differentially connect a population at “high risk” for sexually transmitted infections. Starting from observed networks representing the “full” risk network and the risk network among respondents only, we construct a series of edge-deleted counterfactual networks that selectively remove sex ties, drug ties and ties involving both sex and drugs and a comparison random set. With these edge-deleted networks we demonstrate how each tie-type differentially contributes to the connectivity of the observed networks on a series of standard network connectivity measures (component and bicomponent size, distance and transitivity ratio), and the observed network racial segregation. We find that sex ties are unique from the other tie-types in the network, providing wider reach in the network, in relatively non-redundant ways. Additionally, in this population, sex ties are more likely to bridge across races than are other tie types. Interventions based only on one mode of transmission at a time (e.g., condom promotion or needle exchange) would have different potential for curtailing STI spread through the population than would attempts that simultaneously address risk-relevant behaviors.