Social network methods for endemic foci of syphilis -: A pilot project

Social network methods for endemic foci of syphilis -: A pilot project
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DOI:
10.1097/00007435-200001000-00003
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发表时间:
2000-01-01
影响因子:
3.1
通讯作者:
Schrader, M
Schrader, M
中科院分区:
医学4区
文献类型:
--
作者:
Rothenberg, R;Kimbrough, L;Schrader, M

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背景:社会网络方法提高了我们对性传播疾病传播动态的了解,并可用于常规现场操作中的性伴侣通知。目标:在梅毒发病率较高的亚特兰大地区,利用社会网络方法加强传统的梅毒控制活动,研究设计:疾病调查人员进行访谈,使用网络图确定工作重点,并依靠网络联系寻找难以接触的人。结果:从48名感染者和50名非感染者中共引发396人接触。梅毒累计患病率为12.6%,仅确诊HIV感染者24人。网络方法揭示了一个庞大的互联群体(276人),其特征是高度的网络中心性和大量存在的小的、相互作用的亚群(微结构)。结论:网络方法是一种可行的现场技术,可以识别参与梅毒密集传播的核心群体。这种有针对性的、基于网络的方法在试图消除梅毒方面可能很有用。
Background: Social network methods have improved our understanding of sexually transmitted disease transmission dynamics, and may be of use in routine field operations for partner notification.Goal: To augment traditional syphilis-control activities with social network methods in an Atlanta area with high syphilis morbidity,Study Design: Disease investigators conducted interviews, used network diagrams to prioritize their work, and relied on network connections for finding hard-to-reach persons.Results: A total of 396 contacts were elicited from 48 infected and 50 uninfected persons. The cumulative prevalence of syphilis was 12.6%, and 24 persons infected with HIV mere identified. Network methods disclosed a large, interconnected group (276 persons) characterized by high network centrality and the substantial presence of small, interactive subgroups (microstructures).Conclusion: The network approach is a feasible field technique, and can identify core groups involved in the intense transmission of syphilis. The targeted, network-based approach may be useful in attempts to eliminate syphilis.