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Early syphilis in the United States identified in corrections facilities, 1999-2002.
MedLine Citation:
PMID:  15167646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Corrections facilities offer public health practitioners an opportunity to gain access to large numbers of persons at risk for syphilis and other sexually transmitted diseases. GOALS: The goals of this study were to estimate the number of early syphilis cases (primary, secondary, early latent) identified from corrections facilities from 1999 to 2002 and to determine characteristics of persons likely to be identified with syphilis in corrections facilities. STUDY DESIGN: We determined the proportion of cases identified from corrections facilities for the entire United States using case reports by state health departments to the Centers for Disease Control and Prevention (CDC). We calculated the proportion of cases identified in corrections facilities in the 30 counties with the largest number of cases in 2002 and determined the male-to-female syphilis rate ratios. RESULTS: From 1999 to 2002, there were 63,293 cases of early syphilis reported to the CDC, of which 61,691 (97.5%) had a known source of report. Of these, 7725 (12.5%) noted corrections facilities as the source of information. Among men, 4747 (13.0%) cases were from corrections and in women 2974 (11.8%) of cases were. We found that counties with a higher proportion of cases from corrections facilities were likely to have lower male-to-female rate ratios (r = -0.66, P <0.001). CONCLUSIONS: A substantial proportion of early syphilis cases is identified from corrections facilities. Among counties with the largest number of cases, a higher proportion of syphilis cases was identified from corrections facilities in counties with higher rates of heterosexually transmitted syphilis.
Authors:
Richard H Kahn; Richard F Voigt; Emmett Swint; Hillard Weinstock
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  31     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-05-28     Completed Date:  2004-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  360-4     Citation Subset:  IM    
Affiliation:
Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. rhk0@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aged
Female
Humans
Male
Middle Aged
Prisoners / statistics & numerical data*
Risk Factors
Sex Factors
Sexual Behavior
Syphilis / epidemiology*,  etiology
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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