Document Detail

Factors and the sociosexual network associated with a syphilis outbreak in rural North Carolina.
MedLine Citation:
PMID:  17139235     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: An investigation was conducted to determine factors associated with a syphilis outbreak in a rural North Carolina county. STUDY DESIGN: A retrospective chart review was performed on 61 primary (PS), secondary (SS), and early latent (ELS) syphilis case patients reported in Columbus County between January 2001 and February 2002. Sociosexual network analysis was conducted using electronic contact tracing information. RESULTS: We identified 20 PS, 25 SS, and 16 ELS case patients who were predominantly black. Seventy-two percent had reported >or=1 sexual partner with early syphilis, 51% used crack cocaine and/or had sex with a crack-using partner, and 31% exchanged sex for drugs or money. The sexual network exhibited predominantly linear connections between case patients and sexual partners. Adding social connections to the network further demonstrated dense cyclic interactions characteristic of core groups. CONCLUSIONS: The syphilis outbreak in this rural community was associated with crack cocaine and exchange of sex for drugs in a densely interconnected sociosexual network.
Arlene C Seña; Stephen Q Muth; James D Heffelfinger; Judy Owen O'Dowd; Evelyn Foust; Peter Leone
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  34     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-07     Completed Date:  2007-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  280-7     Citation Subset:  IM    
Division of Infectious Diseases, University of North Carolina at Chapel Hill, North Carolina 27599, USA.
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MeSH Terms
Contact Tracing
Disease Outbreaks*
Medical Records
Middle Aged
North Carolina / epidemiology
Retrospective Studies
Rural Health
Sexual Behavior*
Substance-Related Disorders
Syphilis / epidemiology*,  etiology,  prevention & control

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

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