We studied primary and secondary syphilis rates in North Carolina for 1985 through 1993 to elucidate demographic trends and the role of rurality in the state's high rates.
Each of the state's 100 counties was classicfled by rural-urban character ; and county-level rates, adjusted for gender, race, and age group, were compared.
Syphilis rates rose dramatically during the 9-year period, with most of the increase occurring among women, non-whites, and rural counties.
The rural rates recently surpassed urban rates, with the greatest increase experienced by non-White rural women.
The exchange of sex for drugs and characteristics of rural poverty may be fueling these trends.
Mots-clés Pascal : Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Epidémiologie, Caroline du Nord, Etats Unis, Amérique du Nord, Amérique, Milieu rural, Milieu urbain, Homme, Démographie, Maladie sexuellement transmissible
Mots-clés Pascal anglais : Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Epidemiology, North Carolina, United States, North America, America, Rural environment, Urban environment, Human, Demography, Sexually transmitted disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0483605
Code Inist : 002B05F01. Création : 01/03/1996.