0bjectives, Syphilis in the United States is focally distributed. with high incidence rates in the South and in metropolitan areas nationwide.
In this study an ecological analysis, using the county as the unit of analysis, was performed to genetate hypotheses about community-level determinants of syphilis rates.
Bivariate rank conelations and multivariate, backward stepwise elimination linear regressions were performed.
Mean annual incidence of primary-and secondary-stage syphilis in a county was the dependent variable, and county sociodemographic characteristics (from census data) were the independent variables.
In the multivariate regression model, sociedemographic characteristics accounted for 71% of the variation in syphilis rates among countieS.
With other factors accounted for, the most highly correlated characteristics were percentage non-Hispanic Black populations, county location in the South, percentage of the population that was urban, percentage Hispanic population, and percentage of births to women younger than 20 years.
Most of the variation in syphitis rates among counties is accounted for by sociodemographic characteristics.
Identification and remediation of modifiable health determinants for which these factors are markers are. needed to improve the health status of these populations.
Mots-clés Pascal : Facteur sociodémographique, Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Etats Unis, Amérique du Nord, Amérique, Variation géographique, Incidence, Epidémiologie, Homme
Mots-clés Pascal anglais : Sociodemographic factor, Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, United States, North America, America, Geographical variation, Incidence, Epidemiology, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0074251
Code Inist : 002B05B02H. Création : 14/05/1998.