Using study findings that demonstrated the importance of core group members in gonorrhea transmission, in 1984, one New York State county changed its approach toward gonorrhea control by targeting its field intervention activities toward infected persons from a geographic core area.
In late 1988, New York State experienced an epidemic increase in the number of syphilis cases.
In response, the New York State sexually transmitted disease (STD) control program enacted a Syphilis Initiative, which required the diversion of field staff from gonorrhea to syphilis control activities for a 3-year period.
Each of these events held the possibility of impacting gonorrhea incidence in this county.
To evaluate the impact of core interventions on reducing gonorrhea incidence as compared to traditional nontargeted field intervention methods and to determine the influence on gonorrhea incidence of diverting field activities from gonorrhea to syphilis case finding.
A Poisson regression method was used to estimate gonorrhea incidence for a 22-year period in two similar counties : one county that used core intervention and one that applied traditional case-finding methods.
The impact of core intervention was estimated in terms of the reduction in the gonorrhea incidence rate from the preintervention incidence rates.
After initiation of the core intervention, the relative risk of gonorrhea decreased by 61%. (...)
Mots-clés Pascal : Gonococcie, Bactériose, Infection, Incidence, Epidémiologie, Homme, Etats Unis, Amérique du Nord, Amérique, Evaluation, Intervention, Maladie sexuellement transmissible
Mots-clés Pascal anglais : Gonococcal infection, Bacteriosis, Infection, Incidence, Epidemiology, Human, United States, North America, America, Evaluation, Operation, Sexually transmitted disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0286695
Code Inist : 002B05B02H. Création : 16/11/1999.