Tags

Type your tag names separated by a space and hit enter

Concurrent and Time-Lagged Effects of Social Disorganization on Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015.
Sex Transm Dis. 2019 06; 46(6):364-369.ST

Abstract

OBJECTIVE

To examine the longitudinal relationship between social disorganization (SD) and genital Chlamydia trachomatis infection.

METHODS

US county-level data for 2010 to 2015 were used. Reliability and principal component analysis revealed 2 SD factors: socioeconomic deprivation and demographic instability. Growth curve models examined the degree to which SD factors affected chlamydia rates (number of new reported cases per 100,000 population) at baseline and over time adjusting for population percentage aged 15 to 24 years, male to female ratio for population aged 15 to 24 years, and rural percentage. Regression models explored 1- and 3-year time-lagged effects.

RESULTS

Among 2961 counties, the average baseline chlamydia rate was 320.3 with an average increase of 7.7 cases per year. Higher baseline deprivation was associated with higher baseline chlamydia rates (P < 0.0001) but lower increases over time (P < 0.0001). Higher demographic instability was associated with lower baseline rates (P < 0.0001) but higher increases over time (P < 0.0001). Deprivation was associated with 1- and 3-year lagged rates (P < 0.0001).

CONCLUSIONS

On average, chlamydia rates increased across US counties, and more rapidly for counties with the highest demographic instability.

Authors+Show Affiliations

No affiliation info availableFrom the Department of Epidemiology, Robert Stempel College of Public Health and Social Work.No affiliation info availableDepartment of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL.From the Department of Epidemiology, Robert Stempel College of Public Health and Social Work.From the Department of Epidemiology, Robert Stempel College of Public Health and Social Work.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30720674

Citation

Sheehan, Diana M., et al. "Concurrent and Time-Lagged Effects of Social Disorganization On Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015." Sexually Transmitted Diseases, vol. 46, no. 6, 2019, pp. 364-369.
Sheehan DM, Gebrezgi MT, Sanchez M, et al. Concurrent and Time-Lagged Effects of Social Disorganization on Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015. Sex Transm Dis. 2019;46(6):364-369.
Sheehan, D. M., Gebrezgi, M. T., Sanchez, M., Li, T., Fennie, K. P., & Trepka, M. J. (2019). Concurrent and Time-Lagged Effects of Social Disorganization on Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015. Sexually Transmitted Diseases, 46(6), 364-369. https://doi.org/10.1097/OLQ.0000000000000982
Sheehan DM, et al. Concurrent and Time-Lagged Effects of Social Disorganization On Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015. Sex Transm Dis. 2019;46(6):364-369. PubMed PMID: 30720674.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Concurrent and Time-Lagged Effects of Social Disorganization on Chlamydia Rate Trajectories Among United States Counties and the District of Columbia, 2010-2015. AU - Sheehan,Diana M, AU - Gebrezgi,Merhawi T, AU - Sanchez,Mariana, AU - Li,Tan, AU - Fennie,Kristopher P, AU - Trepka,Mary Jo, PY - 2019/2/6/pubmed PY - 2020/5/7/medline PY - 2019/2/6/entrez SP - 364 EP - 369 JF - Sexually transmitted diseases JO - Sex Transm Dis VL - 46 IS - 6 N2 - OBJECTIVE: To examine the longitudinal relationship between social disorganization (SD) and genital Chlamydia trachomatis infection. METHODS: US county-level data for 2010 to 2015 were used. Reliability and principal component analysis revealed 2 SD factors: socioeconomic deprivation and demographic instability. Growth curve models examined the degree to which SD factors affected chlamydia rates (number of new reported cases per 100,000 population) at baseline and over time adjusting for population percentage aged 15 to 24 years, male to female ratio for population aged 15 to 24 years, and rural percentage. Regression models explored 1- and 3-year time-lagged effects. RESULTS: Among 2961 counties, the average baseline chlamydia rate was 320.3 with an average increase of 7.7 cases per year. Higher baseline deprivation was associated with higher baseline chlamydia rates (P < 0.0001) but lower increases over time (P < 0.0001). Higher demographic instability was associated with lower baseline rates (P < 0.0001) but higher increases over time (P < 0.0001). Deprivation was associated with 1- and 3-year lagged rates (P < 0.0001). CONCLUSIONS: On average, chlamydia rates increased across US counties, and more rapidly for counties with the highest demographic instability. SN - 1537-4521 UR - https://www.unboundmedicine.com/medline/citation/30720674/Concurrent_and_Time-Lagged_Effects_of_Social_Disorganization_on_Chlamydia_Rate_Trajectories_Among_United_States_Counties_and_the_District_of_Columbia,_2010-2015 L2 - https://doi.org/10.1097/OLQ.0000000000000982 DB - PRIME DP - Unbound Medicine ER -