Abstract:
:A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia, and gonorrhea. The social network of Micronesians uncovered was characterized by having transient accommodations but a central gathering place. The critical factor in gaining access to this network was the establishment of a trusting relationship with a key social network member. Field interviews and the application of field diagnostic techniques helped to identify case-patients who otherwise would not have presented to a traditional office or clinic setting. Micronesians in Hawaii represent an at-risk population for adverse health indices including sexually transmitted diseases, based on their socioeconomic status.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Katz AR,Cadorna AM,Lee MV,Komeya A,Kiaha M,Ohye RGdoi
10.1007/s10900-009-9170-8subject
Has Abstractpub_date
2009-10-01 00:00:00pages
357-60issue
5eissn
0094-5145issn
1573-3610journal_volume
34pub_type
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