Sexual mixing patterns in the spread of gonococcal and chlamydial infections.

Abstract:

OBJECTIVES:This study sought to define, among sexually transmitted disease (STD) clinic attendees, (1) patterns of sex partner selection, (2) relative risks for gonococcal or chlamydial infection associated with each mixing pattern, and (3) selected links and potential and actual bridge populations. METHODS:Mixing matrices were computed based on characteristics of the study participants and their partners. Risk of infection was determined in study participants with various types of partners, and odds ratios were used to estimate relative risk of infection for discordant vs concordant partnerships. RESULTS:Partnerships discordant in terms of race/ethnicity, age, education, and number of partners were associated with significant risk for gonorrhea and chlamydial infection. In low-prevalence subpopulations, within-subpopulation mixing was associated with chlamydial infection, and direct links with high-prevalence subpopulations were associated with gonorrhea. CONCLUSIONS:Mixing patterns influence the risk of specific infections, and they should be included in risk assessments for individuals and in the design of screening, health education, and partner notification strategies for populations.

journal_name

Am J Public Health

authors

Aral SO,Hughes JP,Stoner B,Whittington W,Handsfield HH,Anderson RM,Holmes KK

doi

10.2105/ajph.89.6.825

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

825-33

issue

6

eissn

0090-0036

issn

1541-0048

journal_volume

89

pub_type

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