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. 1995 Nov;85(11):1546–1548. doi: 10.2105/ajph.85.11.1546

Socioeconomic differences in sexually transmitted disease rates among black and white adolescents, San Francisco, 1990 to 1992.

J M Ellen 1, R P Kohn 1, G A Bolan 1, S Shiboski 1, N Krieger 1
PMCID: PMC1615681  PMID: 7485669

Abstract

This paper examines the effect of socioeconomic position on the differences in the 3-year rates (1990 to 1992) of reported cases of gonorrhea and chlamydia between Black and White adolescents, aged 12 to 20 years, residing in San Francisco. The crude relative risks for Blacks were 23.4 (95% confidence interval [CI] = 20.4, 27.8) for gonorrhea and 9.3 (95% CI = 8.3, 10.3) for chlamydia. Adjusting for poverty and occupational status, the relative risks were 28.7 (95% CI = 22.5, 36.1) for gonorrhea and 8.9 (95% CI = 7.4, 10.6) for chlamydia. This study demonstrates that factors other than poverty and occupational status account for the racial/ethnic differences in the rates of gonorrhea and chlamydia among adolescents in San Francisco.

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Selected References

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  1. Anderson R. M. The concept of herd immunity and the design of community-based immunization programmes. Vaccine. 1992;10(13):928–935. doi: 10.1016/0264-410x(92)90327-g. [DOI] [PubMed] [Google Scholar]
  2. Aral S. O., Soskoline V., Joesoef R. M., O'Reilly K. R. Sex partner recruitment as risk factor for STD: clustering of risky modes. Sex Transm Dis. 1991 Jan-Mar;18(1):10–17. doi: 10.1097/00007435-199101000-00003. [DOI] [PubMed] [Google Scholar]
  3. Forrest J. D., Singh S. The sexual and reproductive behavior of American women, 1982-1988. Fam Plann Perspect. 1990 Sep-Oct;22(5):206–214. [PubMed] [Google Scholar]
  4. Kramer M. A., Aral S. O., Curran J. W. Self-reported behavior patterns of patients attending a sexually transmitted disease clinic. Am J Public Health. 1980 Sep;70(9):997–1000. doi: 10.2105/ajph.70.9.997. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Krieger N. Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology. Am J Public Health. 1992 May;82(5):703–710. doi: 10.2105/ajph.82.5.703. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Krieger N. Women and social class: a methodological study comparing individual, household, and census measures as predictors of black/white differences in reproductive history. J Epidemiol Community Health. 1991 Mar;45(1):35–42. doi: 10.1136/jech.45.1.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Ku L., Sonenstein F. L., Pleck J. H. Young men's risk behaviors for HIV infection and sexually transmitted diseases, 1988 through 1991. Am J Public Health. 1993 Nov;83(11):1609–1615. doi: 10.2105/ajph.83.11.1609. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Moran J. S., Aral S. O., Jenkins W. C., Peterman T. A., Alexander E. R. The impact of sexually transmitted diseases on minority populations. Public Health Rep. 1989 Nov-Dec;104(6):560–565. [PMC free article] [PubMed] [Google Scholar]
  9. Mosher W. D., Aral S. O. Testing for sexually transmitted diseases among women of reproductive age: United States, 1988. Fam Plann Perspect. 1991 Sep-Oct;23(5):216–221. [PubMed] [Google Scholar]
  10. Potterat J. J., Rothenberg R. B., Woodhouse D. E., Muth J. B., Pratts C. I., Fogle J. S., 2nd Gonorrhea as a social disease. Sex Transm Dis. 1985 Jan-Mar;12(1):25–32. doi: 10.1097/00007435-198501000-00006. [DOI] [PubMed] [Google Scholar]
  11. Rice R. J., Roberts P. L., Handsfield H. H., Holmes K. K. Sociodemographic distribution of gonorrhea incidence: implications for prevention and behavioral research. Am J Public Health. 1991 Oct;81(10):1252–1258. doi: 10.2105/ajph.81.10.1252. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Seidman S. N., Mosher W. D., Aral S. O. Women with multiple sexual partners: united states, 1988. Am J Public Health. 1992 Oct;82(10):1388–1394. doi: 10.2105/ajph.82.10.1388. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Sonenstein F. L., Pleck J. H., Ku L. C. Sexual activity, condom use and AIDS awareness among adolescent males. Fam Plann Perspect. 1989 Jul-Aug;21(4):152–158. [PubMed] [Google Scholar]
  14. Washington A. E., Sweet R. L., Shafer M. A. Pelvic inflammatory disease and its sequelae in adolescents. J Adolesc Health Care. 1985 Jul;6(4):298–310. doi: 10.1016/s0197-0070(85)80067-x. [DOI] [PubMed] [Google Scholar]
  15. Webster L. A., Berman S. M., Greenspan J. R. Surveillance for gonorrhea and primary and secondary syphilis among adolescents, United States--1981-1991. MMWR CDC Surveill Summ. 1993 Aug 13;42(3):1–11. [PubMed] [Google Scholar]

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