The social context of syphilis persistence in the Southeastern United States

Article Abstract:

Syphilis rates may be higher in geographically isolated populations characterized by poverty and high percentages of minorities. Minority populations may have higher rates of poverty, and both of these factors may contribute to the clustering of syphilis cases in certain geographic areas. Other factors include a high ratio of women to men in populations at risk of syphilis infection, and more than one sexual partner. All of these factors may combine to create conditions for high-risk sexual behaviors and high rates of infection per sexual encounter. The southeastern U.S. has the lowest average income, the highest percentage of minorities, and the highest rates of syphilis. Strategies to combat syphilis should target the current patterns of exposure. Efforts to reduce extreme poverty in the southeast should be implemented.

Disease transmission, Syphilis

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Heterosexual repertoire is associated with same-sex experience

Article Abstract:

People with a wide sexual repertoire may be more likely to engage in high-risk sexual behavior. Researchers surveyed 356 white Americans and 140 African Americans about their most recent opposite-sex partner. About 5% of respondents reported engaging in vaginal, oral, and anal sex. These people were 2.7 times as likely to be involved in a nonmonogamous relationship, and 8.4 times as likely to have had a same-sex partner in the past. People who engage in diverse sexual practices may be more likely to participate in sexual practices that increase the risk of disease transmission.

Analysis, Risk factors, Demographic aspects, Homosexuality, Oral sex, Sexual behavior surveys, Bisexuality, Anal intercourse

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Contact tracing's price is not its value

Article Abstract:

Notification programs designed to identify partners exposed to a sexually transmitted disease (STD) do more than simply inform partners. These programs are valuable tools for limiting the spread of specific STDs and provide important information about the disease's frequency, distribution and means of transmission. Therefore, "contact tracing" may be a better name for these types of programs. These program designs typically do not lend themselves well to cost-effectiveness analyses.

Editorial, Identification and classification, Social groups

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