ArticleSexually transmitted infections2002
Geographic epidemiology of gonorrhoea and chlamydia on a large military installation: application of a GIS system.
Article in Sexually transmitted infections, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 49 citations in OpenAlex.
- Incorporating Geographic Information Science and Technology in Response to the COVID-19 Pandemic.Preventing chronic disease · 2020Article
- The Association between Sexually Transmitted Infections, Length of Service and Other Demographic Factors in the U.S. Military.PloS one · 2016Article
- All Military Adolescents Are Not the Same: Sexuality and Substance Use among Adolescents in the U.S. Military Healthcare System.PloS one · 2015Article
- Sexual behaviors and sexually transmitted infections in a nationally representative sample of women veterans and nonveterans.Journal of women's health (2002) · 2014Article
- Chlamydia trachomatis infection rates among a cohort of mobile soldiers stationed at Fort Bragg, North Carolina, 2005-2010.BMC public health · 2014Article
- Article
- High-risk behavior and sexually transmitted infections among U.S. active duty servicewomen and veterans.Journal of women's health (2002) · 2012Article
- Development and Evaluation of GIS-Based Chlamydia Trachomatis Intervention Policy in Illinois.Online journal of public health informatics · 2009Article
- USING PARTICIPATORY METHODS AND GEOGRAPHIC INFORMATION SYSTEMS (GIS) TO PREPARE FOR AN HIV COMMUNITY-BASED TRIAL IN VULINDLELA, SOUTH AFRICA (Project Accept-HPTN 043).Journal of community psychology · 2009Article
- Traditional sexually transmitted disease prevention and control strategies: tailoring for African American communities.Sexually transmitted diseases · 2008Review
- Spatial distribution of HIV prevalence and incidence among injection drugs users in St Petersburg: implications for HIV transmission.AIDS (London, England) · 2008Article
- Use of geographic information systems for planning HIV prevention interventions for high-risk youths.American journal of public health · 2007Article
- Infections in confined spaces: cruise ships, military barracks, and college dormitories.Infectious disease clinics of North America · 2007Review
- Spatial analysis and mapping of sexually transmitted diseases to optimise intervention and prevention strategies.Sexually transmitted infections · 2004Article
- Spatial visualization of multivariate datasets: an analysis of STD and HIV/AIDS diagnosis rates and socioeconomic context using ring maps.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe geographic epidemiology of infectious diseases can help in identifying point source outbreaks, elucidating dispersion patterns, and giving direction to control strategies. We sought to establish a geographic information system (GIS) infectious disease surveillance system at a large US military post (Fort Bragg, North Carolina) using STDs as the initial outcome for the model.
methodsAddresses of incident cases were plotted onto digitised base maps of Fort Bragg (for on-post addresses) and surrounding Cumberland County, NC (for off-post addresses) using MAPINFO Version 5. We defined 26 geographic sectors on the installation. Active duty soldiers attending the post preventive medicine clinic were enrolled between July 1998 and June 1999.
resultsGonorrhoea (GC) was diagnosed in 210/2854 (7.4%) and chlamydia (CT) in 445/2860 (15.6%). African-American male soldiers were at higher risk for GC (OR = 4.6 (95% CL 3.0 to 7.2)) and chlamydia (OR = 2.0 (1.4 to 2.7)). For women, there were no ethnic differences in gonorrhoea prevalence, but chlamydia was higher in African-Americans (OR = 2.0 (1.4-2.7)). Rank and housing type were associated with gonorrhoea and chlamydia in men, but were not significant factors in women. For gonorrhoea, two geographic sectors had prevalences between 14.0%-16.5%, three between 10.3%-13.9%, three between 7.1%-10.2%, and five between 3.0%-7.1%. The geographic distribution demonstrated a core-like pattern where the highest sectors were contiguous and were sectors containing barracks housing lower enlisted grade personnel. In contrast, chlamydia prevalence was narrowly distributed.
conclusionGIS based disease surveillance was easily and rapidly implemented in this setting and should be useful in developing preventive interventions.
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