ArticleInternational journal of health geographics2010
Spatial distribution and cluster analysis of sexual risk behaviors reported by young men in Kisumu, Kenya.
Article in International journal of health geographics, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The geography and inter-community configuration of new sexual partnership formation in a rural South African population over fourteen years (2003-2016).PLOS global public health · 2022Article
- The role of high-risk geographies in the perpetuation of the HIV epidemic in rural South Africa: A spatial molecular epidemiology study.PLOS global public health · 2022Article
- Premarital sexual practice and associated factors among adolescents in the refugee camps in Tigray, northern Ethiopia.BMC research notes · 2019Article
- Geographic Information Systems, spatial analysis, and HIV in Africa: A scoping review.PloS one · 2019Article
- Spatial distribution of HIV, HCV, and co-infections among drug users in the southwestern border areas of China (2004-2014): a cohort study of a national methadone maintenance treatment program.BMC public health · 2017Article
- Feasibility of Using HIV Care-Continuum Outcomes to Identify Geographic Areas for Targeted HIV Testing.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Optimizing the maximum reported cluster size in the spatial scan statistic for ordinal data.PloS one · 2017Article
- Examining the role of socioeconomic deprivation in ethnic differences in sexually transmitted infection diagnosis rates in England: evidence from surveillance data.Epidemiology and infection · 2016Article
- Spatial distribution and cluster analysis of retail drug shop characteristics and antimalarial behaviors as reported by private medicine retailers in western Kenya: informing future interventions.International journal of health geographics · 2016Article
- Spatial analysis of HIV infection and associated individual characteristics in Burundi: indications for effective prevention.BMC public health · 2016Article
- Article
- Spatial analysis of factors associated with HIV infection among young people in Uganda, 2011.BMC public health · 2014Article
- Spatial analysis of HIV positive injection drug users in San Francisco, 1987 to 2005.International journal of environmental research and public health · 2014Article
- Spatial Analysis of Factors Associated with Household Subscription to the National Health Insurance Scheme in Rural Ghana.Journal of public health in Africa · 2014Article
- Risky sexual behaviors and associated factors among male and female students in Jimma Zone preparatory schools, South West Ethiopia: comparative study.Ethiopian journal of health sciences · 2014Article
- Population weighted raster maps can communicate findings of social audits: examples from three continents.BMC health services research · 2011Article
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7 authors.
Funding
Abstract
backgroundThe well-established connection between HIV risk behavior and place of residence points to the importance of geographic clustering in the potential transmission of HIV and other sexually transmitted infections (STI).
methodsTo investigate the geospatial distribution of prevalent sexually transmitted infections and sexual behaviors in a sample of 18-24 year-old sexually active men in urban and rural areas of Kisumu, Kenya, we mapped the residences of 649 men and conducted spatial cluster analysis. Spatial distribution of the study participants was assessed in terms of the demographic, behavioral, and sexual dysfunction variables, as well as laboratory diagnosed STIs. To test for the presence and location of clusters we used Kulldorff's spatial scan statistic as implemented in the Satscan program.
resultsThe results of this study suggest that sexual risk behaviors and STIs are evenly distributed in our sample throughout the Kisumu district. No behavioral or STI clusters were detected, except for condom use. Neither urban nor rural residence significantly impacted risk behavior or STI prevalence.
conclusionWe found no association between place of residence and sexual risk behaviors in our sample. While our results can not be generalized to other populations, the study shows that geospatial analysis can be an important tool for investigating study sample characteristics; for evaluating HIV/STI risk factors; and for development and implementation of targeted HIV and STI control programs in specifically defined populations and in areas where the underlying population dynamic is poorly understood.
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