ArticleAnnals of epidemiology2011
Are neighborhood sociocultural factors influencing the spatial pattern of gonorrhea in North Carolina?
Article in Annals of epidemiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- How place shapes genital herpes simplex distribution in South Korea: a Bayesian spatial analysis using National Health Insurance Service data.BMC public health · 2025Article
- Etiology of sexually transmitted infections among people living with HIV (PLWHIV) within meme division in Cameroon: seroprevalence and factors associated with transmission.Frontiers in public health · 2025Article
- Relationship Between Sexually Transmitted Infections and Social Determinants of Health in Durham County, North Carolina, United States.Open forum infectious diseases · 2023Article
- Article
- Creating a path forward: understanding the context of sexual health and sexually transmitted infections in American Indian/Alaska Native populations – a review.Sexual health · 2022Review
- Association between Chlamydia and routine place for healthcare in the United States: NHANES 1999-2016.PloS one · 2021Article
- Exploring spatially varying demographic associations with gonorrhea incidence in Baltimore, Maryland, 2002-2005.Journal of geographical systems · 2020Article
- Syphilis in pregnant women and congenital syphilis: spatial pattern and relationship with social determinants of health in Mato Grosso.Revista da Sociedade Brasileira de Medicina Tropical · 2020Article
- Article
- Assessing Spatial Relationships between Race, Inequality, Crime, and Gonorrhea and Chlamydia in the United States.Journal of urban health : bulletin of the New York Academy of Medicine · 2017Article
- Article
- Assessing Spatial Relationships Between Rates of Crime and Rates of Gonorrhea and Chlamydia in Chicago, 2012.Journal of urban health : bulletin of the New York Academy of Medicine · 2017Article
- Influence of Detection Method and Study Area Scale on Syphilis Cluster Identification in North Carolina.Sexually transmitted diseases · 2016Article
- Ecological analysis examining the association between census tract-level incarceration and reported chlamydia incidence among female adolescents and young adults in San Francisco.Sexually transmitted infections · 2015Article
- Neighborhoods at risk: estimating risk of higher Neisseria gonorrhoeae incidence among women at the census tract level.Sexually transmitted diseases · 2014Article
- Spatial analysis of HIV positive injection drug users in San Francisco, 1987 to 2005.International journal of environmental research and public health · 2014Article
- Social differences in avoidable mortality between small areas of 15 European cities: an ecological study.International journal of health geographics · 2014Article
- The epidemiology of gonorrhoea in London: a Bayesian spatial modelling approach.Epidemiology and infection · 2014Article
- Attitudes Toward and Sexual Partnerships With Drug Dealers Among Young Adult African American Females in Socially Disorganized Communities.Journal of drug issues · 2013Article
- Does core area theory apply to sexually transmitted diseases in rural environments?Sexually transmitted diseases · 2013Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeTo determine if the spatial pattern of gonorrhea observed for North Carolina was influenced by neighborhood-level sociocultural determinants of health, including race/ethnicity.
methodsA generalized linear mixed model with spatially correlated random effects was fit to measure the influence of socio-cultural factors on the spatial pattern of gonorrhea reported to the North Carolina State Health Department (January 1, 2005 to March 31, 2008).
resultsNeighborhood gonorrhea rates increased as the percent single mothers increased (25th to 75th neighborhood percentile Relative Rate 1.18, 95% CI 1.12, 1.25), and decreased as socioeconomic status increased (Relative Rate 0.89, 95% CI 0.84, 0.95). Increasing numbers of men in neighborhoods with more women than men did not change the gonorrhea rate, but was associated with decreased rates in neighborhoods with more men than women. Living in the mountains was protective for all race/ethnicities. Rurality was associated with decreased rates for Blacks and increased rates for Native Americans outside the mountains. PURPOSE: Neighborhood-level sociocultural factors, primarily those indicative of neighborhood deprivation, explained a significant proportion of the spatial pattern of gonorrhea in both urban and rural communities. Race/ethnicity was an important proxy for social and cultural factors not captured by measures of socioeconomic status.
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