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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Socioeconomic disparities in sexually transmitted infections among young adults in the united states: Examining the interaction between income and race/ethnicity
Sexually Transmitted Diseases, Volume 40, No. 7, Year 2013
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Description
Background: There is considerable evidence of racial/ethnic patterning of sexually transmitted infection (STI) risk in the United States. There is also evidence that poorer persons are at increased STI risk. Evidence regarding the interaction of race/ethnicity and income is limited, particularly nationally at the individual level. Methods: We examined the pattern of socioeconomic gradients in STI infection among young people in a nationwide US study and determined how these gradients varied by race/ethnicity. We estimated the cumulative diagnosis prevalence of chlamydia, gonorrhea, or trichomoniasis (via selfreport or laboratory confirmation) for young adults (ages, 18-26 years old) Hispanics and non-Hispanic whites, blacks, and others across income quintiles in the Add Health data set. We ran regression models to evaluate these relationships adjusting for individual- And school-level covariates. Results: Sexually transmitted infection diagnosis was independently associated with both racial/ethnic identity and with low income, although the racial/ethnic disparities were much larger than income-based ones. A negative gradient of STI risk with increasing income was present within all racial/ethnic categories, but was stronger for nonwhites. Conclusions: Both economic and racial/ethnic factors should be considered in deciding how to target STI prevention efforts in the United States. Particular focus may be warranted for poor, racial/ethnic minority women. Copyright © 2013 by the American Sexually Transmitted Diseases Association.
Authors & Co-Authors
Harling, Guy D.
United States, Boston
Harvard T.h. Chan School of Public Health
Subramanian, Sankaran Venkata
United States, Boston
Harvard T.h. Chan School of Public Health
Bärnighausen, Till Winfried
United States, Boston
Harvard T.h. Chan School of Public Health
South Africa, Durban
University of Kwazulu-natal
Kawachi, Ichiro I.
United States, Boston
Harvard T.h. Chan School of Public Health
Statistics
Citations: 115
Authors: 4
Affiliations: 2
Identifiers
Doi:
10.1097/OLQ.0b013e31829529cf
ISSN:
01485717
e-ISSN:
15374521
Research Areas
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Participants Gender
Female