The dynamic topology of sexually transmitted disease epidemics: Implications for prevention strategies

被引:233
作者
Wasserheit, JN
Aral, SO
机构
关键词
D O I
10.1093/infdis/174.Supplement_2.S201
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Each sexually transmitted disease (STD) epidemic evolves through predictable phases, shaped by a dynamic interplay among the pathogen, the behaviors of the subpopulations in which it emerges, and the prevention efforts that are developed to limit its impact. As STD epidemics move through these phases, the sexual and social networks that fuel them become located in subpopulations characterized by progressively higher rates of sex partner change and less contact with the health care system. As a result, phase-appropriate prevention strategies and research issues are essential to reducing STDs and their consequences.
引用
收藏
页码:S201 / S213
页数:13
相关论文
共 42 条
[1]  
[Anonymous], 1962, DIFFUSION INNOVATION
[2]   Measuring outcomes of behavioural interventions for STD/HIV prevention [J].
Aral, SO ;
Peterman, TA .
INTERNATIONAL JOURNAL OF STD & AIDS, 1996, 7 :30-38
[3]   SEXUALLY-TRANSMITTED DISEASES IN THE AIDS ERA [J].
ARAL, SO ;
HOLMES, KK .
SCIENTIFIC AMERICAN, 1991, 264 (02) :62-69
[4]   Individual and population approaches to the epidemiology and prevention of sexually transmitted diseases and human immunodeficiency virus infection - Overview [J].
Aral, SO ;
Holmes, KK ;
Padian, NS ;
Cates, W .
JOURNAL OF INFECTIOUS DISEASES, 1996, 174 :S127-S133
[5]   GONORRHEA RATES - WHAT DENOMINATOR IS MOST APPROPRIATE [J].
ARAL, SO ;
SCHAFFER, JE ;
MOSHER, WD ;
CATES, W .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1988, 78 (06) :702-703
[6]  
ARAL SO, 1995, VENEREOLOGY, V8, P240
[7]  
ARAL SO, IN PRESS AM J PUBLIC
[8]  
BROWN WJ, 1964, P WORLD FOR SYPH OTH, P21
[9]   A GENERAL-MODEL OF SEXUALLY-TRANSMITTED DISEASE EPIDEMIOLOGY AND ITS IMPLICATIONS FOR CONTROL [J].
BRUNHAM, RC ;
PLUMMER, FA .
MEDICAL CLINICS OF NORTH AMERICA, 1990, 74 (06) :1339-1352
[10]  
*CDCP, 1995, DIV STD PREV SEX TRA