Details:

Alternative Title:
Sex Transm Dis
Publisher's site:
http://dx.doi.org/10.1097/OLQ.0000000000000518
Personal Author:
Chesson, Harrell W. ; Patel, Chirag G. ; Gift, Thomas L. ; Aral, Sevgi O.
Chesson, Harrell W. ; Patel, Chirag G. ; Gift, Thomas L. ; Aral, Sevgi O. Less -
Description:
Background

The purpose of this study was to examine selected measures of racial and ethnic disparities in the reported incidence of syphilis and gonorrhea from 1981 to 2013 in the United States.

Methods

For each year from 1981 to 2013, we calculated values for five disparity measures (Gini coefficient, two versions of the index of disparity, population attributable proportion, and the black-to-white rate ratio) for five racial/ethnic categories (Non-Hispanic White, Non-Hispanic Black, Hispanic, American Indian/Alaska Native, and Asian/Pacific Islander). We also examined annual and 5-year changes to see if the disparity measures agreed on the direction of change in disparity.

Results

With a few exceptions, the disparity measures increased from 1981 to 1993 and decreased from 1993 to 2013, whereas syphilis and gonorrhea rates decreased for most groups from 1981 to 1993 and increased from 1993 to 2013. Overall, the disparity measures we examined were highly correlated with one another, particularly when examining 5-year changes rather than annual changes in disparity. For example, all five measures agreed on the direction of change in the disparity of syphilis in 56% of the annual comparisons and in 82% of the 5-year comparisons.

Conclusions

Although the disparity measures we examined were generally consistent with one another, these measures can sometimes yield divergent assessments of whether racial/ethnic disparities are increasing or decreasing for a given STD from one point in time to another, as well as divergent assessments of the relative magnitude of the change.


Subject:
[+]
Adolescent
Adult
Asians
Blacks
Ethnicity
Female
Gonorrhea
Health Status Disparities
Hispanic Americans
Humans
Indians, North American
Minority Groups
Syphilis
Whites
Young Adult

Source:
Sex Transm Dis. 43(11):661-667.
Pubmed ID:
27893593
Pubmed Central ID:
PMC5905678
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Place as Subject:
New York
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a8893fcf2bbb54623160d3828b5c0cc8ccaf9d0a07faba4174897c913ada90db
File Type:

Supporting Files

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  	NIHMS956494-supplement-supplemental_results.pdf	pdf
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