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The spatial and temporal association of neighborhood drug markets and rates of sexually transmitted infections in an urban setting

机译：城市环境中邻里药品市场的时空关联性传播感染率

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This study examined temporal and spatial relationships between neighborhood drug markets and gonorrhea among census block groups from 2002 to 2005. This was a spatial, longitudinal ecologic study. Poisson regression was used with adjustment in final models for socioeconomic status, residential stability and vacant housing. Increased drug market arrests were significantly associated with a 11% increase gonorrhea (adjusted relative risk (ARR) 1.11; 95% CI 1.05, 1.16). Increased drug market arrests in adjacent neighborhoods were significantly associated with a 27% increase in gonorrhea (ARR 1.27; 95% CI 1.16, 1.36), independent of focal neighborhood drug markets. Increased drug market arrests in the previous year in focal neighborhoods were not associated with gonorrhea (ARR 1.04; 95% CI 0.98, 1.10), adjusting for focal and adjacent drug markets. While the temporal was not supported, our findings support an associative link between drug markets and gonorrhea. The findings suggest that drug markets and their associated sexual networks may extend beyond local neighborhood boundaries indicating the importance of including spatial lags in regression models investigating these associations.
机译：这项研究调查了2002年至2005年人口普查区组之间邻里药品市场与淋病之间的时空关系。这是一项空间，纵向的生态学研究。在社会经济地位，居住稳定性和空置住房的最终模型中使用了Poisson回归并进行了调整。毒品市场逮捕的增加与淋病增加11％显着相关（调整后的相对风险（ARR）1.11; 95％CI 1.05，1.16）。独立于邻里重点毒品市场，邻近社区的毒品市场逮捕增加与淋病增加27％（ARR 1.27; 95％CI 1.16，1.36）显着相关。上一年度重点地区毒品市场逮捕的增加与淋病无关（ARR 1.04; 95％CI 0.98，1.10），针对重点市场和邻近的毒品市场进行了调整。虽然暂时性的证据不被支持，但我们的发现支持了毒品市场和淋病之间的关联。研究结果表明，毒品市场及其相关的性网络可能会超出当地的邻里界限，这表明在研究这些关联的回归模型中纳入空间滞后的重要性。

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