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首页> 外文期刊>Annals of epidemiology >Rural counties chlamydia and gonorrhea rates in Pennsylvania among adolescents and young adults
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Rural counties chlamydia and gonorrhea rates in Pennsylvania among adolescents and young adults

机译：农村县衣原体和宾夕法尼亚州青少年和年轻成年人宾夕法尼亚州的淋病率

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摘要

Abstract Background American adolescents and young adults between the ages of 15 and 24 account for 50% of all?sexually transmitted diseases (STDs) annually. Rural populations in this age group are often understudied, despite having factors that place them at higher risk for STDs. Purpose The purpose of this study was to evaluate the utility of time series analysis in the assessment of rural Pennsylvania county-level chlamydia and gonorrhea rates overtime (2004–2014) for 15- to 19- and 20- to 24-year-old age groups by gender. Methods An exploratory analysis was completed using Pennsylvania STD surveillance case report and census data, to develop a linear mixed-effects model of the STD rate for each Pennsylvania county for the years 2004 through 2014 using 3-month increments. A cubic polynomial spline regression model was assumed over the 44 time points for each county to account for possible oscillations in the STD rate during the 11-year period. Results Eight out of 12 rural counties had a significant increase in chlamydia or gonorrhea rates, and five rural counties had significant decreases in chlamydia or gonorrhea rates from 2004 to?2014. Conclusions Results from this study provide the first analysis of change in rates of STDs in rural settings and demonstrate the utility of time series analysis for populations with small sample sizes.
机译：摘要背景美国青少年和年轻人在15和24岁之间占所有人的50％？每年的性传播疾病（STDS）。尽管有因素将它们处于较高风险的因素，但经常被解读这个年龄组的农村人口。目的本研究的目的是评估时间序列分析的效用，在农村宾夕法尼亚州型衣原体和淋病率加班（2004-2014）为15至19岁 - 和24岁时按性别群体。方法采用宾夕法尼亚州STD监测案例报告和人口普查数据完成探索性分析，以开发2004年至2014年每年宾夕法尼亚州的STD率的线性混合效果模型，使用3个月的增量。在每个县的44个时间点假设立方多项式样条回归模型，以在11年期间考虑STD率的可能振荡。结果12名农村县中的八个含量较大，衣原体或淋病率大幅增加，2004年从2004年到2014年的衣原体或淋病率下降了五个农村县。该研究的结论结果提供了农村环境中STD率变化的第一次分析，并展示了小样本尺寸的群体时间序列分析的效用。

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  • 来源
    《Annals of epidemiology》 |2017年第9期|共5页
  • 作者

    Casey N. Pinto; Lorah D. Dorn; Vernon M. Chinchilli; Ping Du; Guangqing Chi;

  • 作者单位

    Department of Public Health Sciences The Pennsylvania State University College of Medicine;

    College of Nursing &

    Department of Pediatrics The Pennsylvania State University;

    Department of Public Health Sciences The Pennsylvania State University College of Medicine;

    Department of Public Health Sciences The Pennsylvania State University College of Medicine;

    Department of Agricultural Economics Sociology and Education The Pennsylvania State University;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 流行病学与防疫;
  • 关键词

    Time series; Chlamydia; Gonorrhea; Rural;

    机译：时间序列;衣原体;淋病;农村;

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