a spatial analysis of county-level variation in syphilis and gonorrhea in guangdong province, china的空间分析县级广东省梅毒和淋病的变化,中国.pdfVIP

A Spatial Analysis of County-level Variation in Syphilis and Gonorrhea in Guangdong Province, China 1 2 3 3 2 4 Nicholas X. Tan , Jane P. Messina , Li-Gang Yang *, Bin Yang , Michael Emch , Xiang-Sheng Chen , Myron S. Cohen5, Joseph D. Tucker1,3,5* 1 Harvard University, Cambridge, Massachusetts, United States of America, 2 Department of Geography, University of North Carolina, Chapel Hill, North Carolina, United States of America, 3 Guangdong Provincial STI Control Center, Guangzhou, China, 4 National Center for STD Control, Nanjing, China, 5 Division of Infectious Diseases, University of North Carolina School of Medicine, Chapel Hill, North Carolina, United States of America Abstract Background: Sexually transmitted infections (STI) have made a resurgence in many rapidly developing regions of southern China, but there is little understanding of the social changes that contribute to this spatial distribution of STI. This study examines county-level socio-demographic characteristics associated with syphilis and gonorrhea in Guangdong Province. Methods/Principal Findings: This study uses linear regression and spatial lag regression to determine county-level (n = 97) socio-demographic characteristics associated with a greater burden of syphilis, gonorrhea, and a combined syphilis/ gonorrhea index. Data were obtained from the 2005 China Population Census and published public health data. A range of socio-demographic variables including gross domestic product, the Gender Empowerment Measure, standard of living, education level, migrant population and employment are examined. Reported syphilis and gonorrhea cases are disproportionately clustered in the Pear