A Spatial Analysis of County-level Variation in Syphilis and Gonorrhea in Guangdong Province, China 英文参考文献.docVIP

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A Spatial Analysis of County-level Variation in Syphilis and Gonorrhea in Guangdong Province, China 英文参考文献.doc

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A Spatial Analysis of County-level Variation in Syphilis and Gonorrhea in Guangdong Province, China 英文参考文献

ASpatialAnalysisofCounty-levelVariationinSyphilis andGonorrheainGuangdongProvince,China NicholasX.Tan1,JaneP.Messina2,Li-GangYang3*,BinYang3,MichaelEmch2,Xiang-ShengChen4, MyronS.Cohen5,JosephD.Tucker1,3,5* 1HarvardUniversity,Cambridge,Massachusetts,UnitedStatesofAmerica,2DepartmentofGeography,UniversityofNorthCarolina,ChapelHill,NorthCarolina,United States ofAmerica,3Guangdong ProvincialSTIControl Center,Guangzhou,China,4NationalCenterforSTDControl,Nanjing,China,5DivisionofInfectiousDiseases, UniversityofNorthCarolinaSchoolofMedicine,ChapelHill,NorthCarolina,UnitedStatesofAmerica Abstract Background:Sexuallytransmittedinfections(STI)havemadearesurgenceinmanyrapidlydevelopingregionsofsouthern China,butthereislittleunderstandingofthesocialchangesthatcontributetothisspatialdistributionofSTI.Thisstudy examinescounty-levelsocio-demographiccharacteristicsassociatedwithsyphilisandgonorrheainGuangdongProvince. Methods/PrincipalFindings:Thisstudyuseslinearregressionandspatiallagregressiontodeterminecounty-level(n=97) socio-demographic characteristics associated with a greater burden of syphilis, gonorrhea, and a combined syphilis/ gonorrheaindex.Datawereobtainedfromthe2005ChinaPopulationCensusandpublishedpublichealthdata.Arangeof 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 Pearl River Delta, the central region of Guangdong Province. A higher fraction of employed men among the adult population, higher fraction of divorced men among the adult population, and higher standardofliving(basedonwateravailabilityandpeopleperroom)aresignificantlyassociatedwithhigherSTIcasesacross allthreemodels.GrossdomesticproductandgenderinequalitymeasuresarenotsignificantpredictorsofreportedSTIin thesemodels. Conclusions/Significance: Although many ecological studies of STIs have foun