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dc.contributor.authorSchleihauf, E.
dc.contributor.authorWatkins, Rochelle
dc.contributor.authorPlant, Aileen
dc.date.accessioned2017-01-30T12:17:50Z
dc.date.available2017-01-30T12:17:50Z
dc.date.created2015-03-03T20:14:11Z
dc.date.issued2009
dc.identifier.citationSchleihauf, E. and Watkins, R. and Plant, A. 2009. Heterogeneity in the spatial distribution of bacterial sexually transmitted infections. Sexually Transmitted Infections. 85: pp. 45-49.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/20177
dc.identifier.doi10.1136/sti.2008.030197
dc.description.abstract

Objectives: Detailed knowledge of the spatial distribution of disease is required to inform service delivery and plan effective interventions. In order to elucidate the spatial epidemiology of three common sexually transmitted infections (STI) further, any significant spatiotemporal clustering of gonorrhoea, chlamydia or syphilis cases in New South Wales (NSW) was detected and described. Methods: Eleven years of notified STI case data were analysed. Calculation of age and sex-stratified incidence rates was followed by spatiotemporal cluster analyses to investigate differences in the epidemiology of gonorrhoea, chlamydia and syphilis. Results: More than one-third of all gonorrhoea, chlamydia and syphilis cases in NSW were detected within cluster areas. Gonorrhoea cases were the most highly clustered, followed by syphilis, then chlamydia. Clusters were highly significant and relative risk estimates ranged from 1.6 to 22.9. Conclusion: The findings establish the high degree of geographical heterogeneity in STI incidence in NSW and indicate that the postal area of residence is an important predictor of STI incidence. Geographical surveillance could be incorporated into routine STI surveillance to identify populations in need of intervention. The evidence presented in this report indicates a need to implement geography-specific and phase-appropriate STI prevention and control strategies.

dc.publisherBMJ Publishing Group
dc.titleHeterogeneity in the spatial distribution of bacterial sexually transmitted infections
dc.typeJournal Article
dcterms.source.volume85
dcterms.source.startPage45
dcterms.source.endPage49
dcterms.source.issn14723263
dcterms.source.titleSexually Transmitted Infections
curtin.departmentAus Biosecurity CRC - Emerging Infectious Diseases
curtin.accessStatusFulltext not available


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