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Sexually transmitted infection STI transmission models propose that incident STIs are related to exposure to infected sex partners. The objective of this study was to determine whether the prevalence of STIs among the available pool of sex partners in a neighborhood, measured indirectly, is an independent determinant of a current incident STI. The target population comprised 58, English-speaking, sexually active to year-olds in census block groups CBGs in Baltimore, MD.

A sample of 65 CBGs was selected using a stratified, systematic, probability-proportional-to-size strategy and 13, households were randomly selected. From through , research assistants administered an audio computer-assisted interview survey and collected biologic samples for gonorrhea and chlamydia testing. The final sample size included participants from 63 CBGs.

Additional data provided gonorrhea prevalence from through per to year-old persons per , per CBG. After adjustment for individual-level STI risk factors in a multilevel probability model, adolescents and young adults living in high vs.

To inform prevention programs, future research should focus on identifying mechanisms through which context causes changes in local sexual networks and their STI prevalence. View PDF. Access through your institution Purchase PDF. Author links open overlay panel Jacky M. Iannacchione MS d Susan M. Ellen MD a b. Add to Mendeley Share. Purpose Sexually transmitted infection STI transmission models propose that incident STIs are related to exposure to infected sex partners.

Conclusions To inform prevention programs, future research should focus on identifying mechanisms through which context causes changes in local sexual networks and their STI prevalence. Key Words Adolescent. Recommended articles Citing articles 0. All rights reserved.

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