Primary and secondary syphilis in the metropolitan area of Nashville and Davidson County, Tennessee: 1996 to 1998 epidemic described.
Sex Transm Dis 2000;
27:168-74. [PMID:
10726652 DOI:
10.1097/00007435-200003000-00010]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND
Metropolitan Nashville, Tennessee experienced a syphilis epidemic from 1996 to 1998.
GOAL
This study describes the syphilis epidemic during this period.
DESIGN
Descriptive analyses of syphilis surveillance data (1988-1998) were performed, with emphasis on the current epidemic (1996-1998), and were stratified by age, gender, race, and census tracts.
RESULTS
Five features were observed regarding the 1996 to 1998 syphilis epidemic: (1) males and females were almost equally affected, with a delay in diagnosis in female patients; (2) the 30-39-year age group was most affected; (3) the 15-19-year age group had the highest percentage increase in incidence; (4) African Americans were the most affected population subgroup; and (5) downtown Nashville and the surrounding areas were most affected.
CONCLUSION
Although talk of eradicating syphilis has surfaced nationally, Nashville has continually faced syphilis as a public health problem. During each of the past 3 years (1996-1998), the incidence of syphilis in this community has reached epidemic proportions.
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