Socioeconomic disparities in sexually transmitted infections among young adults in the United States: examining the interaction between income and race/ethnicity

Citation

Harling, G.; Subramanian, S.; Barnighausen, T.; & Kawachi, I. (2013). Socioeconomic disparities in sexually transmitted infections among young adults in the United States: examining the interaction between income and race/ethnicity. Sexually Transmitted Diseases. vol. 40 (7) pp. 575-581 , PMCID: PMC3752095

Abstract

BACKGROUND: There is considerable evidence of racial/ethnic patterning of sexually transmitted infection (STI) risk in the United States. There is also evidence that poorer persons are at increased STI risk. Evidence regarding the interaction of race/ethnicity and income is limited, particularly nationally at the individual level. METHODS: We examined the pattern of socioeconomic gradients in STI infection among young people in a nationwide US study and determined how these gradients varied by race/ethnicity. We estimated the cumulative diagnosis prevalence of chlamydia, gonorrhea, or trichomoniasis (via self-report or laboratory confirmation) for young adults (ages, 18-26 years old) Hispanics and non-Hispanic whites, blacks, and others across income quintiles in the Add Health data set. We ran regression models to evaluate these relationships adjusting for individual- and school-level covariates. RESULTS: Sexually transmitted infection diagnosis was independently associated with both racial/ethnic identity and with low income, although the racial/ethnic disparities were much larger than income-based ones. A negative gradient of STI risk with increasing income was present within all racial/ethnic categories, but was stronger for nonwhites. CONCLUSIONS: Both economic and racial/ethnic factors should be considered in deciding how to target STI prevention efforts in the United States. Particular focus may be warranted for poor, racial/ethnic minority women.

URL

http://www.ncbi.nlm.nih.gov/pubmed/23965773

Notes

Harling, Guy

Reference Type

Journal Article

Journal Title

Sexually Transmitted Diseases

Author(s)

Harling, G.
Subramanian, S.
Barnighausen, T.
Kawachi, I.

Year Published

2013

Volume Number

40

Issue Number

7

Pages

575-581

Edition

2013/08/24

ISSN/ISBN

1537-4521 (Electronic)

DOI

10.1097/OLQ.0b013e31829529cf

PMCID

PMC3752095

NIHMSID

Nihms476050

Reference ID

4745