Yale University

Syphilis as a social disease: experience from the post-communist transition period in Estonia.

TitleSyphilis as a social disease: experience from the post-communist transition period in Estonia.
Publication TypeJournal Article
Year of Publication2004
AuthorsUusküla, Anneli, Jan F. Nygård, and Mari Kibur-Nygård
JournalInternational journal of STD & AIDS
Volume15
Issue10
Pagination662-8
Date Published2004 Oct
ISSN0956-4624
KeywordsAdult, Communism, Estonia, Female, Health Status Indicators, Health Transition, Humans, Incidence, Male, Middle Aged, Population Dynamics, Risk Factors, Socioeconomic Factors, Syphilis
AbstractIncreased incidence of sexually transmitted diseases (STD) and radical social changes have taken place at the same time in Estonia. Our aim was to study the trends in syphilis incidence, selected sociodemographic factors and health status indicators during the economic transition. Associations were estimated by the ordinary least square regression method for change in and actual values of syphilis and tuberculosis incidence rate (IR), percentage of non-ethnic Estonians and urban population, homicides rate, unemployment rate and, birth rate. The analysis was performed by counties at three different time periods. Syphilis IR significantly correlated with the proportion of non-ethnic Estonians, urban population, tuberculosis IR and birth rate. Change of syphilis IR correlated significantly with concurrent changes in unemployment rate and tuberculosis IR. Our findings support the theory that syphilis is a social disease, thus emphasizing the importance of social factors in the occurrence of STDs.
Alternate JournalInt J STD AIDS

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