Abstract
Sexually transmitted infections (STIs) remain serious public health problems particularly in urban environments in the USA. Despite accumulating research into the role of aggregate rates of crime in sha** rates of STIs, few studies account for spatial dependence in the structure of geographical data. Using multiple spatial analysis methodologies, the following study investigated spatial patterns in community area rates of violent, drug, and property crimes and rates of infection of gonorrhea and chlamydia in 77 community areas in Chicago. Moran’s I analyses confirmed global spatial dependence and statistically significant clusters of STI. Spatial lag regression analyses found that greater rates of drug crimes were associated with higher rates of chlamydia and gonorrhea after adjusting for percent in poverty and racial composition. Finally, a weighted geographic regression identified regions in the urban environment in which local regression coefficient values diverged from their global estimates. Spatial heterogeneity of STIs suggest that public health interventions must be targeted to specific areas of the urban environment with particular attention to substance use.
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Acknowledgments
The study was supported by a T-32 Training Grant by the National Institute on Drug Abuse, Grant #: 1T32DA037801-01. The author gratefully acknowledges Jeremy Porter and the reviewers whose feedback greatly improved the quality of this manuscript.
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Marotta, P. Assessing Spatial Relationships Between Rates of Crime and Rates of Gonorrhea and Chlamydia in Chicago, 2012. J Urban Health 94, 276–288 (2017). https://doi.org/10.1007/s11524-016-0080-7
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DOI: https://doi.org/10.1007/s11524-016-0080-7