Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1992-4-24
pubmed:abstractText
Most models of the spread of HIV/AIDS assume that the probability of transmission from an infected individual to a susceptible partner has some constant value per sexual act, compounding independently randomly (so that ten acts with one person chosen from a particular group has, on average, the same risk as one act with each of ten different people from that group). Guided by available data, other models treat the transmission process as being some characteristic (but highly variable) value per partnership, independent of the number of acts. This latter approach does not allow for the possible effects of concurrent partnerships, and therefore does not take account of the possibility that an initially uninfected partner of a given susceptible individual may become infected over the duration of their partnership. We present a new model, based on transmission per partnership, that takes account of partnership duration. If the number of overlapping partnerships is high enough (so that R0 greater than 1 among "standing crops" of partners), any initial infection will spread very fast--on the time scale of a few times the latent interval (a few months)--among existing networks of partners. After this initial "fast phase," the subsequent epidemic proceeds more slowly along conventional lines as new partnerships are formed. These properties of the model are illustrated numerically and by analytic studies (using singular perturbation theory). The possibility of such "two time-scale" phenomena could have implications for data analysis based on statistical back-projection.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Acquired Immunodeficiency Syndrome, http://linkedlifedata.com/resource/pubmed/keyword/Behavior, http://linkedlifedata.com/resource/pubmed/keyword/Biology, http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/Epidemiologic Methods, http://linkedlifedata.com/resource/pubmed/keyword/Hiv Infections, http://linkedlifedata.com/resource/pubmed/keyword/Homosexuals, http://linkedlifedata.com/resource/pubmed/keyword/Infections, http://linkedlifedata.com/resource/pubmed/keyword/Multiple Partners, http://linkedlifedata.com/resource/pubmed/keyword/Population, http://linkedlifedata.com/resource/pubmed/keyword/Population Dynamics, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Risk Factors, http://linkedlifedata.com/resource/pubmed/keyword/Sex Behavior, http://linkedlifedata.com/resource/pubmed/keyword/Sexual Partners, http://linkedlifedata.com/resource/pubmed/keyword/Time Factors, http://linkedlifedata.com/resource/pubmed/keyword/Viral Diseases, http://linkedlifedata.com/resource/pubmed/keyword/World
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0025-5564
pubmed:author
pubmed:issnType
Print
pubmed:volume
108
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
89-104
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1992
pubmed:articleTitle
The influence of concurrent partnerships on the dynamics of HIV/AIDS.
pubmed:affiliation
Department of Zoology, University of Oxford, England.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't