World War I origins of the syphilis epidemic among 20th century black Americans: A biohistorical analysis

Toni P. Miles, David McBride

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Syphilis outbreaks and differentials have been an ongoing issue in modern preventive medicine and public health. Since the early 20th Century, a variety of approaches has been employed to explain demographic and temporal variations in the prevalence of syphilis in the U.S. Public health experts and physicians have tended to rely on case-by-case approaches to explain group-specific patterns. This study, however, shows that population-level disease dynamics cannot be ascertained from these individual-level studies. We offer a biohistorical methodology to study syphilis prevalence differentials in U.S. populations. Using historical health data, this study suggests that the social disruption brought on by World War I was the critical and unique environmental condition which ignited an epidemic of syphilis among black Americans. By establishing this beginning point for the epidemic, this study further shows the persistence of the epidemic for the next 40 years and its decline. This biohistorical methodology could be applied to the analysis of STD epidemics in other populations and regions experiencing mass exposure events.

Original languageEnglish (US)
Pages (from-to)61-69
Number of pages9
JournalSocial Science and Medicine
Volume45
Issue number1
DOIs
StatePublished - Jul 1 1997

Fingerprint

World War I
Syphilis
First World War
Public Health
public health
Population
Modern 1601-history
Preventive Medicine
demographic situation
methodology
Sexually Transmitted Diseases
Disease Outbreaks
persistence
environmental factors
Cross-Sectional Studies
physician
Demography
medicine
expert
Disease

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • History and Philosophy of Science

Cite this

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World War I origins of the syphilis epidemic among 20th century black Americans : A biohistorical analysis. / Miles, Toni P.; McBride, David.

In: Social Science and Medicine, Vol. 45, No. 1, 01.07.1997, p. 61-69.

Research output: Contribution to journalArticle

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