Epidemic potential by sexual activity distributions.

dc.contributor.author

Moody, James

dc.contributor.author

Adams, Jimi

dc.contributor.author

Morris, Martina

dc.coverage.spatial

United States

dc.date.accessioned

2018-03-01T14:21:48Z

dc.date.available

2018-03-01T14:21:48Z

dc.date.issued

2017-12

dc.description.abstract

For sexually transmitted infections like HIV to propagate through a population, there must be a path linking susceptible cases to currently infectious cases. The existence of such paths depends in part on thedegree distribution.Here, we use simulation methods to examine how two features of the degree distribution affect network connectivity: Mean degree captures a volume dimension, while the skewness of the upper tail captures a shape dimension. We find a clear interaction between shape and volume: When mean degree is low, connectivity is greater for long-tailed distributions, but at higher mean degree, connectivity is greater in short-tailed distributions. The phase transition to a giant component and giant bicomponent emerges as a positive function of volume, but it rises more sharply and ultimately reaches more people in short-tail distributions than in long-tail distributions. These findings suggest that any interventions should be attuned to how practices affect both the volume and shape of the degree distribution, noting potential unanticipated effects. For example, policies that primarily affect high-volume nodes may not be effective if they simply redistribute volume among lower degree actors, which appears to exacerbate underlying network connectivity.

dc.identifier

https://www.ncbi.nlm.nih.gov/pubmed/29449942

dc.identifier.issn

2050-1242

dc.identifier.uri

https://hdl.handle.net/10161/16104

dc.language

eng

dc.publisher

Cambridge University Press (CUP)

dc.relation.ispartof

Netw Sci (Camb Univ Press)

dc.relation.isversionof

10.1017/nws.2017.3

dc.subject

cohesion

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connectivity

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degree distributions

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dynamic network diffusion

dc.subject

sexually transmitted infections

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simulation

dc.title

Epidemic potential by sexual activity distributions.

dc.type

Journal article

pubs.author-url

https://www.ncbi.nlm.nih.gov/pubmed/29449942

pubs.begin-page

461

pubs.end-page

475

pubs.issue

4

pubs.organisational-group

Duke

pubs.organisational-group

Duke Population Research Center

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Duke Population Research Institute

pubs.organisational-group

Sanford School of Public Policy

pubs.organisational-group

Sociology

pubs.organisational-group

Trinity College of Arts & Sciences

pubs.publication-status

Published

pubs.volume

5

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