Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-tn8tq Total loading time: 0 Render date: 2024-06-30T06:49:02.311Z Has data issue: false hasContentIssue false

Behavior change and non-homogeneous mixing

Published online by Cambridge University Press:  04 August 2010

Valerie Isham
Affiliation:
University College London
Graham Medley
Affiliation:
University of Warwick
Get access

Summary

Introduction

Mixing patterns in multi-group populations are now recognized to have an important role in the population dynamics of disease (Hethcote and Yorke 1984, Sattenspiel 1987b, Anderson et al 1990). Initially in response to the resurgence of gonorrhea and later with the rapid growth of the AIDS epidemic, selective mixing has become a major focus for epidemiological modelers. Various methods for summarizing the structure of selective mixing have been proposed (Gupta and Anderson 1989, Blythe et al. 1991, Koopman et al. 1991, Morris 1991). Simulation studies show that these effects can be both strong and variable (Hyman and Stanley 1988, Haraldsdottir et al. 1992, Morris 1995), and that they can bias the estimates of other epidemiological parameters if they are not taken into account (Koopman et al. 1991). Analytic expressions for the effect of mixing on the reproductive rate (or number) of a disease and the definition of core groups are beginning to be developed (Diekmann et al 1990, Jacquez et al 1993).

One of the major issues in modeling the mixing patterns of a multi-group population concerns the solution of multiple matching constraints in nonequilibrium populations. Constraints are imposed by the symmetry inherent in contact processes, i.e., if I meet you, then you have to meet me. This is a generalized version of the ‘two-sex problem’ familiar to demographers. In its classical form this problem arises in life table modeling when births are projected on the basis of two-sex populations. The birth process implies a matching process between the age-structured populations of males and females, and these constraints become complicated when vital dynamics are considered (Pollard 1948, Schoen 1982).

Type
Chapter
Information
Models for Infectious Human Diseases
Their Structure and Relation to Data
, pp. 239 - 252
Publisher: Cambridge University Press
Print publication year: 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×