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PubMed1975

Venereal diseases among female alcoholics.

The incidence of gonorrhoea among 71 female alcoholics was studied from the twentieth year before, to the ninth year after the first compulsory treatment by the Temperance Board of Malmö. Twenty-five probands had, at some time, had gonorrhoea. The mean age at the first infection was high, over 28 years. None the less, the onset of gonorrhoea was an early "symptom". Recorded criminal offence, receipt of public assistance, and conviction for drunkenness usually appeared later. Each individual's risk of contracting gonorrhoea was assessed from tabulated data concerning the gonorrhoea incidence among Malmö women in general, specified by calendar year and age. A total of 53 infections was observed, as against 6.9 expected. The ratio of observed to expected gonorrhoea was not particularly high in the early period of observation. From the twelfth year before, up to one year before, the first compulsory treatment, the ratio increased to roughly fifteen to one. This high ratio remained during the subsequent years. Syphilis was diagnosed in five probands.

Adult↗
PubMed1997

Veneral disease, public health and social control: the Scottish experience in a comparative perspective.

During the first half of the twentieth century, VD became in many countries a metaphor for the forces of physical and moral pollution that appeared to threaten social order and racial progress. By reference to some central aspects of the Scottish experience in a comparative perspective, this article seeks to identify the common denominator of anxieties and assumptions which fuelled public health initiatives towards VD and which defined the boundaries within which VD policy options were discussed. In particular, it will explore various dimensions of social control associated with the treatment and regulation of VD; the degree to which VD controls and procedures have targetted and stigmatised sexually active women, their use to regulate the sexual behaviour of the young, and the way in which discourses shaping medical practice and policy towards VD have enshrined both class and racial stereotyping. The article also examines the powerful moral agenda which shaped the categories and content of treatment and the focus of epidemiology and public health debate. Finally, the institutional and cultural factors shaping the distinctively compulsionist stance of Scottish public health administration towards VD will be explored as a means of identifying some of the possible comparators needed for broader comparative analysis of VD policy in the twentieth century.

Disease Transmission, Infectious↗