Bradley P. Stoner, M.D., Ph.D.

DEPARTMENT OF Internal Medicine
Keywords: sexually transmitted diseases, infectious diseases, behavior

Our research group focuses on the socio-behavioral factors which promote and sustain sexually transmitted diseases within human populations. These factors include the role of sex partner networks, symptom recognition and health care seeking, and sex partner selection mechanisms. Current work has elucidated many of the dynamics of sex partner selection and chains of transmission within gonococcal and chlamydial networks. Persons within gonorrhea networks, for example, are older and more likely to enter into discordant relationships with regard to sexual activity level, age and other variables, while persons within chlamydia networks are younger and more likely to select concordant partners. Current efforts are focusing upon elucidating the mechanics of syphilis endemicity in the St. Louis region.

We have utilized qualitative and quantitative methods in addressing behavioral contributions to STD epidemiology, and current work emphasizes anthropological modes of inquiry and analysis. Ethnographic studies of STD within local contexts can illuminate substantial social and cultural influences on the meaning of infection, illness perception and response to therapy. Additionally, qualitative studies of the health care delivery process serve to highlight points of friction in the care-seeking process. Formal assessment of STD client knowledge, attitudes and intentions have facilitated development of interventions to induce sustainable behavior change of high-risk clients. We have also examined expanded STD control strategies through screening for STDs in emergency departments and non-clinical, community-based sites.