Close Social Contact Research Articles

Let's Talk About Sex: The Impact of Partnership Contexts on Communication About HIV Serostatus and Condom Use Among Men Who Have Sex with Men (MSM) and Transgender Women (TW) in Lima, Peru.

Sexual communication with partners informs risk assessment and sexual practices. We evaluated participant, partner, and network factors associated with communication about condom use and HIV serostatus and explored their relationships with condomless anal intercourse (CAI) among 446 men who have sex with men (MSM) and 122 transgender women (TW) in Lima, Peru. Generalized estimating equations assessed contextual influences on communication and practices with recent sexual partners. More frequent HIV communication was reported by MSM who: identified as heterosexual, compared to bisexual or gay; characterized partnerships as stable, compared to casual, anonymous, or commercial; or discussed HIV/STIs with close social contacts (p < 0.05). TW in concurrent partnerships discussed condom use more frequently than those in monogamous relationships (p < 0.05). Condom use discussions and alcohol use among MSM were associated with CAI (p < 0.05). Findings highlight complexity in sexual decision-making and call for further study of conversation content and practices to inform HIV prevention messaging.

SARS-CoV-2 antibody seroprevalence in the general population and high-risk occupational groups across 18 cities in Iran: a population-based cross-sectional study

BackgroundRapid increases in cases of COVID-19 were observed in multiple cities in Iran towards the start of the pandemic. However, the true infection rate remains unknown. We aimed to assess the seroprevalence of antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in 18 cities of Iran as an indicator of the infection rate.MethodsIn this population-based cross-sectional study, we randomly selected and invited study participants from the general population (from lists of people registered with the Iranian electronic health record system or health-care centres) and a high-risk population of individuals likely to have close social contact with SARS-CoV-2-infected individuals through their occupation (from employee lists provided by relevant agencies or companies, such as supermarket chains) across 18 cities in 17 Iranian provinces. Participants were asked questions on their demographic characteristics, medical history, recent COVID-19-related symptoms, and COVID-19-related exposures. Iran Food and Drug Administration-approved Pishtaz Teb SARS-CoV-2 ELISA kits were used to detect SARS-CoV-2-specific IgG and IgM antibodies in blood samples from participants. Seroprevalence was estimated on the basis of ELISA test results and adjusted for population weighting (by age, sex, and city population size) and test performance (according to our independent validation of sensitivity and specificity).FindingsFrom 9181 individuals who were initially contacted between April 17 and June 2, 2020, 243 individuals refused to provide blood samples and 36 did not provide demographic information and were excluded from the analysis. Among the 8902 individuals included in the analysis, 5372 had occupations with a high risk of exposure to SARS-CoV-2 and 3530 were recruited from the general population. The overall population weight-adjusted and test performance-adjusted prevalence of antibody seropositivity in the general population was 17·1% (95% CI 14·6–19·5), implying that 4 265 542 (95% CI 3 659 043–4 887 078) individuals from the 18 cities included were infected by the end of April, 2020. The adjusted seroprevalence of SARS-CoV-2-specific antibodies varied greatly by city, with the highest estimates found in Rasht (72·6% [53·9–92·8]) and Qom (58·5% [37·2–83·9]). The overall population weight-adjusted and test performance-adjusted seroprevalence in the high-risk population was 20·0% (18·5–21·7) and showed little variation between the occupations included.InterpretationsSeroprevalence is likely to be much higher than the reported prevalence of COVID-19 based on confirmed COVID-19 cases in Iran. Despite high seroprevalence in a few cities, a large proportion of the population is still uninfected. The potential shortcomings of current public health policies should therefore be identified to prevent future epidemic waves in Iran.FundingIranian Ministry of Health and Medical Education.TranslationFor the Farsi translation of the abstract see Supplementary Materials section.

Profit for friends, fairness for strangers: Social distance reverses the endowment effect in proxy decision making

Buyers often price a product lower than sellers do, a pricing discrepancy known as the endowment effect. We investigated the way buyers and sellers change their pricing decisions as a function of social distance when making decisions on behalf of another person. In Study 1, the pricing discrepancy persisted when making a decision for a close social contact whereas the pattern was reversed when making a decision for a distant social contact. Study 2 replicated this reversed pattern using a social proximity manipulation, and this effect was mediated by participants’ prioritizing of fairness over immediate profit of the transaction. The current work suggests that people allocate different value to objects depending on the subjective closeness towards another for whom they make the pricing decision.

Bereavement and coping following the death of a personally significant popular musician

The current study explores the bereavement and coping of fans following the death of a personally significant popular musician. Nine participants completed individual interviews and the data were analyzed using Interpretative Phenomenological Analysis. Three superordinate themes were identified: a meaningful relationship, disenfranchisement of grief, and social recognition of grief. The findings highlight that the impact of a musician’s death is deeply personal yet socially underrecognized. The loss of the parasocial relationship with the musician is comparable to losing a close social contact. Future research should investigate the roles of culture and social media in bereavement following a musician’s death.

The Impact of Corona Virus on the Socio-Economic Life of Nigerians

Corona Virus Disease (COVID-19) is an infectious disease caused by a newly discovered corona virus that can be transmitted through droplets from cough and sneeze. People who are infected can experience mild to moderate symptoms and can recover without requiring special treatment. However, aged patients and those with respiratory disease can develop serious illness. Maintainence of high standard of hygiene through frequent washing of hand, use of hand sanitizer and social distancing has been recommended as ways of slowing down the transmission of this disease that has been declared a global health emergency.This study examines how the coronavirus pandemic which is sweeping around the globe affects the socio-economic life of Nigerians. The study reveals that the effect of the pandemic on the socio- economic life of Nigerians is enormous due to the peculiarity of the Nigerian system and economy which depends on close social contact that hinges on the theory of communitarianism,a theory that supports the fact that a person’s personality or identity is molded by the society. Hence, a total lock down in Nigeria is not sustainable over a long period of time.

Divergent pathways mediate 5-HT1A receptor agonist effects on close social interaction, grooming and aggressive behaviour in mice: Exploring the involvement of the oxytocin and vasopressin systems.

5-HT1A receptor (5-HT1AR) abnormalities are implicated in aggression, and there has been considerable interest in developing 5-HT1AR agonists for treating aggression. Endogenous oxytocin (OXT) released upon stimulation of 5-HT1ARs in the hypothalamus mediates at least some of the effects of 5-HT1AR agonists on social behaviour. Given 5-HT1AR, OXT receptor (OXTR) and vasopressin V1a receptor (V1aR) agonists can all reduce aggression, the current study aimed to determine whether the anti-aggressive effects of 5-HT1AR stimulation can also be explained by downstream actions at OXTRs and/or V1aRs in a mouse model of non-territorial, hyper-aggressive behaviour. Male Swiss mice (N=80) were socially isolated or group housed for six weeks prior to the start of testing. Testing involved placing two unfamiliar weight- and condition-matched mice together in a neutral context for 10 minutes. Social isolation led to a pronounced increase in aggressive behaviour, which was dose-dependently inhibited by the 5-HT1AR agonist 8-OH-DPAT (0.1, 0.3 and 1 mg/kg intraperitoneally (i.p.)), with accompanying increases in close social contact (huddling) and grooming. The effects of 8-OH-DPAT on aggression, huddling and grooming were blocked by pretreatment with a selective 5-HT1AR antagonist (WAY-100635; 0.1 mg/kg i.p.). The anti-aggressive effects of 8-OH-DPAT were unaffected by an OXTR antagonist (L-368,899; 10 mg/kg i.p.), whereas the effects on huddling and grooming were inhibited. Pretreatment with a V1aR antagonist (SR49059; 20 mg/kg i.p.) had no effect. Our study suggests that stimulation of endogenous oxytocin is involved in the effects of 5-HT1AR activation on close social contact and grooming but not aggression.

Behavioral predictors of pairing success in rhesus macaques (Macaca mulatta).

Pair housing is one of the most important components of behavioral management for caged macaques; however, it can result in aggression and injury if partners are incompatible. Knowing when to proceed and when to stop social introductions can be challenging, and can have consequences for the partners. We examined whether behavior early in social introductions predicted success (i.e., partners remained cohoused with full contact for at least 28 days) in 724 female-female and 477 male-male rhesus macaque pairs. We took cage side one-zero focal observations on pairs during the first 2 days of full contact, recording social and aggressive behaviors. The majority of pairs (79.6% of female and 83.0% of male) were successful. The most common behaviors exhibited by pairs during these observations were maintaining proximity, tandem threats, and anxiety. Mounting was also relatively common in male pairs. Grooming and close social contact (e.g., touching) were not common in our study. Several behaviors observed on Day 1 significantly predicted pairing success. For females, these included proximity, tandem threat, rump present, mount, and groom. Day 1 predictors of success for male pairs included proximity, tandem threat, rump present, mount, and social contact. Fewer behaviors predicted success on Day 2. Maintaining proximity on Day 2 predicted success for both sexes, but tandem threat predicted success only for females. Behaviors that predicted incompatibility for females on Day 1 included displace, grimace, threat, bite, and other aggressive contacts. Day 1 predictors of separation for male pairs were displaced, grimace, and abnormal behavior. The only Day 2 behavior that correlated with incompatibility was grimace, which was predictive for males. Interestingly, aggression did not predict incompatibility for male pairs. Identifying behaviors exhibited by monkeys early in the pair introduction that are predictive of long-term compatibility can shape pairing decisions, reducing later stress and potential injury.

Knowledge, Attitudes and Perceptions about Mental Illness in Ekom Iman Community in Akwa Ibom State, South-South Nigeria

Knowledge and beliefs a community holds about mental illness, has remarkable impact on help seeking path to care and stigmatizing attitudes expressed towards the mentally ill.&#x0D; Aims: This study examines causal attributions, the perceptions and attitudes towards mental illness and the help seeking behaviour of a community in the south-south region of Nigeria.&#x0D; Materials and Methods: This is cross sectional descriptive study which was conducted among residents of Ekom Iman community in Akwa Ibom State in the South-South region of Nigeria between March, 2019 and July, 2019. Multistage sampling technique was employed to select the study participants. Causal belief, attitude toward mental illness and help seeking behaviour were assessed using a structured questionnaire. &#x0D; Results: A total of 130 respondents participated in the study. The average age of respondents was 31.62±8.2 years, consisting of 64.4% males and 35.6% females. Majority, 74.6% had secondary education. Poor knowledge of mental illness and stigmatizing attitudes are common. Most of the respondents prefer to keep a high social distance from the mentally ill and are unwilling to maintain close social contacts with them expressed as refusal to share a room (74.7%), marry (92.5%), keeping friendship with them (66.4%). Many believe psychoactive substance abuse (86.2%), brain illnesses/trauma (55.4%) and supernatural factors (72.6%) are etiologic to mental illness. Most respondents considered faith healers (64.3%) and orthodox medical professionals (30.8%) as first choices of treatment and the options best able to treat them.&#x0D; Conclusion: Causal beliefs of mental illness affects help seeking behavior. Poor knowledge and exposure to mental illness was common. Attitudes towards mental illness were generally negative and stigmatizing. Multidisciplinary community interventions are required to ensure high social acceptance and preference for orthodox professional treatment of mental illness.

Social Robots in Educational Contexts: Developing an Application in Enactive Didactics

Due to advancements in sensor and actuator technology robots are becoming more and more common in everyday life. Many of the areas in which they are introduced demand close physical and social contact. In the last ten years the use of robots has also increasingly spread to the field of didactics, starting with their use as tools in STEM education. With the advancement of social robotics, the use of robots in didactics has been extended also to tutoring situations in which these “socially aware” robots interact with mainly children in, for example, language learning classes. In this paper we will give a brief overview of how robots have been used in this kind of settings until now. As a result it will become transparent that the majority of applications are not grounded in didactic theory. Recognizing this shortcoming, we propose a theory driven approach to the use of educational robots, centred on the idea that the combination of enactive didactics and social robotics holds great promises for a variety of tutoring activities in educational contexts. After defining our “Enactive Robot Assisted Didactics” approach, we will give an outlook on how the use of humanoid robots can advance it. On this basis, at the end of the paper, we will describe a concrete, currently on-going implementation of this approach, which we are realizing with the use of Softbank Robotics’ Pepper robot during university lectures.

Rewritable fidelity: How repeated pairings and age influence subsequent pair-bond formation in male prairie voles

The prairie vole has proven a valuable animal model for the neurobiological study of social monogamy and pair bonding. Previous research has focused almost exclusively on virgin prairie voles forming pair-bonds for the first time – a paradigm with limited relevance to human social behavior. In the present study, we used stud males to assess the impact of repeated pair-bond formation and dissolution on the behaviors and neurobiology relevant to subsequent pair-bond formation. Stud males were tested for behavioral and neurobiological effects of repeated pair-bonding after the 1st, 5th, and 10th pairing. Aged breeder males that experienced minimal pair-bond dissolution were included to control for the effects of aging. Results showed that male prairie voles readily form new pair-bonds after repeated pair-bond dissolution. In terms of social monogamy, old age was associated with males spending less time in close social contact with unfamiliar females. There were no effects of age nor number of lifetime pairings on depressive-like behavior or paternal behavior toward pups. Within the brain, the patterns of oxytocin (OTR) and vasopressin type 1a (V1aR) receptors were largely unaffected, with the following exceptions: 1) males with only a single pairing had higher OTR densities in the paraventricular thalamus and bed nucleus of the stria terminalis; 2) there was an age-related increase in the density of OTR in the caudate putamen and an age-related decline in the density of V1aR in the cortical amygdala. The present findings have translational relevance to human social behavior in the context of aging and social experience.

Behavioral and epigenetic consequences of oxytocin treatment at birth.

Oxytocin is used in approximately half of all births in the United States during labor induction and/or augmentation. However, the effects of maternal oxytocin administration on offspring development have not been fully characterized. Here, we used the socially monogamous prairie vole to examine the hypothesis that oxytocin exposure at birth can have long-term developmental consequences. Maternally administered oxytocin increased methylation of the oxytocin receptor (Oxtr) in the fetal brain. As adults, oxytocin-exposed voles were more gregarious, with increased alloparental caregiving toward pups and increased close social contact with other adults. Cross-fostering indicated that these effects were the result of direct action on the offspring, rather than indirect effects via postnatal changes in maternal behavior. Male oxytocin-exposed offspring had increased oxytocin receptor density and expression in the brain as adults. These results show that long-term effects of perinatal oxytocin may be mediated by an epigenetic mechanism.

Oxytocin and vasopressin inhibit hyper-aggressive behaviour in socially isolated mice

Despite the high prevalence of aggression across a wide range of disorders, there is a severe lack of pharmacological treatments. Recent rodent studies have shown both centrally and peripherally administered oxytocin is effective in reducing territorial aggression, an adaptive form of aggression not reflective of pathological hyper-aggression. The current study tested i.p. administered oxytocin and vasopressin in a model of non-territorial hyper-aggression and examined the involvement of oxytocin receptors (OXTR) and vasopressin V1a receptors (V1aR). Male Swiss mice (N = 160) were either socially isolated or group housed for 6 weeks prior to the commencement of testing; wherein two unfamiliar weight and condition matched mice were placed into a neutral context for 10 min. Socially isolated mice exhibited heightened aggression that was powerfully and dose-dependently inhibited by oxytocin and vasopressin and that was accompanied by dose-dependent increases in close social contact (huddling) and grooming. These anti-aggressive effects of oxytocin were blocked by pre-treatment with a higher dose of selective V1aR antagonist SR49059 (20 mg/kg i.p.), but not a lower dose of SR49059 (5 mg/kg i.p.) or selective OXTR antagonist L-368,899 (10 mg/kg i.p.). This is consistent with a growing number of studies linking a range of effects of exogenous oxytocin to actions at the V1a receptor. Interestingly, the highest dose of the OXTR agonist TGOT (10 mg/kg) also reduced isolation-induced aggression. These results suggest that while activation of the V1a receptor appears critical for the anti-aggressive effects of oxytocin, activation of the oxytocin receptor cannot be excluded.This article is part of the Special Issue entitled ‘Current status of the neurobiology of aggression and impulsivity.’

Close and ordinary social contacts: How important are they in promoting large-scale contagion?

An outstanding problem of interdisciplinary interest is to understand quantitatively the role of social contacts in contagion dynamics. In general, there are two types of contacts: close ones among friends, colleagues and family members, etc., and ordinary contacts from encounters with strangers. Typically, social reinforcement occurs for close contacts. Taking into account both types of contacts, we develop a contact-based model for social contagion. We find that, associated with the spreading dynamics, for random networks there is coexistence of continuous and discontinuous phase transitions, but for heterogeneous networks the transition is continuous. We also find that ordinary contacts play a crucial role in promoting large-scale spreading, and the number of close contacts determines not only the nature of the phase transitions but also the value of the outbreak threshold in random networks. For heterogeneous networks from the real world, the abundance of close contacts affects the epidemic threshold, while its role in facilitating the spreading depends on the adoption threshold assigned to it. We uncover two striking phenomena. First, a strong interplay between ordinary and close contacts is necessary for generating prevalent spreading. In fact, only when there are propagation paths of reasonable length which involve both close and ordinary contacts are large-scale outbreaks of social contagions possible. Second, abundant close contacts in heterogeneous networks promote both outbreak and spreading of the contagion through the transmission channels among the hubs, when both values of the threshold and transmission rate among ordinary contacts are small. We develop a theoretical framework to obtain an analytic understanding of the main findings on random networks, with support from extensive numerical computations. Overall, ordinary contacts facilitate spreading over the entire network, while close contacts determine the way by which outbreaks occur, i.e., through a second- or first-order phase transition. These results provide quantitative insights into how certain social behaviors can emerge and become prevalent, which has potential implications not only to social science but also to economics and political science.

Waiting for the Right One: The Role of Social Proximity and Location in the Decision to Use Cannabis for the First Time

The study examines the social context of a cannabis offer, an outcome rarely examined in research on substance use. Drawing from a survey conducted among 15-year-old students in a mid-sized Canadian city, we examine (a) the differences between three types of users (immediate, late, and nonusers) and (b) the factors associated with accepting a cannabis offer more quickly. The findings show that 40% of the sample received an offer, that 25% of those who accept an offer do so on the first occasion, and that among the others, it takes up to seven offers before accepting. The social context of the offer distinguishes between the types of users, and offers are accepted more quickly when adolescents are first offered by a close social contact, and when the offer occurs in familiar settings. The study also identifies a type of nonuser, those who are exposed to drugs but decide not to participate.

Opioids and Social Connection

Social connection, the pleasurable, subjective experience of feeling close to and bonded with other people, is critical for well-being and continued social bonding. Despite the importance of social connection for many important outcomes, few researchers have experimentally examined how humans connect with those to whom they feel close. The strongest insights into the biological bases of social connection come from animal research, which shows that social bonds rely on the same neurochemicals that support general motivation. One class of neurochemicals, opioids, has received increased attention in recent years with the rise of pharmacological methods to manipulate opioids in humans. This article reviews emerging findings to show that opioids affect social feelings, behaviors, and perceptions in both positive and negative social experiences and concludes with the implications of such findings. Future work should consider the subjective feelings of social connection felt during interactions with close social contacts in order to further the understanding of social connection.

ОСОБЛИВОСТІПСИХОСОЦІАЛЬНОГОБЛАГОПОЛУЧЧЯВНУТРІШНЬОПЕРЕМІЩЕНИХОСІБ

The article is devoted to the problem of psychosocial well-being of internally displaced persons. The situation of forced internal migration conceals a large number of destructive influences on the psychosocial well-being of the individual. The process of adaptation of forced migrants is accompanied by high levels of stress and requires a large amount of psychological and social resources. In this regard, the research of psychosocial well-being of internally displaced persons is relevant to the scientific substantiation of psychosocial practice of assistance IDP. The purpose of the article is to reveal the peculiarities of the psychosocial well-being of internally displaced persons, which are based on the results of empirical research. The article presents the results of a theoretical and methodological analysis of the concept of psychosocial well-being of internally displaced persons. This concept is interpreted by the author as a multifactorial construct, which encompasses the individual psychological characteristics of internally displaced persons, their subjective attitude to the actual life situation, the nature of social interaction with others and economic factors of life activity. The results of empirical research aimed at identifying the characteristics of psychosocial wellbeing of internally displaced persons point to a reduced level of psychosocial well-being of internally displaced persons, reflected in the manifestations of the tendency to disadaptation. Characteristic features of internally displaced persons are the inability to establish close social contacts with others and emotional detachment and lowered sense of their value to society. The general emotional background of the IDP is at a reduced level and is characterized by tendencies towards negativism.

The association of a heart attack or stroke with depressive symptoms stratified by the presence of a close social contact: findings from the National Health and Aging Trends Study Cohort.

The objective of the study is to examine whether the risk of having clinically significant depressive symptoms following a heart attack or stroke varies by the presence of a close social contact. The National Health and Aging Trends Study is a nationally representative longitudinal survey of US Medicare beneficiaries aged 65 and older initiated in 2011. A total of 5643 older adults had information on social contacts at baseline and depressive symptoms at the 1-year follow-up interview. The two-item Patient Health Questionnaire identified clinically significant depressive symptoms. Interview questions examined social contacts and the presence of self-reported heart attack or stroke during the year of follow-up. A total of 297 older adults reported experiencing a heart attack and/or stroke between their baseline and follow-up interviews. In regression analyses accounting for sociodemographics, baseline depressive symptoms, medical comorbidity, and activities of daily living impairment, older adults with no close social contacts had increased odds of depressive symptoms at follow-up after experiencing a heart attack or stroke, while those with close social contacts had increased odds of depressive symptoms at follow-up after experiencing a stroke, but not a heart attack. Older adults have increased odds of having depressive symptoms following a self-reported stroke, but only those with no close social contacts had increased odds of depressive symptoms following a heart attack. Social networks may play a role in the mechanisms underlying depression among older adults experiencing certain acute health events. Future work exploring the potential causal relationships suggested here, if confirmed, could inform interventions to alleviate or prevent depression among at risk older adults. Copyright © 2017 John Wiley & Sons, Ltd.

Communication with Family and Friends across the Life Course.

Each stage of the human life course is characterised by a distinctive pattern of social relations. We study how the intensity and importance of the closest social contacts vary across the life course, using a large database of mobile communication from a European country. We first determine the most likely social relationship type from these mobile phone records by relating the age and gender of the caller and recipient to the frequency, length, and direction of calls. We then show how communication patterns between parents and children, romantic partner, and friends vary across the six main stages of the adult family life course. Young adulthood is dominated by a gradual shift of call activity from parents to close friends, and then to a romantic partner, culminating in the period of early family formation during which the focus is on the romantic partner. During middle adulthood call patterns suggest a high dependence on the parents of the ego, who, presumably often provide alloparental care, while at this stage female same-gender friendship also peaks. During post-reproductive adulthood, individuals and especially women balance close social contacts among three generations. The age of grandparenthood brings the children entering adulthood and family formation into the focus, and is associated with a realignment of close social contacts especially among women, while the old age is dominated by dependence on their children.

Momentary symptoms of borderline personality disorder as a product of trait personality and social context.

Past studies identify Five Factor Model (FFM) domains that are characteristic of borderline personality disorder (BPD), including those associated with specific BPD symptoms, at a between-person level. The present study replicated these between-person associations and extended past research by assessing whether the FFM explains within-person variance in the manifestation of momentary BPD symptoms in the presence or absence of close social contact (CSC). We measured CSC and the BPD core symptoms negative affectivity, impulsivity, and interpersonal problems in 74 BPD patients and in a clinical control group of 40 depressed patients over the course of 28 days, 6 times a day. The FFM domains showed specificity in predicting momentary BPD symptoms and interacted with CSC in doing so. In particular, for BPD individuals only, momentary impulsivity and interpersonal problems were associated with higher neuroticism and extraversion and lower agreeableness, and these associations were especially strong in situations involving CSC. Negative affectivity was predicted by neuroticism for both groups of individuals, and this association was generally unaffected by CSC. Overall, experiencing CSC was positively associated with momentary BPD symptoms. Thus, both the FFM and CSC were associated with BPD patients' experience of symptoms in everyday life. Furthermore, specific FFM trait domains were particularly impactful in contexts where BPD symptoms are more likely to be manifested, providing further evidence that person-by-situation interactions are important for understanding BPD symptoms in the moment. (PsycINFO Database Record

Mass Gatherings and Respiratory Disease Outbreaks in the United States - Should We Be Worried? Results from a Systematic Literature Review and Analysis of the National Outbreak Reporting System.

BackgroundBecause mass gatherings create environments conducive for infectious disease transmission, public health officials may recommend postponing or canceling large gatherings during a moderate or severe pandemic. Despite these recommendations, limited empirical information exists on the frequency and characteristics of mass gathering-related respiratory disease outbreaks occurring in the United States.MethodsWe conducted a systematic literature review to identify articles about mass gathering-related respiratory disease outbreaks occurring in the United States from 2005 to 2014. A standard form was used to abstract information from relevant articles identified from six medical, behavioral and social science literature databases. We also analyzed data from the National Outbreaks Reporting System (NORS), maintained by the Centers for Disease Control and Prevention since 2009, to estimate the frequency of mass gathering-related respiratory disease outbreaks reported to the system.ResultsWe identified 21 published articles describing 72 mass gathering-related respiratory disease outbreaks. Of these 72, 40 (56%) were associated with agriculture fairs and Influenza A H3N2v following probable swine exposure, and 25 (35%) with youth summer camps and pandemic Influenza A H1N1. Outbreaks of measles (n = 1) and mumps (n = 2) were linked to the international importation of disease. Between 2009 and 2013, 1,114 outbreaks were reported to NORS, including 96 respiratory disease outbreaks due to Legionella. None of these legionellosis outbreaks was linked to a mass gathering according to available data.ConclusionMass gathering-related respiratory disease outbreaks may be uncommon in the United States, but have been reported from fairs (zoonotic transmission) as well as at camps where participants have close social contact in communal housing. International importation can also be a contributing factor. NORS collects information on certain respiratory diseases and could serve as a platform to monitor mass gathering-related respiratory outbreaks in the future.