Does outpatient laboratory testing represent influenza burden and distribution in a rural state?
| Autor: | Joan Baumbach, Jessica Jungk, Chad Smelser, C. Mack Sewell, Deborah L. Thompson, Michael Landen |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Pediatrics Epidemiology New Mexico Distribution (economics) Rural Health Part 1 Influenza A Virus H1N1 Subtype Cost of Illness Pandemic Outpatients Young adult Child education.field_of_study Rural health H1N1 virus diseases Clinical Laboratory Services Middle Aged Random digit dialing Infectious Diseases Child Preschool outpatient Income Female Original Article influenza Pulmonary and Respiratory Medicine Adult medicine.medical_specialty Adolescent Population Young Adult Influenza Human medicine Humans education Pandemics Aged business.industry Diagnostic Tests Routine Public Health Environmental and Occupational Health Case-control study Infant Original Articles laboratory testing Case-Control Studies business Demography |
| Zdroj: | Influenza and Other Respiratory Viruses |
| ISSN: | 1750-2659 |
| Popis: | Background Laboratory testing results are often used to monitor influenza illness in populations, but results may not be representative of illness burden and distribution, especially in populations that are geographically, socioeconomically, and racially/ethnically diverse. Objectives Descriptive epidemiology and chi-square analyses using demographic, geographic, and medical condition prevalence comparisons were employed to assess whether a group of individuals with outpatient laboratory-confirmed influenza illness during September–November 2009 represented the burden and distribution of influenza illness in New Mexico (NM). Patients/Methods The outpatient group was identified via random selection from those with positive influenza tests at NM laboratories. Comparison groups included those with laboratory-confirmed H1N1-related influenza hospitalization and death identified via prospective active statewide surveillance, those with self-reported influenza-like illness (ILI) identified through random digit dialing, and the NM population. Results This analysis included 334 individuals with outpatient laboratory-confirmed influenza, 888 individuals with laboratory-confirmed H1N1-related hospitalization, 39 individuals with laboratory-confirmed H1N1-related death, 334 individuals with ILI, and NM population data (N = 2 036 112). The outpatient laboratory-confirmed group had a different distribution of demographic and geographic factors, as well as prevalence of certain medical conditions as compared to the groups of laboratory-confirmed H1N1-related hospitalization and death, the ILI group, and the NM population. Conclusions The outpatient laboratory-confirmed group may reflect provider testing practices and potentially healthcare-seeking behavior and access to care, rather than influenza burden and distribution in NM during the H1N1 pandemic. |
| Databáze: | OpenAIRE |
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