Differences Among Incidence Rates of Invasive Listeriosis in the U.S. FoodNet Population by Age, Sex, Race/Ethnicity, and Pregnancy Status, 2008–2016
| Autor: | Jane M. Van Doren, Jemma V Rowlands, Michael C. Bazaco, Beverly J Wolpert, Beau B. Bruce, Amy Saupe, Aurelie M Pohl, Jessica M. Healy, John R. Dunn, Duc J. Vugia, Jennifer C. Hunter, Régis Pouillot, Mark E. Laughlin, Sharon Hurd |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Ethnic group medicine.disease_cause Applied Microbiology and Biotechnology Foodborne Diseases 0403 veterinary science listeriosis Pregnancy Ethnicity Pregnancy Complications Infectious Child Aged 80 and over 0303 health sciences education.field_of_study foodborne disease epidemiology Incidence Incidence (epidemiology) Age Factors 04 agricultural and veterinary sciences Middle Aged Child Preschool Population Surveillance Female Invasive Listeriosis Adult medicine.medical_specialty Adolescent 040301 veterinary sciences Population Microbiology 03 medical and health sciences Sex Factors Listeria monocytogenes medicine Humans education Aged 030306 microbiology business.industry Public health Infant Newborn Infant foodborne illness Original Articles Pregnancy Status United States Confidence interval Animal Science and Zoology business Food Science Demography |
| Zdroj: | Foodborne Pathogens and Disease |
| ISSN: | 1556-7125 1535-3141 |
| DOI: | 10.1089/fpd.2018.2548 |
| Popis: | Listeria monocytogenes is a foodborne pathogen that disproportionally affects pregnant females, older adults, and immunocompromised individuals. Using U.S. Foodborne Diseases Active Surveillance Network (FoodNet) surveillance data, we examined listeriosis incidence rates and rate ratios (RRs) by age, sex, race/ethnicity, and pregnancy status across three periods from 2008 to 2016, as recent incidence trends in U.S. subgroups had not been evaluated. The invasive listeriosis annual incidence rate per 100,000 for 2008–2016 was 0.28 cases among the general population (excluding pregnant females), and 3.73 cases among pregnant females. For adults ≥70 years, the annual incidence rate per 100,000 was 1.33 cases. No significant change in estimated listeriosis incidence was found over the 2008–2016 period, except for a small, but significantly lower pregnancy-associated rate in 2011–2013 when compared with 2008–2010. Among the nonpregnancy-associated cases, RRs increased with age from 0.43 (95% confidence interval: 0.25–0.73) for 0- to 14-year olds to 44.9 (33.5–60.0) for ≥85-year olds, compared with 15- to 44-year olds. Males had an incidence of 1.28 (1.12–1.45) times that of females. Compared with non-Hispanic whites, the incidence was 1.57 (1.18–1.20) times higher among non-Hispanic Asians, 1.49 (1.22–1.83) among non-Hispanic blacks, and 1.73 (1.15–2.62) among Hispanics. Among females of childbearing age, non-Hispanic Asian females had 2.72 (1.51–4.89) and Hispanic females 3.13 (2.12–4.89) times higher incidence than non-Hispanic whites. We observed a higher percentage of deaths among older patient groups compared with 15- to 44-year olds. This study is the first characterizing higher RRs for listeriosis in the United States among non-Hispanic blacks and Asians compared with non-Hispanic whites. This information for public health risk managers may spur further research to understand if differences in listeriosis rates relate to differences in consumption patterns of foods with higher contamination levels, food handling practices, comorbidities, immunodeficiencies, health care access, or other factors. |
| Databáze: | OpenAIRE |
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