Risk Factors for Lyme Disease in Chester County, Pennsylvania
| Autor: | E P Wileyto, B R Cherry, R B Hopkins, J P Maher, G Smith |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Gerontology medicine.medical_specialty Adolescent Health Behavior Rural Health Spirochaetaceae Risk Assessment Interviews as Topic 03 medical and health sciences 0302 clinical medicine Lyme disease Bias Protective Clothing Risk Factors Surveys and Questionnaires 030225 pediatrics Environmental health Epidemiology Humans Medicine Borrelia burgdorferi Risk factor Child Aged Family Characteristics Lyme Disease biology business.industry Risk of infection Age Factors Public Health Environmental and Occupational Health Environmental Exposure Environmental exposure Middle Aged Pennsylvania biology.organism_classification medicine.disease Telephone Primary Prevention Case-Control Studies Insect Repellents Female business Risk assessment Research Article |
| Zdroj: | Public Health Reports. 116:146-156 |
| ISSN: | 1468-2877 0033-3549 |
| DOI: | 10.1093/phr/116.s1.146 |
| Popis: | Objective. To identify factors associated with increased or decreased risk of infection for Lyme disease in Chester County, Pennyslvania. Methods. The authors designed an unmatched case-control study involving 294 incident cases reported to the Chester County Health Department in 1998 and 449 controls selected by random digit dialing. All case and control participants were interviewed by telephone. Results. Age is a risk factor for Lyme disease for groups aged 10–19 years old and 50 years or older. Sex was not a risk factor. Incidence of Lyme disease in a rural setting was three times the incidence in an urban setting. Increased risk also was associated with living in single family homes, homes with yards or attached land, woods on the land, signs of tick hosts seen on the land, and homes within 100 feet of woodland. Gardening for more than four hours per week was also a risk factor, but most other outdoor activities were not. Twice as many participants took protective measures against tick bites before outdoor employment than those who merely ventured into the yard or land associated with the home. Only checking for ticks during outdoor activity and the use of repellents prior to outdoor activities outside the yard were unequivocally associated with a reduced risk of Lyme disease. Conclusions. It is important to increase public awareness about the risk of acquiring Lyme disease from ticks in the immediate environment of the home. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|