Impact of Rurality, Broiler Operations, and Community Socioeconomic Factors on the Risk of Campylobacteriosis in Maryland.
Objectives. We evaluated the combined impact of community-level environmental and socioeconomic factors on the risk of campylobacteriosis. Methods. We obtained Campylobacter case data (2002-2010; n = 3694) from the Maryland Foodborne Diseases Active Surveillance Network. We obtained community-level...
| Publicado en: | American Journal of Public Health Vol. 103; no. 12; pp. 2267 - 2276 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Dec2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=91820769&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 91820769 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2013 vid: 103 iid: 12 pid: 44 pub: American Public Health Association artinfo: ui: 91820769 10.2105/AJPH.2013.301338 ppf: 2267 ppct: 9 formats: tig: atl: Impact of Rurality, Broiler Operations, and Community Socioeconomic Factors on the Risk of Campylobacteriosis in Maryland. aug: au: Zappe Pasturel, Barbara Cruz-Cano, Raul Rosenberg Goldstein, Rachel E. Palmer, Amanda Blythe, David Ryan, Patricia Hogan, Brenna Jung, Carrianne Joseph, Sam W. Min Qi Wang Mei-Ling Ting Lee Puett, Robin Sapkota, Amy R. affil: Maryland Institute for Applied Environmental Health, University of Maryland School of Public Health, College Park Department of Epidemiology and Biostatistics, University of Maryland School of Public Health Infectious Disease and Environmental Health Administration, Maryland Department of Health and Mental Hygiene, Baltimore Department of Behavioral and Community Health, University of Maryland School of Public Health su: Maryland Census Epidemiology Public health surveillance Rural population Socioeconomic factors Social context Retrospective studies Disease risk factors Campylobacter infections Confidence intervals Cooking Geographic information systems Maps Research methodology Poisson distribution Poultry Research funding Data analysis Disease incidence Descriptive statistics sug: subj: Census Epidemiology Public health surveillance Rural population Socioeconomic factors Social context Retrospective studies Disease risk factors Maryland Other printing Book, Periodical, and Newspaper Merchant Wholesalers Poultry and Poultry Product Merchant Wholesalers Meat Markets Poultry and egg merchant wholesalers Live animal merchant wholesalers Other Poultry Production Campylobacter infections Confidence intervals Cooking Geographic information systems Maps Research methodology Poisson distribution Poultry Research funding Data analysis Disease incidence Descriptive statistics ab: Objectives. We evaluated the combined impact of community-level environmental and socioeconomic factors on the risk of campylobacteriosis. Methods. We obtained Campylobacter case data (2002-2010; n = 3694) from the Maryland Foodborne Diseases Active Surveillance Network. We obtained community-level socioeconomic and environmental data from the 2000 US Census and the 2007 US Census of Agriculture. We linked data by zip code. We derived incidence rate ratios by Poisson regressions. We mapped a subset of zip code-level characteristics. Results. In zip codes that were 100% rural, incidence rate ratios (IRRs) of campylobacteriosis were 6 times (IRR = 6.18; 95% confidence interval [CI] = 3.19, 11.97) greater than those in urban zip codes. In zip codes with broiler chicken operations, incidence rates were 1.45 times greater than those in zip codes without broilers (IRR = 1.45; 95% CI = 1.34, 1.58). We also observed higher rates in zip codes whose populations were predominantly White and had high median incomes. Conclusions. The community and environment in which one lives may significantly influence the risk of campylobacteriosis. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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