Symptomatic La Crosse Virus Infections of the Central Nervous System: A Study of Risk Factors in an Endemic Area
In most years, La Crosse virus is the most common cause of reported mosquito-borne illness in the United States. The authors conducted a case-control study to determine if behavioral and environmental factors influenced the risk of La Crosse virus illness. Data were gathered on 31 serologically conf...
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Veröffentlicht in: | American journal of epidemiology 1992-08, Vol.136 (3), p.320-327 |
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description | In most years, La Crosse virus is the most common cause of reported mosquito-borne illness in the United States. The authors conducted a case-control study to determine if behavioral and environmental factors influenced the risk of La Crosse virus illness. Data were gathered on 31 serologically confirmed cases and 60 age-, sex-, and geography-matched controls in West Virginia in 1987 and 1988. Univariate analysis revealed minimal elevation of disease risk (odds ratios (ORs) |
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The authors conducted a case-control study to determine if behavioral and environmental factors influenced the risk of La Crosse virus illness. Data were gathered on 31 serologically confirmed cases and 60 age-, sex-, and geography-matched controls in West Virginia in 1987 and 1988. Univariate analysis revealed minimal elevation of disease risk (odds ratios (ORs) <2.0) with increased time outdoors, non-use of insect repellant, non-use of air conditioning, lack of screened windows, and not wearing protective clothing. Univariate and multivariate analysis indicated that the presence of tree holes significantly increased disease risk (OR = 8.5 for ≥1 tree hole vs. 0 tree holes). The following factors may also increase disease risk, although the findings were not statistically significant: discarded tires (OR = 3.2 for ≥10 tires vs. 0–9 tires); non-tire artificial containers (OR = 4.1 for ≥6 containers vs. 0–5 containers): and close proximity of the house to the forest edge (OR = 3.2 for 0–49 ft (0–14.9 m) vs. ≥50 ft (≥14.9 m)). The authors conclude that the presence of natural breeding sites (tree holes) is an important risk factor for La Crosse virus illness. These results may be important in guiding future efforts aimed at preventing infection with La Crosse virus. Am J Epidemiol 1992; 136: 320–7</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/oxfordjournals.aje.a116497</identifier><identifier>PMID: 1357961</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adolescent ; Air Conditioning ; Animals ; Arboviroses ; arbovirus infections ; arboviruses ; Biological and medical sciences ; California group viruses ; Case-Control Studies ; Child ; Child, Preschool ; Clothing - standards ; Culicidae - growth & development ; Encephalitis, California - epidemiology ; Encephalitis, California - etiology ; Encephalitis, California - transmission ; Female ; Health Behavior ; Housing - standards ; Human viral diseases ; Humans ; immunologic ; Infant ; Infectious diseases ; Insect Repellents - therapeutic use ; La Crosse virus ; Male ; Mass Screening ; Matched-Pair Analysis ; Medical sciences ; Miscellaneous ; Population Surveillance ; Risk Factors ; surveillance ; Tropical viral diseases ; Viral diseases ; Water ; West Virginia - epidemiology</subject><ispartof>American journal of epidemiology, 1992-08, Vol.136 (3), p.320-327</ispartof><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-a0889349b0cdd8edcbfc40668acf59a49f875b4e02458eeb03875e545ca61d2e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27869,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4321346$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1357961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woodruff, Bradley A.</creatorcontrib><creatorcontrib>Baron, Roy C.</creatorcontrib><creatorcontrib>Tsai, Theodore F.</creatorcontrib><title>Symptomatic La Crosse Virus Infections of the Central Nervous System: A Study of Risk Factors in an Endemic Area</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>In most years, La Crosse virus is the most common cause of reported mosquito-borne illness in the United States. The authors conducted a case-control study to determine if behavioral and environmental factors influenced the risk of La Crosse virus illness. Data were gathered on 31 serologically confirmed cases and 60 age-, sex-, and geography-matched controls in West Virginia in 1987 and 1988. Univariate analysis revealed minimal elevation of disease risk (odds ratios (ORs) <2.0) with increased time outdoors, non-use of insect repellant, non-use of air conditioning, lack of screened windows, and not wearing protective clothing. Univariate and multivariate analysis indicated that the presence of tree holes significantly increased disease risk (OR = 8.5 for ≥1 tree hole vs. 0 tree holes). The following factors may also increase disease risk, although the findings were not statistically significant: discarded tires (OR = 3.2 for ≥10 tires vs. 0–9 tires); non-tire artificial containers (OR = 4.1 for ≥6 containers vs. 0–5 containers): and close proximity of the house to the forest edge (OR = 3.2 for 0–49 ft (0–14.9 m) vs. ≥50 ft (≥14.9 m)). The authors conclude that the presence of natural breeding sites (tree holes) is an important risk factor for La Crosse virus illness. These results may be important in guiding future efforts aimed at preventing infection with La Crosse virus. Am J Epidemiol 1992; 136: 320–7</description><subject>Adolescent</subject><subject>Air Conditioning</subject><subject>Animals</subject><subject>Arboviroses</subject><subject>arbovirus infections</subject><subject>arboviruses</subject><subject>Biological and medical sciences</subject><subject>California group viruses</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clothing - standards</subject><subject>Culicidae - growth & development</subject><subject>Encephalitis, California - epidemiology</subject><subject>Encephalitis, California - etiology</subject><subject>Encephalitis, California - transmission</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Housing - standards</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>immunologic</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Insect Repellents - therapeutic use</subject><subject>La Crosse virus</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Matched-Pair Analysis</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Population Surveillance</subject><subject>Risk Factors</subject><subject>surveillance</subject><subject>Tropical viral diseases</subject><subject>Viral diseases</subject><subject>Water</subject><subject>West Virginia - 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The authors conducted a case-control study to determine if behavioral and environmental factors influenced the risk of La Crosse virus illness. Data were gathered on 31 serologically confirmed cases and 60 age-, sex-, and geography-matched controls in West Virginia in 1987 and 1988. Univariate analysis revealed minimal elevation of disease risk (odds ratios (ORs) <2.0) with increased time outdoors, non-use of insect repellant, non-use of air conditioning, lack of screened windows, and not wearing protective clothing. Univariate and multivariate analysis indicated that the presence of tree holes significantly increased disease risk (OR = 8.5 for ≥1 tree hole vs. 0 tree holes). The following factors may also increase disease risk, although the findings were not statistically significant: discarded tires (OR = 3.2 for ≥10 tires vs. 0–9 tires); non-tire artificial containers (OR = 4.1 for ≥6 containers vs. 0–5 containers): and close proximity of the house to the forest edge (OR = 3.2 for 0–49 ft (0–14.9 m) vs. ≥50 ft (≥14.9 m)). The authors conclude that the presence of natural breeding sites (tree holes) is an important risk factor for La Crosse virus illness. These results may be important in guiding future efforts aimed at preventing infection with La Crosse virus. Am J Epidemiol 1992; 136: 320–7</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>1357961</pmid><doi>10.1093/oxfordjournals.aje.a116497</doi><tpages>8</tpages></addata></record> |
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subjects | Adolescent Air Conditioning Animals Arboviroses arbovirus infections arboviruses Biological and medical sciences California group viruses Case-Control Studies Child Child, Preschool Clothing - standards Culicidae - growth & development Encephalitis, California - epidemiology Encephalitis, California - etiology Encephalitis, California - transmission Female Health Behavior Housing - standards Human viral diseases Humans immunologic Infant Infectious diseases Insect Repellents - therapeutic use La Crosse virus Male Mass Screening Matched-Pair Analysis Medical sciences Miscellaneous Population Surveillance Risk Factors surveillance Tropical viral diseases Viral diseases Water West Virginia - epidemiology |
title | Symptomatic La Crosse Virus Infections of the Central Nervous System: A Study of Risk Factors in an Endemic Area |
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