LYME DISEASE IN OUTDOOR WORKERS: RISK FACTORS, PREVENTIVE MEASURES, AND TICK REMOVAL METHODS
A statewide cross-sectional study of risk factors for seropositivity for antibody to Borrelia burgdorferi in outdoor workers in New Jersey was performed in September and October 1988. The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl...
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| Veröffentlicht in: | American journal of epidemiology 1990-05, Vol.131 (5), p.877-885 |
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| creator | SCHWARTZ, BRIAN S. GOLDSTEIN, MICHAEL D. |
| description | A statewide cross-sectional study of risk factors for seropositivity for antibody to Borrelia burgdorferi in outdoor workers in New Jersey was performed in September and October 1988. The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7–9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1–23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0–4.0) and Z3 (95% Cl 0.8–6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers. |
| doi_str_mv | 10.1093/oxfordjournals.aje.a115578 |
| format | Article |
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The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7–9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1–23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0–4.0) and Z3 (95% Cl 0.8–6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/oxfordjournals.aje.a115578</identifier><identifier>PMID: 2321630</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; Antibodies, Bacterial - analysis ; Biological and medical sciences ; Borrelia burgdorferi ; Borrelia burgdorferi Group - immunology ; Borrella ; Chemical and industrial products toxicology. Toxic occupational diseases ; Confounding Factors (Epidemiology) ; Cross-Sectional Studies ; Data Collection ; Female ; Humans ; Lyme disease ; Lyme Disease - blood ; Lyme Disease - epidemiology ; Lyme Disease - prevention & control ; Male ; Medical sciences ; New Jersey - epidemiology ; occupational diseases ; Occupational Diseases - blood ; Occupational Diseases - epidemiology ; Occupational Diseases - prevention & control ; Odds Ratio ; prevention and control ; Surveys and Questionnaires ; ticks ; Toxicology ; Various organic compounds</subject><ispartof>American journal of epidemiology, 1990-05, Vol.131 (5), p.877-885</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-bce20efb12627424feed473271a66ec2a120d4509e34630e1ee9139dc135860e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27846,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5067442$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2321630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SCHWARTZ, BRIAN S.</creatorcontrib><creatorcontrib>GOLDSTEIN, MICHAEL D.</creatorcontrib><title>LYME DISEASE IN OUTDOOR WORKERS: RISK FACTORS, PREVENTIVE MEASURES, AND TICK REMOVAL METHODS</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>A statewide cross-sectional study of risk factors for seropositivity for antibody to Borrelia burgdorferi in outdoor workers in New Jersey was performed in September and October 1988. The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7–9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1–23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0–4.0) and Z3 (95% Cl 0.8–6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers.</description><subject>Adult</subject><subject>Antibodies, Bacterial - analysis</subject><subject>Biological and medical sciences</subject><subject>Borrelia burgdorferi</subject><subject>Borrelia burgdorferi Group - immunology</subject><subject>Borrella</subject><subject>Chemical and industrial products toxicology. Toxic occupational diseases</subject><subject>Confounding Factors (Epidemiology)</subject><subject>Cross-Sectional Studies</subject><subject>Data Collection</subject><subject>Female</subject><subject>Humans</subject><subject>Lyme disease</subject><subject>Lyme Disease - blood</subject><subject>Lyme Disease - epidemiology</subject><subject>Lyme Disease - prevention & control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>New Jersey - epidemiology</subject><subject>occupational diseases</subject><subject>Occupational Diseases - blood</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - prevention & control</subject><subject>Odds Ratio</subject><subject>prevention and control</subject><subject>Surveys and Questionnaires</subject><subject>ticks</subject><subject>Toxicology</subject><subject>Various organic compounds</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><recordid>eNqFkV1v0zAYhS0EGmXwE5AsQFyR4m8vu4taj2b9CErSMhCS5SaO1K5tht1K49_j0lAJbrh6JZ_nvO-RDwBvMOpjFNOP7WPTunrdHtzObHzfrG3fYMy5vHoCephJEQnCxVPQQwiRKCaCPAcvvF8jhHHM0QW4IJRgQVEPfJ98nSo4TAuVFAqmM5jNy2GW5fBLlo9VXlzDPC3G8CYZlFlefICfc7VQszJdKDgNlnmuwmMyG8IyHYxhrqbZIpkEqRxlw-IleNaEgPZVNy_B_EaVg1E0yT6lg2QSVUzifbSsLEG2WeIQVDLCGmtrJimR2AhhK2IwQTXjKLaUhdAWWxtjGtcVpvxKIEsvwfvT3gfX_jhYv9fbla_sZmN2tj14TWKJKRLivyDmxwT8CL79B_zz2_r3Jo4lo4G6PlGVa713ttEPbrU17qfGSB-b0n83pUNTumsqmF93Jw7Lra3P1q6aoL_rdOMrs2mc2VUrf8Y4EpIxErDohK383j6eZePutZBUcj26-6bjW3IXI8b1Lf0FHXenVg</recordid><startdate>19900501</startdate><enddate>19900501</enddate><creator>SCHWARTZ, BRIAN S.</creator><creator>GOLDSTEIN, MICHAEL D.</creator><general>Oxford University Press</general><general>School of Hygiene and Public Health of the Johns Hopkins University</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>HVZBN</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope></search><sort><creationdate>19900501</creationdate><title>LYME DISEASE IN OUTDOOR WORKERS: RISK FACTORS, PREVENTIVE MEASURES, AND TICK REMOVAL METHODS</title><author>SCHWARTZ, BRIAN S. ; GOLDSTEIN, MICHAEL D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-bce20efb12627424feed473271a66ec2a120d4509e34630e1ee9139dc135860e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Antibodies, Bacterial - analysis</topic><topic>Biological and medical sciences</topic><topic>Borrelia burgdorferi</topic><topic>Borrelia burgdorferi Group - immunology</topic><topic>Borrella</topic><topic>Chemical and industrial products toxicology. Toxic occupational diseases</topic><topic>Confounding Factors (Epidemiology)</topic><topic>Cross-Sectional Studies</topic><topic>Data Collection</topic><topic>Female</topic><topic>Humans</topic><topic>Lyme disease</topic><topic>Lyme Disease - blood</topic><topic>Lyme Disease - epidemiology</topic><topic>Lyme Disease - prevention & control</topic><topic>Male</topic><topic>Medical sciences</topic><topic>New Jersey - epidemiology</topic><topic>occupational diseases</topic><topic>Occupational Diseases - blood</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - prevention & control</topic><topic>Odds Ratio</topic><topic>prevention and control</topic><topic>Surveys and Questionnaires</topic><topic>ticks</topic><topic>Toxicology</topic><topic>Various organic compounds</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHWARTZ, BRIAN S.</creatorcontrib><creatorcontrib>GOLDSTEIN, MICHAEL D.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 24</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7–9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1–23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0–4.0) and Z3 (95% Cl 0.8–6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>2321630</pmid><doi>10.1093/oxfordjournals.aje.a115578</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | American journal of epidemiology, 1990-05, Vol.131 (5), p.877-885 |
| issn | 0002-9262 1476-6256 |
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| source | MEDLINE; Oxford Journals A-Z Collection; Periodicals Index Online |
| subjects | Adult Antibodies, Bacterial - analysis Biological and medical sciences Borrelia burgdorferi Borrelia burgdorferi Group - immunology Borrella Chemical and industrial products toxicology. Toxic occupational diseases Confounding Factors (Epidemiology) Cross-Sectional Studies Data Collection Female Humans Lyme disease Lyme Disease - blood Lyme Disease - epidemiology Lyme Disease - prevention & control Male Medical sciences New Jersey - epidemiology occupational diseases Occupational Diseases - blood Occupational Diseases - epidemiology Occupational Diseases - prevention & control Odds Ratio prevention and control Surveys and Questionnaires ticks Toxicology Various organic compounds |
| title | LYME DISEASE IN OUTDOOR WORKERS: RISK FACTORS, PREVENTIVE MEASURES, AND TICK REMOVAL METHODS |
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