Residential Setting as a Risk Factor for Lyme Disease in a Hyperendemic Region
The hypothesis that residence in a uniform medium-density residential development is associated with lower incidence of Lyme disease is tested with data from a rural, 12-town region of south-central Connecticut where the disease is hyperendemic. The residential setting for 424 cases identified by ac...
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| Veröffentlicht in: | American journal of epidemiology 1998-03, Vol.147 (5), p.472-477 |
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| container_end_page | 477 |
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| container_issue | 5 |
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| container_title | American journal of epidemiology |
| container_volume | 147 |
| creator | Cromley, Ellen K. Cartter, Matthew L. Mrozinski, Richard D. Ertel, Starr-Hope |
| description | The hypothesis that residence in a uniform medium-density residential development is associated with lower incidence of Lyme disease is tested with data from a rural, 12-town region of south-central Connecticut where the disease is hyperendemic. The residential setting for 424 cases identified by active surveillance from 1993 through 1995 was determined. Cases located within the Eastern Coastal ecologic region, where tick densities are known to be higher than inland and where most of the population in the region resides, were selected for further analysis. Within this region, residence in a homogeneous area of medium-density development at least 30 acres (12 ha) in size was associated with a two-to 10-fold lower level of risk than residence in surrounding less developed areas, depending on the estimate of residential population. Type of residential development may be an important factor to consider, in addition to other environmental variables, in studies of peridomestic vector-borne disease in human populations. Am J Epidemiol 1998; 147:472–7. |
| doi_str_mv | 10.1093/oxfordjournals.aje.a009473 |
| format | Article |
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The residential setting for 424 cases identified by active surveillance from 1993 through 1995 was determined. Cases located within the Eastern Coastal ecologic region, where tick densities are known to be higher than inland and where most of the population in the region resides, were selected for further analysis. Within this region, residence in a homogeneous area of medium-density development at least 30 acres (12 ha) in size was associated with a two-to 10-fold lower level of risk than residence in surrounding less developed areas, depending on the estimate of residential population. Type of residential development may be an important factor to consider, in addition to other environmental variables, in studies of peridomestic vector-borne disease in human populations. Am J Epidemiol 1998; 147:472–7.</description><subject>Bacterial arthritis and osteitis</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Borrelia burgdorferi</subject><subject>Connecticut - epidemiology</subject><subject>Environment</subject><subject>Housing</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Ixodes</subject><subject>Lyme disease</subject><subject>Lyme Disease - epidemiology</subject><subject>Medical sciences</subject><subject>Population Density</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Rural Population</subject><subject>tick-borne diseases</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1vEzEQhi0EKmnhJyBZCHHbdGyv7TU3VGhDFbUoFIG4WI49Wzndj2BvpObfs1VWkTj1NIf3eWdGDyHvGcwZGHHeP9Z9Cpt-lzrX5Lnb4NwBmFKLF2TGSq0KxaV6SWYAwAvDFX9NTnPeADBmJJyQEyO5lKKckZsV5hiwG6Jr6A8chtjdU5epo6uYH-il80Of6HiOLvct0i8xo8tIYzcSi_0WE3YB2-jpCu9j370hr-rxJXw7zTPy8_Lr3cWiWN5efbv4vCx8qcqh8FoC484oV4VSVOi5DGtZeVgzE1y9BlGLWpoKghZYVroUrNY8BFBYB-BenJGPh73b1P_dYR5sG7PHpnEd9rtstdGyUmPvOZApKSRjMIKfDqBPfc4Ja7tNsXVpbxnYJ-v2f-t2tG4n62P53XRlt24xHKuT5jH_MOUue9fUyXU-5iPGmQHOntYUByzmAR-PsUsPVmmhpV38_mNXN-Z6-eu7tHfiHyVhn8g</recordid><startdate>19980301</startdate><enddate>19980301</enddate><creator>Cromley, Ellen K.</creator><creator>Cartter, Matthew L.</creator><creator>Mrozinski, Richard D.</creator><creator>Ertel, Starr-Hope</creator><general>Oxford University Press</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>7QL</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>19980301</creationdate><title>Residential Setting as a Risk Factor for Lyme Disease in a Hyperendemic Region</title><author>Cromley, Ellen K. ; Cartter, Matthew L. ; Mrozinski, Richard D. ; Ertel, Starr-Hope</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-c75012a96a8d438ec25db58c0b19dafb03f3f5980d73e487431f72dd06efd02c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Bacterial arthritis and osteitis</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Borrelia burgdorferi</topic><topic>Connecticut - epidemiology</topic><topic>Environment</topic><topic>Housing</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Ixodes</topic><topic>Lyme disease</topic><topic>Lyme Disease - epidemiology</topic><topic>Medical sciences</topic><topic>Population Density</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Rural Population</topic><topic>tick-borne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cromley, Ellen K.</creatorcontrib><creatorcontrib>Cartter, Matthew L.</creatorcontrib><creatorcontrib>Mrozinski, Richard D.</creatorcontrib><creatorcontrib>Ertel, Starr-Hope</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>Bacteriology Abstracts (Microbiology B)</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cromley, Ellen K.</au><au>Cartter, Matthew L.</au><au>Mrozinski, Richard D.</au><au>Ertel, Starr-Hope</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Residential Setting as a Risk Factor for Lyme Disease in a Hyperendemic Region</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>1998-03-01</date><risdate>1998</risdate><volume>147</volume><issue>5</issue><spage>472</spage><epage>477</epage><pages>472-477</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>The hypothesis that residence in a uniform medium-density residential development is associated with lower incidence of Lyme disease is tested with data from a rural, 12-town region of south-central Connecticut where the disease is hyperendemic. 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| ispartof | American journal of epidemiology, 1998-03, Vol.147 (5), p.472-477 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Bacterial arthritis and osteitis Bacterial diseases Biological and medical sciences Borrelia burgdorferi Connecticut - epidemiology Environment Housing Human bacterial diseases Humans Infectious diseases Ixodes Lyme disease Lyme Disease - epidemiology Medical sciences Population Density Risk Assessment Risk Factors Rural Population tick-borne diseases |
| title | Residential Setting as a Risk Factor for Lyme Disease in a Hyperendemic Region |
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