Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States: implications for climate change

Non-cholera Vibrio (NCV) species are important causes of disease. These pathogens are thermophilic and climate change could increase the risk of NCV infection. The El Niño Southern Oscillation (ENSO) is a 'natural experiment' that may presage ocean warming effects on disease incidence. In...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Epidemiology and infection 2019-01, Vol.147, p.1-7, Article e243
Hauptverfasser: Logar-Henderson, Chloë, Ling, Rebecca, Tuite, Ashleigh R., Fisman, David N.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 7
container_issue
container_start_page 1
container_title Epidemiology and infection
container_volume 147
creator Logar-Henderson, Chloë
Ling, Rebecca
Tuite, Ashleigh R.
Fisman, David N.
description Non-cholera Vibrio (NCV) species are important causes of disease. These pathogens are thermophilic and climate change could increase the risk of NCV infection. The El Niño Southern Oscillation (ENSO) is a 'natural experiment' that may presage ocean warming effects on disease incidence. In order to evaluate possible climatic contributions to observed increases in NCV infection, we obtained NCV case counts for the United States from publicly available surveillance data. Trends and impacts of large-scale oceanic phenomena, including ENSO, were evaluated using negative binomial and distributed non-linear lag models (DNLM). Associations between latitude and changing risk were evaluated with meta-regression. Trend models demonstrated expected seasonality (P < 0.001) and a 7% (6.1%–8.1%) annual increase in incidence from 1999 to 2014. DNLM demonstrated increased vibriosis risk following ENSO conditions over the subsequent 12 months (relative risk 1.940, 95% confidence interval (CI) 1.298–2.901). The 'relative–relative risk' (RRR) of annual disease incidence increased with latitude (RRR per 10° increase 1.066, 95% CI 1.027–1.107). We conclude that NCV risk in the United States is impacted by ocean warming, which is likely to intensify with climate change, increasing NCV risk in vulnerable populations.
doi_str_mv 10.1017/S0950268819001316
format Article
fullrecord <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6805737</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>27023575</jstor_id><sourcerecordid>27023575</sourcerecordid><originalsourceid>FETCH-LOGICAL-c449t-fa69f88c1d4f3a7f09a45e86dbdb65fdfd3b9f1448846edab1ec757b4b5cc75e3</originalsourceid><addsrcrecordid>eNplkUuLVDEQhYMoTjv6A1woATduriY3740wDOMDBlyMs465SWU6ze2kTdID_ntv02PjY1UF56tDHQ5CLyl5RwlV72-IEWSUWlNDCGVUPkIryqUZOCfmMVod5OGgn6FnrW0IIWbU6ik6Y5RJLjRdoe9XMYLvDZeIZ1fvYGjezYCLB5eTx7s15LKF7HDJOJc8-HWZoTp8n6aaSksNp-xTgOxh2XBfA77NqUPAN911aM_Rk-jmBi8e5jm6_Xj17fLzcP3105fLi-vBc276EJ00UWtPA4_MqUiM4wK0DFOYpIghBjaZSDnXmksIbqLglVATn4RfFmDn6MPRd7efthA85F7dbHc1bV39aYtL9m8lp7W9K_dWaiIUU4vB2weDWn7soXW7Tc3DPLsMZd_sOErFidSCLeibf9BN2de8xDtQRDAhjVkoeqR8La1ViKdnKLGH_ux__S03r_9Mcbr4XdgCvDoCm9ZLPemjIiMTSrBfGRuhOw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2260535699</pqid></control><display><type>article</type><title>Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States: implications for climate change</title><source>MEDLINE</source><source>PubMed Central</source><creator>Logar-Henderson, Chloë ; Ling, Rebecca ; Tuite, Ashleigh R. ; Fisman, David N.</creator><creatorcontrib>Logar-Henderson, Chloë ; Ling, Rebecca ; Tuite, Ashleigh R. ; Fisman, David N.</creatorcontrib><description>Non-cholera Vibrio (NCV) species are important causes of disease. These pathogens are thermophilic and climate change could increase the risk of NCV infection. The El Niño Southern Oscillation (ENSO) is a 'natural experiment' that may presage ocean warming effects on disease incidence. In order to evaluate possible climatic contributions to observed increases in NCV infection, we obtained NCV case counts for the United States from publicly available surveillance data. Trends and impacts of large-scale oceanic phenomena, including ENSO, were evaluated using negative binomial and distributed non-linear lag models (DNLM). Associations between latitude and changing risk were evaluated with meta-regression. Trend models demonstrated expected seasonality (P &lt; 0.001) and a 7% (6.1%–8.1%) annual increase in incidence from 1999 to 2014. DNLM demonstrated increased vibriosis risk following ENSO conditions over the subsequent 12 months (relative risk 1.940, 95% confidence interval (CI) 1.298–2.901). The 'relative–relative risk' (RRR) of annual disease incidence increased with latitude (RRR per 10° increase 1.066, 95% CI 1.027–1.107). We conclude that NCV risk in the United States is impacted by ocean warming, which is likely to intensify with climate change, increasing NCV risk in vulnerable populations.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268819001316</identifier><identifier>PMID: 31364581</identifier><language>eng</language><publisher>England: Cambridge University Press</publisher><subject>Animals ; Atmospheric pressure ; Bacteria ; Centers for Disease Control and Prevention, U.S ; Cholera ; Cholera - diagnosis ; Cholera - epidemiology ; Climate Change ; Confidence intervals ; Databases, Factual ; Disease control ; Disease Outbreaks ; El Nino ; El Nino-Southern Oscillation ; Environmental risk ; Health risks ; Humans ; Incidence ; Infections ; Infectious diseases ; Latitude ; Liver diseases ; Nonlinear Dynamics ; Ocean currents ; Original Paper ; Precipitation ; Regression analysis ; Retrospective Studies ; Risk ; Risk Assessment ; Seafood ; Seasonal variations ; Seasons ; Southern Oscillation ; Statistical analysis ; Surveillance ; Systematic review ; Temperature ; United States ; Vibrio cholerae - isolation &amp; purification ; Vibrio Infections - diagnosis ; Vibrio Infections - epidemiology ; Vibriosis ; Waterborne diseases</subject><ispartof>Epidemiology and infection, 2019-01, Vol.147, p.1-7, Article e243</ispartof><rights>The Author(s) 2019</rights><rights>2019 This article is published under (https://creativecommons.org/licenses/by/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019 2019 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c449t-fa69f88c1d4f3a7f09a45e86dbdb65fdfd3b9f1448846edab1ec757b4b5cc75e3</citedby><cites>FETCH-LOGICAL-c449t-fa69f88c1d4f3a7f09a45e86dbdb65fdfd3b9f1448846edab1ec757b4b5cc75e3</cites><orcidid>0000-0001-5009-6926</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805737/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805737/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31364581$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Logar-Henderson, Chloë</creatorcontrib><creatorcontrib>Ling, Rebecca</creatorcontrib><creatorcontrib>Tuite, Ashleigh R.</creatorcontrib><creatorcontrib>Fisman, David N.</creatorcontrib><title>Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States: implications for climate change</title><title>Epidemiology and infection</title><addtitle>Epidemiol Infect</addtitle><description>Non-cholera Vibrio (NCV) species are important causes of disease. These pathogens are thermophilic and climate change could increase the risk of NCV infection. The El Niño Southern Oscillation (ENSO) is a 'natural experiment' that may presage ocean warming effects on disease incidence. In order to evaluate possible climatic contributions to observed increases in NCV infection, we obtained NCV case counts for the United States from publicly available surveillance data. Trends and impacts of large-scale oceanic phenomena, including ENSO, were evaluated using negative binomial and distributed non-linear lag models (DNLM). Associations between latitude and changing risk were evaluated with meta-regression. Trend models demonstrated expected seasonality (P &lt; 0.001) and a 7% (6.1%–8.1%) annual increase in incidence from 1999 to 2014. DNLM demonstrated increased vibriosis risk following ENSO conditions over the subsequent 12 months (relative risk 1.940, 95% confidence interval (CI) 1.298–2.901). The 'relative–relative risk' (RRR) of annual disease incidence increased with latitude (RRR per 10° increase 1.066, 95% CI 1.027–1.107). We conclude that NCV risk in the United States is impacted by ocean warming, which is likely to intensify with climate change, increasing NCV risk in vulnerable populations.</description><subject>Animals</subject><subject>Atmospheric pressure</subject><subject>Bacteria</subject><subject>Centers for Disease Control and Prevention, U.S</subject><subject>Cholera</subject><subject>Cholera - diagnosis</subject><subject>Cholera - epidemiology</subject><subject>Climate Change</subject><subject>Confidence intervals</subject><subject>Databases, Factual</subject><subject>Disease control</subject><subject>Disease Outbreaks</subject><subject>El Nino</subject><subject>El Nino-Southern Oscillation</subject><subject>Environmental risk</subject><subject>Health risks</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Latitude</subject><subject>Liver diseases</subject><subject>Nonlinear Dynamics</subject><subject>Ocean currents</subject><subject>Original Paper</subject><subject>Precipitation</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>Risk Assessment</subject><subject>Seafood</subject><subject>Seasonal variations</subject><subject>Seasons</subject><subject>Southern Oscillation</subject><subject>Statistical analysis</subject><subject>Surveillance</subject><subject>Systematic review</subject><subject>Temperature</subject><subject>United States</subject><subject>Vibrio cholerae - isolation &amp; purification</subject><subject>Vibrio Infections - diagnosis</subject><subject>Vibrio Infections - epidemiology</subject><subject>Vibriosis</subject><subject>Waterborne diseases</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNplkUuLVDEQhYMoTjv6A1woATduriY3740wDOMDBlyMs465SWU6ze2kTdID_ntv02PjY1UF56tDHQ5CLyl5RwlV72-IEWSUWlNDCGVUPkIryqUZOCfmMVod5OGgn6FnrW0IIWbU6ik6Y5RJLjRdoe9XMYLvDZeIZ1fvYGjezYCLB5eTx7s15LKF7HDJOJc8-HWZoTp8n6aaSksNp-xTgOxh2XBfA77NqUPAN911aM_Rk-jmBi8e5jm6_Xj17fLzcP3105fLi-vBc276EJ00UWtPA4_MqUiM4wK0DFOYpIghBjaZSDnXmksIbqLglVATn4RfFmDn6MPRd7efthA85F7dbHc1bV39aYtL9m8lp7W9K_dWaiIUU4vB2weDWn7soXW7Tc3DPLsMZd_sOErFidSCLeibf9BN2de8xDtQRDAhjVkoeqR8La1ViKdnKLGH_ux__S03r_9Mcbr4XdgCvDoCm9ZLPemjIiMTSrBfGRuhOw</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Logar-Henderson, Chloë</creator><creator>Ling, Rebecca</creator><creator>Tuite, Ashleigh R.</creator><creator>Fisman, David N.</creator><general>Cambridge University Press</general><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>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T2</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5009-6926</orcidid></search><sort><creationdate>20190101</creationdate><title>Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States</title><author>Logar-Henderson, Chloë ; Ling, Rebecca ; Tuite, Ashleigh R. ; Fisman, David N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c449t-fa69f88c1d4f3a7f09a45e86dbdb65fdfd3b9f1448846edab1ec757b4b5cc75e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Animals</topic><topic>Atmospheric pressure</topic><topic>Bacteria</topic><topic>Centers for Disease Control and Prevention, U.S</topic><topic>Cholera</topic><topic>Cholera - diagnosis</topic><topic>Cholera - epidemiology</topic><topic>Climate Change</topic><topic>Confidence intervals</topic><topic>Databases, Factual</topic><topic>Disease control</topic><topic>Disease Outbreaks</topic><topic>El Nino</topic><topic>El Nino-Southern Oscillation</topic><topic>Environmental risk</topic><topic>Health risks</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Latitude</topic><topic>Liver diseases</topic><topic>Nonlinear Dynamics</topic><topic>Ocean currents</topic><topic>Original Paper</topic><topic>Precipitation</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Seafood</topic><topic>Seasonal variations</topic><topic>Seasons</topic><topic>Southern Oscillation</topic><topic>Statistical analysis</topic><topic>Surveillance</topic><topic>Systematic review</topic><topic>Temperature</topic><topic>United States</topic><topic>Vibrio cholerae - isolation &amp; purification</topic><topic>Vibrio Infections - diagnosis</topic><topic>Vibrio Infections - epidemiology</topic><topic>Vibriosis</topic><topic>Waterborne diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Logar-Henderson, Chloë</creatorcontrib><creatorcontrib>Ling, Rebecca</creatorcontrib><creatorcontrib>Tuite, Ashleigh R.</creatorcontrib><creatorcontrib>Fisman, David N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Biology Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epidemiology and infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Logar-Henderson, Chloë</au><au>Ling, Rebecca</au><au>Tuite, Ashleigh R.</au><au>Fisman, David N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States: implications for climate change</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol Infect</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>147</volume><spage>1</spage><epage>7</epage><pages>1-7</pages><artnum>e243</artnum><issn>0950-2688</issn><eissn>1469-4409</eissn><abstract>Non-cholera Vibrio (NCV) species are important causes of disease. These pathogens are thermophilic and climate change could increase the risk of NCV infection. The El Niño Southern Oscillation (ENSO) is a 'natural experiment' that may presage ocean warming effects on disease incidence. In order to evaluate possible climatic contributions to observed increases in NCV infection, we obtained NCV case counts for the United States from publicly available surveillance data. Trends and impacts of large-scale oceanic phenomena, including ENSO, were evaluated using negative binomial and distributed non-linear lag models (DNLM). Associations between latitude and changing risk were evaluated with meta-regression. Trend models demonstrated expected seasonality (P &lt; 0.001) and a 7% (6.1%–8.1%) annual increase in incidence from 1999 to 2014. DNLM demonstrated increased vibriosis risk following ENSO conditions over the subsequent 12 months (relative risk 1.940, 95% confidence interval (CI) 1.298–2.901). The 'relative–relative risk' (RRR) of annual disease incidence increased with latitude (RRR per 10° increase 1.066, 95% CI 1.027–1.107). We conclude that NCV risk in the United States is impacted by ocean warming, which is likely to intensify with climate change, increasing NCV risk in vulnerable populations.</abstract><cop>England</cop><pub>Cambridge University Press</pub><pmid>31364581</pmid><doi>10.1017/S0950268819001316</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5009-6926</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0950-2688
ispartof Epidemiology and infection, 2019-01, Vol.147, p.1-7, Article e243
issn 0950-2688
1469-4409
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6805737
source MEDLINE; PubMed Central
subjects Animals
Atmospheric pressure
Bacteria
Centers for Disease Control and Prevention, U.S
Cholera
Cholera - diagnosis
Cholera - epidemiology
Climate Change
Confidence intervals
Databases, Factual
Disease control
Disease Outbreaks
El Nino
El Nino-Southern Oscillation
Environmental risk
Health risks
Humans
Incidence
Infections
Infectious diseases
Latitude
Liver diseases
Nonlinear Dynamics
Ocean currents
Original Paper
Precipitation
Regression analysis
Retrospective Studies
Risk
Risk Assessment
Seafood
Seasonal variations
Seasons
Southern Oscillation
Statistical analysis
Surveillance
Systematic review
Temperature
United States
Vibrio cholerae - isolation & purification
Vibrio Infections - diagnosis
Vibrio Infections - epidemiology
Vibriosis
Waterborne diseases
title Effects of large-scale oceanic phenomena on non-cholera vibriosis incidence in the United States: implications for climate change
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T18%3A39%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20large-scale%20oceanic%20phenomena%20on%20non-cholera%20vibriosis%20incidence%20in%20the%20United%20States:%20implications%20for%20climate%20change&rft.jtitle=Epidemiology%20and%20infection&rft.au=Logar-Henderson,%20Chlo%C3%AB&rft.date=2019-01-01&rft.volume=147&rft.spage=1&rft.epage=7&rft.pages=1-7&rft.artnum=e243&rft.issn=0950-2688&rft.eissn=1469-4409&rft_id=info:doi/10.1017/S0950268819001316&rft_dat=%3Cjstor_pubme%3E27023575%3C/jstor_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2260535699&rft_id=info:pmid/31364581&rft_jstor_id=27023575&rfr_iscdi=true