Predicting Risk of Imported Disease with Demographics: Geospatial Analysis of Imported Malaria in Minnesota, 2010-2014.

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Tytuł:: Predicting Risk of Imported Disease with Demographics: Geospatial Analysis of Imported Malaria in Minnesota, 2010-2014.
Autorzy:: Lee EH; The Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Miller RH; The Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Masuoka P; The Henry M Jackson Foundation, Bethesda, Maryland.; The Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Schiffman E; Minnesota Department of Health, St. Paul, Minnesota.
Wanduragala DM; Minnesota Department of Health, St. Paul, Minnesota.
DeFraites R; The Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Dunlop SJ; University of Minnesota, Minneapolis, Minnesota.; Hennepin County Medical Center, Minneapolis, Minnesota.
Stauffer WM; University of Minnesota, Minneapolis, Minnesota.
Hickey PW; The Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Źródło:: The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2018 Oct; Vol. 99 (4), pp. 978-986.
Typ publikacji:: Journal Article; Research Support, U.S. Gov't, P.H.S.
Język:: English
Imprint Name(s):: Publication: Northbrook, IL : American Society of Tropical Medicine and Hygiene
Original Publication: Baltimore.
MeSH Terms:: Emigrants and Immigrants*
Health Knowledge, Attitudes, Practice*
Malaria, Falciparum/*epidemiology
Malaria, Falciparum/*prevention & control
Plasmodium falciparum/*isolation & purification
Travel/*statistics & numerical data
Adolescent ; Adult ; Africa South of the Sahara/epidemiology ; Aged ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Incidence ; Malaria, Falciparum/diagnosis ; Malaria, Falciparum/parasitology ; Male ; Middle Aged ; Minnesota/epidemiology ; Risk Assessment
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Grant Information:: U01 CK000357 United States CK NCEZID CDC HHS
Entry Date(s):: Date Created: 20180801 Date Completed: 20190903 Latest Revision: 20190903
Update Code:: 20240104
PubMed Central ID:: PMC6159573
DOI:: 10.4269/ajtmh.18-0357
PMID:: 30062987
: Czasopismo naukowe

Although immigrants who visit friends and relatives (VFRs) account for most of the travel-acquired malaria cases in the United States, there is limited evidence on community-level risk factors and best practices for prevention appropriate for various VFR groups. Using 2010-2014 malaria case reports, sociodemographic census data, and health services data, we explored and mapped community-level characteristics to understand who is at risk and where imported malaria infections occur in Minnesota. We examined associations with malaria incidence using Poisson and negative binomial regression. Overall, mean incidence was 0.4 cases per 1,000 sub-Saharan African (SSA)-born in communities reporting malaria, with cases concentrated in two areas of Minneapolis-St. Paul. We found moderate and positive associations between imported malaria and counts of SSA- and Asian-born populations, respectively. Our findings may inform future studies to understand the knowledge, attitudes, and practices of VFR travelers and facilitate and focus intervention strategies to reduce imported malaria in the United States.

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