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Impact of rurality, broiler operations, and community socioeconomic factors on the risk of campylobacteriosis in Maryland

Author

Listed:
  • Pasturel, B.Z.
  • Cruz-Cano, R.
  • Goldstein, R.E.R.
  • Palmer, A.
  • Blythe, D.
  • Ryan, P.
  • Hogan, B.
  • Jung, C.
  • Joseph, S.W.
  • Wang, M.Q.
  • Lee, M.-L.T.
  • Puett, R.
  • Sapkota, A.R.

Abstract

Objectives. We evaluated the combined impact of community-level environmental and socioeconomic factors on the risk of campylobacteriosis. Methods. We obtained Campylobacter case data (2002-2010; n = 3694) from the Maryland Foodborne Diseases Active Surveillance Network. We obtained community-level socioeconomic and environmental data from the 2000 US Census and the 2007 US Census of Agriculture. We linked data by zip code. We derived incidence rate ratios by Poisson regressions. We mapped a subset of zip code-level characteristics. Results. In zip codes that were 100% rural, incidence rate ratios (IRRs) of campylobacteriosis were 6 times (IRR = 6.18; 95% confidence interval [CI] = 3.19, 11.97) greater than those in urban zip codes. In zip codes with broiler chicken operations, incidence rates were 1.45 times greater than those in zip codes without broilers (IRR = 1.45; 95% CI = 1.34, 1.58). We also observed higher rates in zip codes whose populations were predominantly White and had high median incomes. Conclusions. The community and environment in which one lives may significantly influence the risk of campylobacteriosis.

Suggested Citation

  • Pasturel, B.Z. & Cruz-Cano, R. & Goldstein, R.E.R. & Palmer, A. & Blythe, D. & Ryan, P. & Hogan, B. & Jung, C. & Joseph, S.W. & Wang, M.Q. & Lee, M.-L.T. & Puett, R. & Sapkota, A.R., 2013. "Impact of rurality, broiler operations, and community socioeconomic factors on the risk of campylobacteriosis in Maryland," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 2267-2275.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301338_5
    DOI: 10.2105/AJPH.2013.301338
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    Cited by:

    1. Natalie L Adams & Tanith C Rose & Jeremy Hawker & Mara Violato & Sarah J O’Brien & Benjamin Barr & Victoria J K Howard & Margaret Whitehead & Ross Harris & David C Taylor-Robinson, 2018. "Relationship between socioeconomic status and gastrointestinal infections in developed countries: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-16, January.

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