1. A community-based case-control study of behavioral factors associated with scrub typhus during the autumn epidemic season in South Korea.
- Author
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Kweon SS, Choi JS, Lim HS, Kim JR, Kim KY, Ryu SY, Lee SD, Im HK, and Kwon JW
- Subjects
- Adult, Aged, Aged, 80 and over, Agriculture, Case-Control Studies, Female, Humans, Korea epidemiology, Male, Middle Aged, Occupational Exposure, Odds Ratio, Risk Factors, Scrub Typhus prevention & control, Seasons, Young Adult, Disease Outbreaks, Scrub Typhus epidemiology
- Abstract
A community-based, case-control study was carried out to investigate risk factors for scrub typhus in South Korea. Cases (n = 299) were defined as persons who were diagnosed serologically within the past two weeks. Two neighborhood control subjects were selected by matching for sex, age, and occupation. Taking a rest directly on the grass, working in short sleeves, working with bare hands, and squatting to defecate or urinate posed the highest risks, with adjusted odds ratios (aORs) and 95% confidence intervals (CIs) of 1.7 (1.2-2.3), 1.6 (1.1-2.4), 1.7 (1.2-2.4), and 2.0 (1.4-2.9), respectively. Wearing a long-sleeved shirt while working, keeping work clothes off the grass, and always using a mat to rest outdoors showed protective associations, with aORs and 95% CIs of 0.5 (0.3-0.9), 0.6 (0.4-0.9), and 0.7 (0.5-0.9), respectively. These results might be useful in the establishment of a detailed control strategy for scrub typhus.
- Published
- 2009