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Predicting Risk of Imported Disease with Demographics: Geospatial Analysis of Imported Malaria in Minnesota, 2010–2014
- Source :
- The American Journal of Tropical Medicine and Hygiene
- Publication Year :
- 2018
- Publisher :
- American Society of Tropical Medicine and Hygiene, 2018.
-
Abstract
- Malaria remains an important health concern among U.S. travelers, particularly within sub-Saharan African (SSA) immigrant and refugee communities who make up the highest burden proportion of travelers visiting friends and relatives (VFR).1 Strategies to reduce the disease burden in this population have previously centered on identifying barriers to preventive care,2–5 culturally sensitive risk communication,2,6 as well as medical provider knowledge and practice.7–9 Furthermore, malaria prevention strategies and interventions have been more broad-based in the scope of information provided and intended audience rather than tailored to high-risk populations such as VFRs.10 Existing interventions have largely taken a top-down approach without solid understanding of knowledge, attitudes, and practices (KAP) of groups at greatest risk. Furthermore, there are limited data on the effectiveness of existing prevention strategies at the population level. This study reflects initial results from one line of effort within a larger multisite and multidisciplinary prevention study funded by the Centers for Disease Control and Prevention. Minnesota has a large, diverse immigrant and refugee population and ranks in the top 10 states for absolute number of malaria cases.11,12 A tradition of robust health engagement in refugee and immigrant populations makes Minnesota an ideal state for assessing the impact of malaria interventions in high-risk communities (http://www.health.state.mn.us/divs/idepc/refugee/). An important first step toward addressing gaps in prevention for VFRs, this study leverages disease surveillance and open source census data to develop a model that can be adapted by researchers or health departments to other contexts to anticipate risk, target prevention efforts, and measure impact.13
- Subjects :
- Adult
Male
Health Knowledge, Attitudes, Practice
Visiting friends and relatives
Adolescent
Minnesota
Refugee
media_common.quotation_subject
Plasmodium falciparum
030231 tropical medicine
Immigration
Population
Psychological intervention
Emigrants and Immigrants
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Virology
Environmental health
parasitic diseases
medicine
Humans
030212 general & internal medicine
Malaria, Falciparum
Child
education
Africa South of the Sahara
Disease burden
Aged
media_common
Travel
Disease surveillance
education.field_of_study
Incidence
1. No poverty
Articles
Middle Aged
medicine.disease
3. Good health
Cross-Sectional Studies
Infectious Diseases
Geography
Child, Preschool
Female
Parasitology
Malaria
Subjects
Details
- ISSN :
- 14761645 and 00029637
- Volume :
- 99
- Database :
- OpenAIRE
- Journal :
- The American Journal of Tropical Medicine and Hygiene
- Accession number :
- edsair.doi.dedup.....4f6b646aa1eca17fff5e4e7536e634da