Hepatitis A Outbreaks Associated With the Opioid Epidemic in Kentucky Counties, 2017-2018

American Journal of Public Health
Natalie DuPreJeffrey Howard

Abstract

Objectives. To describe county-level socioeconomic profiles associated with Kentucky's 2017-2018 hepatitis A outbreak that predominately affected communities affected by the opioid epidemic.Methods. We linked county-level characteristics on socioeconomic and housing variables to counties' hepatitis A rates. Principal component analysis identified county profiles of poverty, education, disability, income inequality, grandparent responsibility, residential instability, and marital status. We used Poisson regression to estimate adjusted relative risks (RRs) and 95% confidence intervals (CIs).Results. Counties with scores reflecting an extremely disadvantaged profile (RR = 1.21; 95% CI = 0.99, 1.48) and greater percentage of nonmarried men, residential instability, and income inequality (RR = 1.15; 95% CI = 0.94, 1.41) had higher hepatitis A rates. Counties with scores reflecting more married adults, residential stability, and lower income inequality despite disability, poverty, and low education (RR = 0.77; 95% CI = 0.59, 1.00) had lower hepatitis A rates. Counties with a higher percentage of workers in the manufacturing industry had slightly lower rates (RR = 0.97; 95% CI = 0.94, 1.00).Conclusions. As expected, impoverished count...Continue Reading

References

Oct 1, 1994·Social Science & Medicine·N Krieger
Oct 6, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·S A VillanoD L Thomas
Feb 16, 1999·The American Journal of Clinical Nutrition·F B HuW C Willett
Jul 18, 2000·American Journal of Public Health·S ZierlerJ Auerbach
Oct 13, 2006·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Lynne C MesserPatricia O'Campo
Jan 23, 2010·American Journal of Epidemiology·Arijit NandiShruti H Mehta
Mar 15, 2014·American Journal of Public Health·Ronald ValdiserriWilson Compton
Jun 1, 2015·Drug and Alcohol Dependence·David S FinkSilvia S Martins
Dec 23, 2015·American Journal of Public Health·Hannah L F CooperSamuel R Friedman
May 21, 2016·The International Journal on Drug Policy·Samuel R FriedmanHannah L F Cooper
Oct 14, 2016·MMWR. Morbidity and Mortality Weekly Report·Deborah A AdamsUNKNOWN Nationally Notifiable Infectious Conditions Group
Oct 21, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Michelle M Van HandelJohn T Brooks
Dec 7, 2017·The New England Journal of Medicine·Margot Kushel
Dec 22, 2017·American Journal of Public Health·Nabarun DasguptaDaniel Ciccarone
Dec 29, 2018·Drug and Alcohol Dependence·Veronica A PearMagdalena Cerdá
Jan 4, 2019·MMWR. Morbidity and Mortality Weekly Report·Lawrence SchollGrant Baldwin
Apr 4, 2019·The Journal of Infectious Diseases·Tara A SchwetzAnthony S Fauci
May 10, 2019·MMWR. Morbidity and Mortality Weekly Report·Monique A FosterEyasu Teshale
May 23, 2019·The International Journal on Drug Policy·David H CloudHannah L F Cooper

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