Self-reported tick exposure as an indicator of Lyme disease risk in an endemic region of Quebec, Canada

TitleSelf-reported tick exposure as an indicator of Lyme disease risk in an endemic region of Quebec, Canada
Publication TypeJournal Article
Year of Publication2023
JournalTicks Tick Borne Dis
Volume15
Issue1
Start Page102271
Date Published10/2023
AuthorsBowser N, Bouchard C, Castellanos M, Baron G, Carabin H, Chuard P, Leighton P, Milord F, Richard L, Savage J, Tardy O, Aenishaenslin C
KeywordsLyme disease, surveillance, Tick bite, Tick encounter, Tick exposure, tick-borne disease
Abstract

Self-reported tick exposure ranged from 0.0 % to 61.5 % (median 8.9 %) and reported LD incidence rates ranged from 0 to 324 cases per 100,000 person-years, per CSD. A positive association was found between self-reported tick exposure and LD incidence proportion (ß = 0.08, CI = 0.04,0.11, p < 0.0001). The best-fit model included public health risk level (AIC: 144.2), followed by predicted tick density, ecological variables, self-reported tick exposure and eTick submissions (AIC: 158.4, 158.4, 160.4 and 170.1 respectively). Predicted tick density was the only significant predictor of self-reported tick exposure (ß = 0.83, CI = 0.16,1.50, p = 0.02).

URLhttps://www.sciencedirect.com/science/article/pii/S1877959X23001528?via%3Dihub