Spatial tick bite exposure and associated risk factors in Scandinavia

Tick-borne diseases are emerging and re-emerging threats causing public health concerns in Europe and North America. Prevention and control requires understanding of human exposure and behaviour. The aim was to measure exposure to tick bites across Scandinavia, its spatial distribution and the assoc...

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Autores principales: Solveig Jore, Sophie O. Vanwambeke, Daniel Slunge, Anders Boman, Karen A. Krogfelt, Martin Tugwell Jepsen, Line Vold
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Lenguaje:EN
Publicado: Taylor & Francis Group 2020
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Acceso en línea:https://doaj.org/article/9ac4039b6ec84141a528a2e88f358dfd
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spelling oai:doaj.org-article:9ac4039b6ec84141a528a2e88f358dfd2021-11-04T15:00:43ZSpatial tick bite exposure and associated risk factors in Scandinavia2000-868610.1080/20008686.2020.1764693https://doaj.org/article/9ac4039b6ec84141a528a2e88f358dfd2020-01-01T00:00:00Zhttp://dx.doi.org/10.1080/20008686.2020.1764693https://doaj.org/toc/2000-8686Tick-borne diseases are emerging and re-emerging threats causing public health concerns in Europe and North America. Prevention and control requires understanding of human exposure and behaviour. The aim was to measure exposure to tick bites across Scandinavia, its spatial distribution and the associated risk factors. Methods We sent a web-based survey to a randomly chosen population and analysed answers by Principal Component Analysis and Chi-Square. Individual responses were aggregated at the municipality level to assess the spatial distribution of bites. Results Nearly 60% of adults reported bites at low levels (1-5 bites); however, the majority were not in their resident municipality. We found two spatial profiles: In their home municipalities, people were most often bitten in less, but not the least, urbanized areas. When visiting other municipalities, people were most frequently bitten in peri-urban areas. Running/walking in the forest, gardening, and paddling/rowing were activities most strongly associated with bites. Conclusion Tick bites affect the entire Scandinavian population, with a higher risk in Sweden compared to Denmark and Norway. The frequency of observation of ticks in the environment or on pets might be used as a proxy for the actual risk of exposure to tick bites. Our results indicates that urban-dwelling outdoor enthusiasts and inhabitants of rural areas must be equally targeted for prevention campaigns.Solveig JoreSophie O. VanwambekeDaniel SlungeAnders BomanKaren A. KrogfeltMartin Tugwell JepsenLine VoldTaylor & Francis Grouparticleixodes ricinusticktick bitenorwayswedendenmarkInfectious and parasitic diseasesRC109-216ENInfection Ecology & Epidemiology, Vol 10, Iss 1 (2020)
institution DOAJ
collection DOAJ
language EN
topic ixodes ricinus
tick
tick bite
norway
sweden
denmark
Infectious and parasitic diseases
RC109-216
spellingShingle ixodes ricinus
tick
tick bite
norway
sweden
denmark
Infectious and parasitic diseases
RC109-216
Solveig Jore
Sophie O. Vanwambeke
Daniel Slunge
Anders Boman
Karen A. Krogfelt
Martin Tugwell Jepsen
Line Vold
Spatial tick bite exposure and associated risk factors in Scandinavia
description Tick-borne diseases are emerging and re-emerging threats causing public health concerns in Europe and North America. Prevention and control requires understanding of human exposure and behaviour. The aim was to measure exposure to tick bites across Scandinavia, its spatial distribution and the associated risk factors. Methods We sent a web-based survey to a randomly chosen population and analysed answers by Principal Component Analysis and Chi-Square. Individual responses were aggregated at the municipality level to assess the spatial distribution of bites. Results Nearly 60% of adults reported bites at low levels (1-5 bites); however, the majority were not in their resident municipality. We found two spatial profiles: In their home municipalities, people were most often bitten in less, but not the least, urbanized areas. When visiting other municipalities, people were most frequently bitten in peri-urban areas. Running/walking in the forest, gardening, and paddling/rowing were activities most strongly associated with bites. Conclusion Tick bites affect the entire Scandinavian population, with a higher risk in Sweden compared to Denmark and Norway. The frequency of observation of ticks in the environment or on pets might be used as a proxy for the actual risk of exposure to tick bites. Our results indicates that urban-dwelling outdoor enthusiasts and inhabitants of rural areas must be equally targeted for prevention campaigns.
format article
author Solveig Jore
Sophie O. Vanwambeke
Daniel Slunge
Anders Boman
Karen A. Krogfelt
Martin Tugwell Jepsen
Line Vold
author_facet Solveig Jore
Sophie O. Vanwambeke
Daniel Slunge
Anders Boman
Karen A. Krogfelt
Martin Tugwell Jepsen
Line Vold
author_sort Solveig Jore
title Spatial tick bite exposure and associated risk factors in Scandinavia
title_short Spatial tick bite exposure and associated risk factors in Scandinavia
title_full Spatial tick bite exposure and associated risk factors in Scandinavia
title_fullStr Spatial tick bite exposure and associated risk factors in Scandinavia
title_full_unstemmed Spatial tick bite exposure and associated risk factors in Scandinavia
title_sort spatial tick bite exposure and associated risk factors in scandinavia
publisher Taylor & Francis Group
publishDate 2020
url https://doaj.org/article/9ac4039b6ec84141a528a2e88f358dfd
work_keys_str_mv AT solveigjore spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT sophieovanwambeke spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT danielslunge spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT andersboman spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT karenakrogfelt spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT martintugwelljepsen spatialtickbiteexposureandassociatedriskfactorsinscandinavia
AT linevold spatialtickbiteexposureandassociatedriskfactorsinscandinavia
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