Patience John, Csaba Varga, Martin Cooke, Shannon E Majowicz
{"title":"Socioeconomic Determinants of Campylobacter spp. and Non-Typhoidal Salmonella spp. Infections in Ontario, Canada, 2015-2017: An Ecological Study.","authors":"Patience John, Csaba Varga, Martin Cooke, Shannon E Majowicz","doi":"10.1111/zph.70000","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Campylobacter spp. and non-typhoidal Salmonella spp. (NTS) are major causes of enteric diseases in Ontario, Canada and worldwide. Although low socioeconomic status is generally associated with poor health outcomes, its relationship with enteric diseases in Ontario is not well known. We investigated area-level socioeconomic risk factors for reported enteric infections caused by Campylobacter spp. and NTS, commonly transmitted by food in Ontario, Canada, between 2015 and 2017.</p><p><strong>Methods: </strong>Using negative binomial regression models, we examined the association between age- and sex-adjusted incidence rates (IRs) of laboratory-confirmed cases of Campylobacter spp. and NTS (aggregated to the forward sortation area [FSA] level), and FSA-level socioeconomic factors (median household income; percent population with bachelor's degree or higher; unemployment rate; and percent visible minorities, Indigenous peoples [as defined by Statistics Canada], total immigrants, recent immigrants and lone-parent families), adjusting for the population of the FSA from the 2016 Census.</p><p><strong>Results: </strong>After controlling for the other variables in the final multivariable models, an increase in the percentage of the population with a bachelor's degree or higher and in the percentage of total immigrants in an FSA significantly increased the IRs of Campylobacter infections, while an increase in the median income and the percentage of total immigrants in an FSA increased the IRs of NTS infections.</p><p><strong>Conclusions: </strong>Results from our study may inform public health interventions to reduce the rate of infections, for example, via food safety supports relevant to communities with larger numbers of Canadian immigrants. Further individual-level investigations of the socioeconomic factors identified in this study are needed. Also, future studies should assess the mechanisms through which socioeconomic risk factors affect infection rates in different communities.</p>","PeriodicalId":24025,"journal":{"name":"Zoonoses and Public Health","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zoonoses and Public Health","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/zph.70000","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Campylobacter spp. and non-typhoidal Salmonella spp. (NTS) are major causes of enteric diseases in Ontario, Canada and worldwide. Although low socioeconomic status is generally associated with poor health outcomes, its relationship with enteric diseases in Ontario is not well known. We investigated area-level socioeconomic risk factors for reported enteric infections caused by Campylobacter spp. and NTS, commonly transmitted by food in Ontario, Canada, between 2015 and 2017.
Methods: Using negative binomial regression models, we examined the association between age- and sex-adjusted incidence rates (IRs) of laboratory-confirmed cases of Campylobacter spp. and NTS (aggregated to the forward sortation area [FSA] level), and FSA-level socioeconomic factors (median household income; percent population with bachelor's degree or higher; unemployment rate; and percent visible minorities, Indigenous peoples [as defined by Statistics Canada], total immigrants, recent immigrants and lone-parent families), adjusting for the population of the FSA from the 2016 Census.
Results: After controlling for the other variables in the final multivariable models, an increase in the percentage of the population with a bachelor's degree or higher and in the percentage of total immigrants in an FSA significantly increased the IRs of Campylobacter infections, while an increase in the median income and the percentage of total immigrants in an FSA increased the IRs of NTS infections.
Conclusions: Results from our study may inform public health interventions to reduce the rate of infections, for example, via food safety supports relevant to communities with larger numbers of Canadian immigrants. Further individual-level investigations of the socioeconomic factors identified in this study are needed. Also, future studies should assess the mechanisms through which socioeconomic risk factors affect infection rates in different communities.
期刊介绍：
Zoonoses and Public Health brings together veterinary and human health researchers and policy-makers by providing a venue for publishing integrated and global approaches to zoonoses and public health. The Editors will consider papers that focus on timely collaborative and multi-disciplinary research in zoonoses and public health. This journal provides rapid publication of original papers, reviews, and potential discussion papers embracing this collaborative spirit. Papers should advance the scientific knowledge of the sources, transmission, prevention and control of zoonoses and be authored by scientists with expertise in areas such as microbiology, virology, parasitology and epidemiology. Articles that incorporate recent data into new methods, applications, or approaches (e.g. statistical modeling) which enhance public health are strongly encouraged.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
