Demographic and Clinical Indicators of Georgia Residents with a Foodborne Illness and a Sexually Transmitted Infection, 2004-2009 Public
Carruth, Edwin Clayton (2012)
Abstract
Abstract
Demographic and Clinical Indicators of Georgia Residents with a
Foodborne Illness and a Sexually Transmitted Infection,
2004-2009
By Edwin Clayton Carruth
Background
Conventional thought relates the transmission of foodborne enteric
illnesses to be through contaminated food or through
cross-contamination with the environment. Yet, research involving
men who have sex with men (MSM) has established associations
between sexual behaviors and the transmission of traditional
foodborne illnesses. Using a diagnosis of sexually transmitted
infection (STI) to establish a high-risk group, indicators for
having both a foodborne illness and a sexually transmitted
infection were described.
Methods
In this cross-sectional study, a secondary data analysis was
conducted using data collected by the Georgia Department of Public
Health during the period of January 1, 2004 to December 31, 2009
through the notifiable disease surveillance system. A total of
13,794 cases of foodborne illness were identified with 637 also
having a sexually transmitted illness. Demographic indicators
included were gender, race, ethnicity, age, and living in an urban
area. Clinical indicators included were being hospitalized,
foodborne and sexually transmitted illness, fever, headache,
diarrhea, abdominal pain, vomiting, and nausea.
Results
From single variable analysis, being male (OR, 3.94 95% CI,
3.24-4.79) was associated with having both a foodborne and sexually
transmitted illness, as was being Black or African American race
(OR, 10.62 95% CI, 8.62-13.08), and living in an urban area (OR,
5.64 95% CI, 3.95-8.07). This subset of the population was more
likely to go to the emergency department (OR, 1.47 95% CI,
1.09-1.99). For matched cases, the odds were increased for all
individual foodborne illnesses compared to Salmonella.
Multivariable analysis results were similar to single variable
results with odds ratios remaining statistically significant for
being male (OR, 2.81 95% CI, 2.16-3.65), Black or African American
race (OR, 4.35 95% CI, 3.39-5.60), and living in an urban area (OR,
2.08 95% CI, 1.30-3.34).
Discussion
This is a previously unidentified risk group. There is much room
for additional understanding of the behavioral factors related to
the sexual transmission of foodborne illnesses. Future
interventions need to focus on educating the general public and
high-risk groups about the potential for transmission of foodborne
illnesses with STIs.
Table of Contents
Table of Contents
I. Introduction
a. Background and Significance...1
b. Theoretical Framework...4
c. Purpose...4
d. Target Journal...7
e. Submission Criteria...8
II. Literature Review
a. Foodborne Illnesses and their Sexual
Transmission...9
b. Sexually Transmitted Infections...14
III. Materials and Methods
a. Participants...17
b. Measures...17
c. Procedure...20
d. Data Analysis...21
IV. Results...21
V. Discussion...25
VI. References...29
VII. Tables...33
About this Master's Thesis
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