Lyme disease in outdoor workers: Risk factors, preventive measures, and tick removal methods

Brian S. Schwartz, Michael D. Goldstein

Research output: Contribution to journalArticlepeer-review

Abstract

A statewide cross-sectional study of risk factors for seropositivity for antibody to Borrelia burgdorferi in outdoor workers in New Jersey was performed in September and October 1988. The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7-9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1-23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0-4.0) and Z3 (95% Cl 0.8-6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers.

Original languageEnglish (US)
Pages (from-to)877-885
Number of pages9
JournalAmerican journal of epidemiology
Volume131
Issue number5
DOIs
StatePublished - May 1990
Externally publishedYes

Keywords

  • Borrella
  • Lyme disease
  • Lyme disease, prevention and control
  • Occupational diseases
  • Ticks

ASJC Scopus subject areas

  • Epidemiology

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