Risk factors for primary pulmonary coccidioidomycosis hospitalizations among United States Navy and Marine Corps personnel, 1981–1994
Abstract
Recent coccidioidomycosis outbreaks among military personnel have alarmed public health officials. We used computerized hospitalization records to identify risk factors for coccidioidomycosis hospitalizations among active-duty United States Navy and Marine Corps personnel for the years 1981 to 1994. Primary pulmonary disease was the most common form of disease, accounting for 82 (73%) of the 113 first admissions. Crude annual rates of primary pulmonary disease increased markedly in 1992 and 1993 in concert with an epidemic in the United States. Demographic data from the pulmonary admissions were combined with that of a 2% random sample of the entire Navy and Marine Corps population for multivariate risk factor modeling. Persons from junior paygrades, older age groups, and those reporting a race/ethnicity other than Caucasian or Hispanic were most likely to be hospitalized with this disease. These risk factor data should be considered in designing coccidioidomycosis surveillance and prevention programs.
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The odds of disseminated coccidioidomycosis disease are as high as 5 to 10 times the rates seen among white individuals.
“with several reports alluding that black or African American individuals have the highest associated mortality, dissemination, and hospitalizations, with odds of disseminated disease as high as 5 to 10 times the rates seen among the white individuals [137,152–155]”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [152]
Black or African American and Filipino individuals are at a higher risk compared with white individuals of hospitalization from pulmonary coccidioidomycosis.
“Black or African American and Filipino individuals were reported to be at a higher risk compared with white individuals of hospitalization from pulmonary coccidioidomycosis [152]”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [152]
Black or African American individuals have the highest associated mortality, dissemination, and hospitalizations from coccidioidomycosis.
“with several reports alluding that black or African American individuals have the highest associated mortality, dissemination, and hospitalizations, with odds of disseminated disease as high as 5 to 10 times the rates seen among the white individuals [137,152–155]”
From Race and ethnicity: Risk factors for fungal infections? (2023) · cites this paper as [152]
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- Authors
- Gray, G. C., Fogle, E. F., & Albright, K. L.
- Affiliations
- Naval Health Research Center (US)
- ORCID
- Gray, G C
- Venue
- The American journal of tropical medicine and hygiene
- Published
- 1998-03
- Volume
- 58
- Issue
- 3
- Pages
- 309-312
- ISSN
- 0002-9637 (ISSN-L)
- OpenAlex
- W2111906843
- Cited by
- 22
- References
- 18
- Citations by year
- 2024: 1 · 2023: 1 · 2020: 1 · 2016: 1 · 2013: 1 · 2012: 2
- FWCI
- 0.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
- Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
- Health Sciences › Medicine › Physiology › Sarcoidosis and Beryllium Toxicity Research
- Keywords
- coccidioidomycosis, military personnel, risk factors, hospitalization, United States Navy, United States Marine Corps, pay scales, age, race and ethnicity
- MeSH terms
- Adolescent, Adult, Age Factors, Coccidioidomycosis, Female, Hospitalization, Humans, Lung Diseases, Fungal, Male, Middle Aged, Military Personnel, Risk Factors, Socioeconomic Factors, Time Factors, United States, Multivariate Analysis, Logistic Models, Odds Ratio
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