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Demographic and Clinical Indicators of Georgia Residents with a Foodborne Illness and a Sexually Transmitted Infection, 2004-2009

Carruth, Edwin Clayton (2012)
Master's Thesis (47 pages)
Committee Chair / Thesis Adviser: Thompson, Nancy J
Committee Members: Tobin-D'Angelo, Melissa (Georgia Department of Public Health);
Research Fields: Health Sciences, General; Health Sciences, Public Health; Health Sciences, Epidemiology
Partnering Agencies: Georgia state or local health department
Keywords: foodborne illness; Sexually Transmitted Infection; Salmonella; Campylobacter; Hepatitis A; Shigella; Giardia; Cryptosporidium; Chlamydia; Gonorrhea; Syphilis; Sexual transmission
Program: Rollins School of Public Health, Behavioral Sciences and Health Education
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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


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