Emerging infectious diseases · 2024
Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States.
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Smith Dallas J, Rajeev Malavika, Boyd Kristina, Benedict Kaitlin, Hennessee Ian, Rothfeldt Laura, Austin Connie, Steppig Mary-Elizabeth, Patel Dimple, Reik Rebecca, Ireland Malia, Sedivy Judi, Gibbons-Burgener Suzanne, Calanan Renee M, Williams Samantha L, Rockhill Sarah, Toda Mitsuru
Аннотация
To explore associations between histoplasmosis and race and ethnicity, socioeconomic status, and rurality, we conducted an in-depth analysis of social determinants of health and histoplasmosis in 8 US states. Using the Minority Health Social Vulnerability Index (MH SVI), we analyzed county-level histoplasmosis incidence (cases/100,000 population) from the 8 states by applying generalized linear mixed hurdle models. We found that histoplasmosis incidence was higher in counties with limited healthcare infrastructure and access as measured by the MH SVI and in more rural counties. Other social determinants of health measured by the MH SVI tool either were not significantly or were inconsistently associated with histoplasmosis incidence. Increased awareness of histoplasmosis, more accessible diagnostic tests, and investment in rural health services could address histoplasmosis-related health disparities.