Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States
Dallas J. Smith
, Malavika Rajeev, Kristina Boyd, Kaitlin Benedict, Ian Hennessee, Laura Rothfeldt, Connie Austin, Mary-Elizabeth Steppig, Dimple Patel, Rebecca Reik, Malia Ireland, Judi Sedivy, Suzanne Gibbons-Burgener, Renee M. Calanan, Samantha L. Williams, Sarah Rockhill, and Mitsuru Toda
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D.J. Smith, M. Rajeev, K. Boyd, K. Benedict, I. Hennessee, R.M. Calanan, S.L. Williams, S. Rockhill, M. Toda); Arkansas Department of Health, Little Rock, Arkansas, USA (L. Rothfeldt); Illinois Department of Public Health, Springfield, Illinois, USA (C. Austin); Indiana Department of Health, Indianapolis, Indiana, USA (M.-E. Steppig); Kentucky Department of Public Health, Frankfort, Kentucky, USA (D. Patel); Michigan Department of Health and Human Services, Lansing, Michigan, USA (R. Reik); Minnesota Department of Health, St. Paul, Minnesota, USA (M. Ireland); Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA (J. Sedivy); Wisconsin Department of Health Services, Madison, Wisconsin, USA (S. Gibbons-Burgener)
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Figure 5
Figure 5. Associations between rurality and histoplasmosis incidence for counties reporting >1 case in 8 US states for which data were available, 2011–2014 and 2019–2020. For counties with >1 case of histoplasmosis, bivariate map shows county incidence (split into low-, mid-, and high-incidence tertiles) versus rurality (micropolitan and noncore, medium and small metropolitan, and large metropolitan counties); colors indicate the combination of incidence-rurality levels for each county. Counties without a case are shown in white. Inset map indicates names of the 8 states.
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