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Volume 30, Number 10—October 2024
Research

Associations between Minority Health Social Vulnerability Index Scores, Rurality, and Histoplasmosis Incidence, 8 US States

Dallas J. SmithComments to Author , 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)

Main Article

Figure 6

Model effect estimates for association of histoplasmosis incidence with MH SVI themes in 8 US states for which data were available, 2011–2014 and 2019–2020. MH SVI theme scores are interpreted as percentiles; higher scores represent more vulnerable counties. Left column shows incidence rate ratios for the conditional component; right column shows odds ratios for the probability of observing a case in the zero-inflated component. Error bars indicate 95% CIs. Shapes indicate the tertile (mid-tertile or high-tertile, with low-tertile as the reference level), and color indicates the model (model with all counties vs. those stratified by rural classification). Statistically significant effects are indicated by a black outline and increased opacity of points. MH SVI, Minority Health Social Vulnerability Index.

Figure 6. Model effect estimates for association of histoplasmosis incidence with MH SVI themes in 8 US states for which data were available, 2011–2014 and 2019–2020. MH SVI theme scores are interpreted as percentiles; higher scores represent more vulnerable counties. Left column shows incidence rate ratios for the conditional component; right column shows odds ratios for the probability of observing a case in the zero-inflated component. Error bars indicate 95% CIs. Shapes indicate the tertile (mid-tertile or high-tertile, with low-tertile as the reference level), and color indicates the model (model with all counties vs. those stratified by rural classification). Statistically significant effects are indicated by a black outline and increased opacity of points. MH SVI, Minority Health Social Vulnerability Index.

Main Article

Page created: August 05, 2024
Page updated: September 23, 2024
Page reviewed: September 23, 2024
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