{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:22:56Z","timestamp":1785198176495,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess awareness and risk of Q fever among agricultural show attendees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University of New England's Farm of the Future Pavilion, 2019, Sydney Royal Agricultural Show.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Participants were \u226518\u2009years, fluent in English, Australian residents, and gave their informed consent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Participants reported whether they had ever heard of Q fever and then completed the \u2018Q Tool\u2019 (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/www.qfevertool.com\">www.qfevertool.com<\/jats:ext-link>), which was used to assess participants' demographics and risk profiles. Cross\u2010tabulations and logistic regression analyses were used to examine the relationship between these factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 344 participants were recruited who, in general, lived in major NSW cities and were aged 40\u201359\u2009years. 62% were aware of Q fever. Living in regional\/remote areas and regular contact with livestock, farms, abattoirs and\/or feedlots increased the likelihood of Q fever awareness. Direct or indirect contact with feral animals was not associated with Q fever awareness after controlling for the latter risk factors. 40% of participants had a high, 21% a medium, and 30% a low risk of exposure. Slightly less than 10% reported a likely existing immunity or vaccination against Q fever. Among those who were not immune, living in a regional or remote area and Q fever awareness were independently associated with increased likelihood of exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Awareness of Q fever was relatively high. Although 61% of participants had a moderate to high risk of exposure to Q fever, they had not been vaccinated. This highlights the need to explore barriers to vaccination including accessibility of providers and associated cost.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12896","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T18:00:39Z","timestamp":1657562439000},"page":"601-607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Q Fever awareness and risk profiles among agricultural show attendees"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0131-0089","authenticated-orcid":false,"given":"Megan J.","family":"Hobbs","sequence":"first","affiliation":[{"name":"New England Institute of Healthcare Research, UNE  Armidale NSW Australia"},{"name":"School of Rural Medicine, UNE  Armidale NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4870-706X","authenticated-orcid":false,"given":"Natkunam","family":"Ketheesan","sequence":"additional","affiliation":[{"name":"New England Institute of Healthcare Research, UNE  Armidale NSW Australia"},{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"},{"name":"School of Science and Technology, UNE  Armidale NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1101-3635","authenticated-orcid":false,"given":"Keith","family":"Eastwood","sequence":"additional","affiliation":[{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"},{"name":"School of Medicine and Public Health University of Newcastle  Callaghan NSW Australia"},{"name":"Population Health Hunter New England Local Health District  New Lambton NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7194-1914","authenticated-orcid":false,"given":"Peter","family":"Massey","sequence":"additional","affiliation":[{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"},{"name":"Population Health Hunter New England Local Health District  New Lambton NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4893-5775","authenticated-orcid":false,"given":"Geetha","family":"Ranmuthugala","sequence":"additional","affiliation":[{"name":"New England Institute of Healthcare Research, UNE  Armidale NSW Australia"},{"name":"School of Rural Medicine, UNE  Armidale NSW Australia"},{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3948-9272","authenticated-orcid":false,"given":"Robert","family":"Norton","sequence":"additional","affiliation":[{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"},{"name":"Townsville Hospital Health Service, Queensland Health  Douglas Qld Australia"},{"name":"School of Biomedical Sciences University of Queensland  St Lucia Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4177-0461","authenticated-orcid":false,"given":"Frances H.","family":"Quirk","sequence":"additional","affiliation":[{"name":"New England Institute of Healthcare Research, UNE  Armidale NSW Australia"},{"name":"School of Rural Medicine, UNE  Armidale NSW Australia"},{"name":"Q Fever Research Consortium, UNE  Armidale NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,7,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2009.02.007"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268816002843"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.13004"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2011.10-0268"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-011-1225-y"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00478.x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2015.04.024"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hci009"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.33321\/cdi.2020.44.85"},{"key":"e_1_2_12_11_1","unstructured":"Department of Health.Q fever Canberra AU: Australian Government Department of Health;2021. 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