{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T17:56:22Z","timestamp":1788371782409,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,3,2]],"date-time":"2017-03-02T00:00:00Z","timestamp":1488412800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the prevalence and risk factors of scrub typhus in Tamil Nadu, South India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a clustered seroprevalence study of the areas around Vellore. All participants completed a risk factor survey, with seropositive and seronegative participants acting as cases and controls, respectively, in a risk factor analysis. After univariate analysis, variables found to be significant underwent multivariate analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 721 people participating in this study, 31.8% tested seropositive. By univariate analysis, after accounting for clustering, having a house that was clustered with other houses, having a fewer rooms in a house, having fewer people living in a household, defecating outside, female sex, age &gt;60 years, shorter height, lower weight, smaller body mass index and smaller mid\u2010upper arm circumference were found to be significantly associated with seropositivity. After multivariate regression modelling, living in a house clustered with other houses, female sex and age &gt;60 years were significantly associated with scrub typhus exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, scrub typhus is much more common than previously thought. Previously described individual environmental and habitual risk factors seem to have less importance in South India, perhaps because of the overall scrub typhus\u2010conducive nature of the environment in this region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tmi.12853","type":"journal-article","created":{"date-parts":[[2017,2,7]],"date-time":"2017-02-07T19:52:38Z","timestamp":1486497158000},"page":"576-582","source":"Crossref","is-referenced-by-count":46,"title":["Prevalence and risk factors for scrub typhus in South India"],"prefix":"10.1111","volume":"22","author":[{"given":"Paul","family":"Trowbridge","sequence":"first","affiliation":[{"name":"Spectrum Health Center for Integrative Medicine Grand Rapids MI USA"},{"name":"Tufts Medical Center\/Tufts University Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divya","family":"P.","sequence":"additional","affiliation":[{"name":"Christian Medical College Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasanna S.","family":"Premkumar","sequence":"additional","affiliation":[{"name":"Christian Medical College Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George M.","family":"Varghese","sequence":"additional","affiliation":[{"name":"Christian Medical College Vellore India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003971"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2014.02.009"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/339908"},{"key":"e_1_2_7_5_1","first-page":"75","volume-title":"General Medicine and Infectious Disease","author":"Deller JJ","year":"1982"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid0912.030212"},{"key":"e_1_2_7_7_1","first-page":"430","article-title":"Thirteen cases of rickettsial infection including nine cases of tsutsugamushi disease first confirmed in Korea","volume":"29","author":"Lee JS","year":"1986","journal-title":"J Korean Med Assoc"},{"key":"e_1_2_7_8_1","unstructured":"Korea Center for Disease Control and Prevention.CDMR Communicable Disease Monthly Report2004:15:1\u201317."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-9-82"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1086\/424748"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2007.01901.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","first-page":"442","DOI":"10.4269\/ajtmh.2009.80.442","article-title":"A community\u2010based case\u2010control study of behavioral factors associated with scrub typhus during the autumn epidemic season in South Korea","volume":"80","author":"Kweon SS","year":"2009","journal-title":"Am J Trop Med Hyg"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2011.05.018"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0063668"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002341"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0000909"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1258\/td.2010.090468"},{"key":"e_1_2_7_18_1","unstructured":"Tamil Nadu Rural Development and Panchayat Raj Department.List of village panchayats name in Tamil Nadu. (Available from:http:\/\/www.tnrd.gov.in\/databases\/Villages.pdf) [Oct 2014]."},{"key":"e_1_2_7_19_1","unstructured":"Tamil Nadu Rural Development and Panchayat Raj Department.List of town panchayats name in Tamil Nadu. (Available from:http:\/\/www.tnrd.gov.in\/databases\/Town%20Panchayats.pdf) [Oct 2014]."},{"key":"e_1_2_7_20_1","unstructured":"Census Organization of India.Census of India 2011 \u2013 Vellore District. (Available from:http:\/\/www.census2011.co.in) [Oct 2014]."},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.00553-15"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.00390-15"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2101.140580"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.phrp.2013.04.007"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(80)90254-0"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftmi.12853","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.12853","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T09:12:48Z","timestamp":1696151568000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.12853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,2]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,5]]}},"alternative-id":["10.1111\/tmi.12853"],"URL":"https:\/\/doi.org\/10.1111\/tmi.12853","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,2]]}}}