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Using data from a previous TBD intervention study in Connecticut, Maryland and New York, we evaluated whether human\u2010tick encounters can serve as an accurate proxy for risk of TBDs in areas where LD and other\n                    <jats:italic>Ixodes scapularis<\/jats:italic>\n                    \u2010transmitted infections are common. Among 2,590 households consisting of 4,210 individuals, experiencing a tick encounter was associated with an increased risk of both self\u2010reported (RR\u00a0=\u00a03.17, 95% CI: 2.05, 4.91) and verified TBD (RR\u00a0=\u00a02.60, 95% CI: 1.39, 4.84) at the household level. Household characteristics associated with experiencing any tick encounter were residence in Connecticut (aOR\u00a0=\u00a01.86, 95% CI: 1.38, 2.51) or New York (aOR\u00a0=\u00a01.66, 95% CI: 1.25, 2.22), head of household having a graduate level education (aOR\u00a0=\u00a01.46, 95% CI: 1.04, 2.08), owning a pet (aOR\u00a0=\u00a01.80, 95% CI: 1.46, 2.23) and a property size of 2 acres or larger (aOR\u00a0=\u00a02.30, 95% CI: 1.42, 3.70). Results for individual characteristics were similar to those for households. Future prevention studies in LD endemic areas should consider using human\u2010tick encounters as a robust proxy for TBD risk.\n                  <\/jats:p>","DOI":"10.1111\/zph.12810","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T15:21:02Z","timestamp":1612797662000},"page":"384-392","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Human\u2010tick encounters as a measure of tickborne disease risk in lyme disease endemic areas"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-1053","authenticated-orcid":false,"given":"Sarah A.","family":"Hook","sequence":"first","affiliation":[{"name":"Division of Vector\u2010borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7754-6480","authenticated-orcid":false,"given":"Courtney C.","family":"Nawrocki","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James I.","family":"Meek","sequence":"additional","affiliation":[{"name":"Yale Emerging Infections Program New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Maryland Department of Health Baltimore MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6343-6109","authenticated-orcid":false,"given":"Jennifer L.","family":"White","sequence":"additional","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeta P.","family":"Connally","sequence":"additional","affiliation":[{"name":"Western Connecticut State University Danbury CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-5165","authenticated-orcid":false,"given":"Alison F.","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010borne Diseases Centers for Disease Control and Prevention Fort Collins CO 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