{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T04:42:19Z","timestamp":1779943339861,"version":"3.53.1"},"reference-count":28,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T00:00:00Z","timestamp":1716854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Methods<\/jats:title><jats:p>In the United States, blacklegged <jats:italic>Ixodes<\/jats:italic> spp. ticks are the primary vector of Lyme disease. Minnesota is among the states with the highest reported incidence of Lyme disease, having an average of 1857 cases reported annually during 2011\u20132019. In contrast to the Northeast and mid\u2010Atlantic United States where exposure to ticks predominately occurs around the home, the circumstances regarding risk for exposure to blacklegged ticks in Minnesota are not well understood, and risk is thought to be highest in rural areas where people often participate in recreational activities (e.g. hiking, visiting cabins). We analysed enhanced surveillance data collected by the Minnesota Department of Health during 2011\u20132019 to describe epidemiologic and tick exposure characteristics among people with reported Lyme disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that younger age, male gender, residence in a county with lower Lyme disease risk, residence in the Minneapolis\u2010St. Paul metropolitan area, and an illness onset date later in the year were independently associated with higher odds of reporting tick exposures away from the home. We also describe the range of activities associated with tick exposure away from the home, including both recreational and occupational activities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings refine our understanding of Lyme disease risk in Minnesota and highlight the need for heterogeneous public health prevention messaging, including an increased focus on peridomestic prevention measures among older individuals living in high\u2010risk rural areas and recreational and occupational prevention measures among younger individuals living in the Minneapolis\u2010St. Paul metropolitan area.<\/jats:p><\/jats:sec>","DOI":"10.1111\/zph.13143","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T05:11:02Z","timestamp":1716959462000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Epidemiologic and tick exposure characteristics among people with reported Lyme disease \u2013 Minnesota, 2011\u20132019"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1401-3350","authenticated-orcid":false,"given":"Austin R.","family":"Earley","sequence":"first","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention  Fort Collins Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K.","family":"Schiffman","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health  St. Paul Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen K.","family":"Wong","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention National Center for Emerging and Zoonotic Infectious Diseases  Atlanta Georgia 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 Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-6688","authenticated-orcid":false,"given":"Kiersten J.","family":"Kugeler","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention  Fort Collins Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2016.10.006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2022.101925"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2020.101515"},{"key":"e_1_2_10_5_1","unstructured":"Census.gov. (n.d.).U.S. Census Bureau.https:\/\/www.census.gov\/library\/stories\/state\u2010by\u2010state\/minnesota\u2010population\u2010change\u2010between\u2010census\u2010decade.html"},{"key":"e_1_2_10_6_1","unstructured":"Centers for Disease Control and Prevention. (n.d.).Blacklegged tick (Ixodes scapularis) surveillance.https:\/\/www.cdc.gov\/ticks\/surveillance\/BlackleggedTick.html"},{"key":"e_1_2_10_7_1","unstructured":"Centers for Disease Control and Prevention. (n.d.).Lyme disease (Borrelia burgdorferi) case definitions.https:\/\/ndc.services.cdc.gov\/conditions\/lyme\u2010disease\/"},{"key":"e_1_2_10_8_1","unstructured":"Devlin J. Chang M.\u2010W. Lee K. &Toutanova K.(2018).BERT: Pre\u2010training of deep bidirectional transformers for language understanding.arXiv."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2017.12.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a114865"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2015.06.005"},{"key":"e_1_2_10_12_1","doi-asserted-by":"crossref","unstructured":"Gao T. Yao X. &Chen D.(2021).SimCSE: Simple contrastive learning of sentence embeddings.arXiv.","DOI":"10.18653\/v1\/2021.emnlp-main.552"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.17-0539"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/00333549211026777"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115823"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2022.03.004"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2017.11.006"},{"key":"e_1_2_10_18_1","unstructured":"Minnesota Department of Health. (2023).Annual Summary of Communicable Diseases Reported to the Minnesota Department of Health 2021.Minnesota Department of Health Disease Control Newsletter. p. 1\u201328."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2019.108649"},{"issue":"5","key":"e_1_2_10_20_1","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/S0002-9343(95)99915-9","article-title":"The clinical spectrum of early Lyme borreliosis in patients with culture\u2010confirmed erythema migrans","volume":"100","author":"Nadelman R. B.","year":"1996","journal-title":"The American Journal of Medicine"},{"issue":"8","key":"e_1_2_10_21_1","first-page":"41","article-title":"Tick\u2010borne diseases in Minnesota: An update","volume":"95","author":"Neitzel D. 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