| Titre : | Sporadic Gastroenteritis and Recreational Swimming in a Longitudinal Community Cohort Study in Melbourne, Australia. (2009) |
| Auteurs : | DALE (Katie) : AUS. Department of Postgraduate Studies. School of Public Health. La Trobe University. Melbourne Victoria. ; HELLARD (Margaret) : AUS. Macfarlane Burnet Institute. Melbourne Victoria. ; Karin LEDER ; Martha SINCLAIR ; Rory WOLFE |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 170, n° 12, 2009) |
| Pagination : | 1469-1477 |
| Langues: | Anglais |
| Mots-clés : | Gastroentérite ; Communauté ; Australie ; Eau baignade ; Baignade ; Plage ; Eau ; Population ; Surveillance ; Piscine ; Epidémiologie ; Homme ; Océanie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS tpBR0xpC. Diffusion soumise à autorisation]. The relation between sporadic gastroenteritis and recreational swimming was examined in a cohort of 2,811 people in Melbourne, Australia, over a 15-month period (September 1997-February 1999). Data from a prospective community-based study of gastroenteritis were used for a Poisson analysis of temporality between reported swimming (in public or private pools/spas and in marine or freshwater settings) and a highly credible gastroenteritis (HCG) event. Overall, HCG events were more likely in participants who had swum in a public pool/spa (incidence rate ratio (IRR)=1.25,95% confidence interval (CI) : 1.10,1.42 ; P=0.001) or river/lake/dam (IRR=1.77,95% CI : 1.13,2.79 ; P=0.014) during the previous week or had swum in a public pool/spa (IRR=1.29,95% CI : 1.13,1.46 ; P<0.001) during the previous 2 weeks. Subanalysis by age showed that HCG episodes were also more likely in adults who had swum in a private pool/spa (IRR=1.56,95% CI : 1.02,2.39 ; P=0.042) during the previous week or swum at an ocean/beach (IRR=1.78,95% CI : 1.12,2.81 ; P=0.014) during the previous 2 weeks, demonstrating significant associations between all swimming locations and gastrointestinal symptoms. This study showed that although the incremental risk of recreational swimming is significant, it is relatively small. |
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