title: Exposure to West Nile virus during the 2002 epidemic in Cuyahoga County, Ohio: a comparison of pediatric and adult behaviors.
abstract: OBJECTIVE
  Emerging evidence suggests that children are at higher risk for West Nile virus (WNV) exposure, but may have a lower risk for infection-related morbidity and mortality. Limited data exist regarding risk determinants of childhood WNV infection. We conducted a survey to analyze the differences between pediatric and adult behavior relevant to WNV exposure.
  
  
  METHODS
  Residents of participating sampled households responded to a questionnaire that measured knowledge, attitudes, personal protective behaviors, and clinical history to evaluate the association between personal behavior and exposure to WNV.
  
  
  RESULTS
  Children were more likely to have high levels of outdoor exposure compared to adults (83% vs. 70%). Children were less likely to avoid going outdoors (4% vs. 13%) and to wear long sleeves or pants compared to adults (8% vs. 19%). Both groups were highly educated about WNV. Television, not health-care provider education, was the most common source of WNV information. Participants were more concerned about WNV infection than pesticide usage.
  
  
  CONCLUSIONS
  Our study demonstrates that children exhibit behaviors that could put them at greater risk for WNV infection and suggests that children could benefit from greater education about practices that can decrease WNV exposure to limit their risk for infection.
authors.affiliation: Division of Pediatric Infectious Diseases, University Hospitals of Cleveland, Rainbow Babies and Children's Hospital, 11100 Euclid Ave., Cleveland, OH 44106, USA. angelle@ameritech.net
authors.forename: Angelle Desirée
authors.initials: AD
authors.lastname: LaBeaud
authors.forename: Jeffery R
authors.initials: JR
authors.lastname: Kile
authors.forename: Christopher
authors.initials: C
authors.lastname: Kippes
authors.forename: Charles H
authors.initials: CH
authors.lastname: King
authors.forename: Anna M
authors.initials: AM
authors.lastname: Mandalakas
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003020:Clothing; D004196:Disease Outbreaks; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007302:Insect Repellents; D007306:Insecticides; D008297:Male; D008875:Middle Aged; D009820:Ohio / Q000453:epidemiology; D018570:Risk Assessment; D012309:Risk-Taking; D013690:Television; D014901:West Nile Fever / Q000453:epidemiology / Q000517:prevention & control*; D014902:West Nile virus
chemical_list: D007302:Insect Repellents; D007306:Insecticides