title: Effect of Geography on the Analysis of Coccidioidomycosis-Associated Deaths, United States.
abstract: Because coccidioidomycosis death rates vary by region, we reanalyzed coccidioidomycosis-associated mortality in the United States by race/ethnicity, then limited analysis to Arizona and California. Coccidioidomycosis-associated deaths were shown to increase among African-Americans but decrease among Native Americans and Hispanics. Separately, in a Native American cohort, diabetes co-varied with coccidioidomycosis-associated death.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Noble
authors.forename: Robert G
authors.initials: RG
authors.lastname: Nelson
authors.forename: Gudeta D
authors.initials: GD
authors.lastname: Fufaa
authors.forename: Paul
authors.initials: P
authors.lastname: Kang
authors.forename: Shira Chani
authors.initials: SC
authors.lastname: Shafir
authors.forename: John N
authors.initials: JN
authors.lastname: Galgiani
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001130:Arizona / Q000453:epidemiology; D002140:California / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D003047:Coccidioidomycosis / Q000208:ethnology / Q000266:history / Q000401:mortality*; D005260:Female; D005843:Geography; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007198:Indians, North American; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: African Americans; Arizona; California; Coccidioides; Hispanic Americans; Native Americans; North America; coccidioidomycosis; diabetes mellitus; endemic diseases; fungi; risk factors; southwestern United States; spores