A high percentage of respondents said they were aware of the tick-borne disease and spent time outdoors, but less than half said they took measures to prevent infection.
The highest rates of disseminated disease were in older Black Medicare beneficiaries and pediatric Black Medicaid beneficiaries.
The authors say future research must use biobanks for data collection.
Herbs and supplements are the most common treatment offered by the clinics.
Diagnostics maker ID-Fish Technology says the test will improve the sensitivity of Lyme disease diagnosis without sacrificing specificity.
Most cases occurred in the summer among men and in residents of high-incidence states.
Willingness to get their child vaccinated against Lyme was associated with higher parental education.
High-incidence jurisdictions now report cases based on lab results alone rather than lab data plus clinical information.
Some products killed blacklegged ticks at rates similar to chemical pesticides, while others had little effect.
Black patients were more likely to be diagnosed later and wait longer to receive appropriate antibiotics.
