Modeling Insect-Repellent Use for Chikungunya Disease Prevention Among US-Caribbean Travelers

Omodior, Oghenekaro; Pennington‐Gray, Lori; Thapa, Brijesh

doi:10.15171/ijtmgh.2017.25

Cited by 8 publications

(18 citation statements)

References 32 publications

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“…An exhaustive description of the study population has been published elsewhere. 10,16 Of the 184 people included, nine percent of the sample (n = 17) reported income levels below $25 000, 29% (n = 54) reported income in the $25 001-$50 000 range, 31% (n = 57) reported income ranging from $50 001-$75,000, another 14% (n = 25) reported income of $75 001-$100 000, and 17% (n = 31) reported income above $100 000. There was nearly equal representation of gender identities, i.e., female (n = 91, 49.5%), male (n = 93, 50.5%).…”

Section: Resultsmentioning

confidence: 99%

“…A detailed methodological explanation of the survey instrument and subsequent exploratory factor analysis has been published previously. 10 In brief, the list of outdoor activities was developed from previously published scales. 25,26 Single items reflecting a binary 0/1 scale were used to determine both self-reported use of appropriate clothing and indoor spatial repellents.…”

Section: Variables and Measurementsmentioning

confidence: 99%

“…8 The use of insect repellent as a means to protect against Chikungunya disease has been one area of focus of protective behavior education and research. 9,10 However, avoiding exposure during peak daytime hours, wearing appropriate clothing (e.g. long sleeved shirts TUOMS P R E S S and pants), and using indoor spatial repellents (e.g., mosquito or spatial nets), are also effective protective behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…Research indicates that higher perceived severity of a negative health outcome can induce behaviors that protect against disease or infection. 10,21 Perceived response efficacy indicates the belief that one's coping actionswearing long clothes or a spatial net-is effective, whereas perceived self-efficacy reflects whether the individual believes they can perform the protective behavior. Floyd et al's 22 meta-analysis indicated that increases in these two coping variables facilitated adaptive behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…More recently, both perceived response efficacy and perceived self-efficacy were shown to be significant predictors of self-reported insect repellent use. 10 This study will add to the body of literature by improving understanding of the theoretical constructs influencing adoption of two additional protective behaviors to prevent Chikungunya disease.…”

Section: Introductionmentioning

confidence: 99%

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Predicting Chikungunya disease personal protective behaviors: Results of a cross-sectional survey of US-Caribbean travelers

Anderson

Naaman

Omodior

et al. 2020

Health Promot Perspect

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Background: Incidents of vector-borne disease have recently tripled in the United States. Chikungunya disease is a particularly common disease in the Caribbean, posing a threat to international tourists. However, the relationship between psychological variables derived from the protection motivation theory (PMT), and adoption of protective behaviors against the disease, is uncertain. This study sought to identify the psychological predictors of travelers’ protective health behaviors, specifically (1) appropriate clothing use, and (2) indoor spatial repellent use. Methods: An online, retrospective survey of U.S. international travelers to Caribbean destinations measured the five constructs of the PMT in the context of Chikungunya disease: Perceived severity, perceived vulnerability, perceived response efficacy, perceived self-efficacy, and knowledge. Hierarchical logistic regression analyzed whether these five theoretical constructs predicted the two protective behaviors in respondents who met study criteria (n = 184). Results: Results suggest that the interaction between chikungunya knowledge and perceived chikungunya severity predicts both appropriate clothing use (odds ratio [OR]: 1.95, CI: 1.18-3.25, P=0.010) and indoor spatial repellent use (OR: 1.55, CI: 1.05-2.29, P=0.029). In the cases of appropriate clothing use, the interaction between perceived chikungunya severity and perceived vulnerability was also a significant predictor (OR: 9.67, CI:1.23-75.80, P=0.031). Additionally, indoor spatial repellent use was also predicted by the interaction of chikungunya knowledge and perceived vulnerability (OR: 1.88, CI:1.18-3.02, P=0.009). Conclusion: Two-pronged educational approaches may be most efficacious in increasing protective health behaviors. Such efforts could reduce incidents of chikungunya disease and other vectorborne diseases in travel destinations featuring high exposure risks.

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Section: Resultsmentioning

confidence: 99%

Section: Variables and Measurementsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations