Predictors of protective behaviour against ticks in the UK: A mixed methods study

Mowbray, Fiona; Amlôt, Richard; Rubin, G. James

doi:10.1016/j.ttbdis.2014.01.006

Cited by 39 publications

(42 citation statements)

References 21 publications

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“…In Phillips and colleagues [28], women were also associated with a greater proportion of preventive behaviors including the practice of risk area avoidance, tick checks and tick repellent in residents of Nantucket Island in Massachusetts, United States. On the opposite, other studies have found no gender differences regarding LD preventive behaviors adoption [30,34]. …”

Section: Discussionmentioning

confidence: 81%

“…Our findings may also suggest that despite their demonstrated efficacy, some preventive measures, such as applying acaricides on one’s property, are not popular in either Quebec or Switzerland, a finding which may also be explained by the low level of social acceptability for this specific measure. Previous studies have shown a low level of adoption for similar preventive measures both in low and high incidence regions for LD in other parts of the world [20,28,30,34,40]. …”

Section: Discussionmentioning

confidence: 99%

“…The four lasts factors are social cognitive factors (knowledge, attitudes, beliefs), and are of particular interest for public health authorities given that they constitute the determinants of preventive behaviors that are believed to be the most open to change in a population by means of communication campaigns [13,18]. Previous studies have looked at the determinants of preventive behaviors for LD in the United States [19-30] and in Europe [31-34]. All of these studies have focused on one country, and the general observation coming out of this body of research is that the proportion of the population that adopts preventive behaviors, as well as the importance of the determinants of adoption, varies by context, but most give no indication on how context influences these parameters.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with preventive behaviors regarding Lyme disease in Canada and Switzerland: a comparative study

et al. 2015

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BackgroundLyme disease (LD) is a vector-borne disease that is endemic in many temperate countries, including Switzerland, and is currently emerging in Canada. This study compares the importance of knowledge, exposure and risk perception for the adoption of individual preventive measures, within and between two different populations, one that has been living in a LD endemic region for several decades, the Neuchâtel canton in Switzerland, and another where the disease is currently emerging, the Montérégie region in the province of Québec, Canada.MethodsA web-based survey was carried out in both study regions (814 respondents) in 2012. Comparative analysis of the levels of adoption of individual preventive measures was performed and multivariable logistic regression analyses were used to test and compare how knowledge, exposure and risk perception were associated with the adoption of selected measures in both regions and globally.ResultsIn Montérégie, the proportion of reported adoption of five of the most commonly recommended preventive measures varied from 6% for ‘applying acaricides on one’s property’ to 49% for ‘wearing protective clothing’, and in Neuchâtel, proportions ranged from 6% (acaricides) to 77% for ‘checking for ticks (tick check)’. Differences were found within gender, age groups and exposure status in both regions. The perceived efficacy of a given measure was the strongest factor associated with the adoption of three specific preventive behaviors for both regions: tick check, protective clothing and tick repellent. Risk perception and a high level of knowledge about LD were also significantly associated with some of these specific behaviors, but varied by region.ConclusionsThese results strongly suggest that social and contextual factors such as the epidemiological status of a region are important considerations to take into account when designing effective prevention campaigns for Lyme disease. It furthermore underlines the importance for public health authorities to better understand and monitor these factors in targeted populations in order to be able to implement preventive programs that are well adapted to a population and the epidemiological contexts therein.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1539-2) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors associated with preventive behaviors regarding Lyme disease in Canada and Switzerland: a comparative study

et al. 2015

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“…50 Usually, a tick check would be done after leaving a risk area, although it also is prudent to check for ticks that might be moving over clothing or skin while in tick habitats, although this would seem to be rarely done by exposed persons. 51 Removal of attached ticks is ideally done with fine-tipped, stiff, and angled forceps (tweezers) placed around the head of the tick as near as is possible to the skin, followed by a steady, upward pulling movement [52][53][54][55] (Fig. 1).…”

Section: Tick Checksmentioning

confidence: 99%

Methods to Prevent Tick Bites and Lyme Disease

Ogden

Lindsay

Schofield

2015

Clinics in Laboratory Medicine

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“…Whilst some innovations promise greater risk reduction, especially those relating to acaracide treated clothes [33], basic social barriers to engagement remain. For instance, in recent work by Mowbray et al [34] respondents stated they would not follow advice to tuck trousers into socks. A common explanation for why: 'Because I'd look stupid' .…”

Section: Introductionmentioning

confidence: 99%

Can interventions that aim to decrease Lyme disease hazard at non-domestic sites be effective without negatively affecting ecosystem health? A systematic review protocol

2016

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Background: Lyme disease (LD) is the most commonly reported, broadly distributed vector-borne disease of the northern temperate zone. It is transmitted by ticks and, if untreated, can cause skin, cardiac, nervous system and musculoskeletal disease. The distribution and incidence of LD is increasing across much of North America and Western Europe. Interventions to decrease exposure to LD hazard by encouraging behavioural change have low acceptance in high risk groups, and a safe, effective human LD vaccine is not presently available. As a result, habitat level interventions to decrease LD hazard itself (i.e. levels of infected ticks) have been proposed. However, some interventions may potentially negatively affect ecosystem health, and consequentially be neither desirable, nor politically feasible. This systematic review will catalogue interventions that aim to reduce LD hazard at non-domestic sites, and examine the evidence supporting those which are unlikely to negatively affect ecosystem health. Methods:The review will be carried out in two steps. First, a screening and cataloguing stage will be conducted to identify and characterise interventions to decrease LD hazard at non-domestic sites. Secondly, the subset of interventions identified during cataloguing as unlikely to negatively affect ecosystem health will be investigated. In the screening and cataloguing step literature will be collected through database searching using pre-chosen search strings, hand-searching key journals and reviewing the websites of public health bodies. Further references will be identified by contacting stakeholders and researchers. Article screening and assessment of the likely effects of interventions on ecosystem health will be carried out independently by two reviewers. A third reviewer will be consulted if disagreements arise. The cataloguing step results will be presented in tables. Study quality will then be assessed independently by two reviewers, using adapted versions of established tools developed in healthcare research. These results will be presented in a narrative synthesis alongside tables. Though a full meta-analysis is not expected to be possible, if sub-groups of studies are sufficiently similar to compare, a partial meta-analysis will be carried out.

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Predictors of protective behaviour against ticks in the UK: A mixed methods study

Cited by 39 publications

References 21 publications

Factors associated with preventive behaviors regarding Lyme disease in Canada and Switzerland: a comparative study

Factors associated with preventive behaviors regarding Lyme disease in Canada and Switzerland: a comparative study

Methods to Prevent Tick Bites and Lyme Disease

Can interventions that aim to decrease Lyme disease hazard at non-domestic sites be effective without negatively affecting ecosystem health? A systematic review protocol

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