Strategies for primary and secondary prevention of Lyme disease

Corapi, Kristin M.; White, Marc; Phillips, C I; Daltroy, Lawren H.; Shadick, Nancy A.; Liang, Matthew H.

doi:10.1038/ncprheum0374

Cited by 33 publications

(26 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Higher levels of knowledge seem to positively influence protective behavior as demonstrated by Gould et al [10]. However, research in areas where LD is endemic has demonstrated that despite adequate knowledge about its symptoms and transmission, many people do not perform behaviors to reduce their risk of infection [25]. These findings suggest that a lack of knowledge is not the only reason for poor uptake of protective behavior.…”

Section: Discussionmentioning

confidence: 99%

Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs

et al. 2013

View full text Add to dashboard Cite

BackgroundLyme disease (LD) is the most common tick-borne disease in the United States and in Europe. The aim of this study was to examine knowledge, perceived risk, feelings of anxiety, and behavioral responses of the general public in relation to tick bites and LD in the Netherlands.MethodsFrom a representative Internet panel a random sample was drawn of 550 panel members aged 18 years and older (8-15 November 2010) who were invited to complete an online questionnaire.ResultsResponse rate (362/550, 66%). This study demonstrates that knowledge, level of concern, and perceived efficacy are the main determinants of preventive behavior. 35% (n = 125/362) of the respondents reported a good general knowledge of LD. While 95% (n = 344/362) perceived LD as severe or very severe, the minority (n = 130/362, 36%) perceived their risk of LD to be low. Respondents were more likely to check their skin after being outdoors and remove ticks if necessary, than to wear protective clothing and/or use insect repellent skin products. The percentage of respondents taking preventive measures ranged from 6% for using insect repellent skin products, to 37% for wearing protective clothing. History of tick bites, higher levels of knowledge and moderate/high levels of worry were significant predictors of checking the skin. Significant predictors of wearing protective clothing were being unemployed/retired, higher knowledge levels, higher levels of worry about LD and higher levels of perceived efficacy of wearing protective clothing.ConclusionsPrevention programs targeting tick bites and LD should aim at influencing people’s perceptions and increasing their knowledge and perceived efficacy of protective behavior. This can be done by strengthening motivators (e.g. knowledge, concern about LD, perceived efficacy of wearing protective clothing) and removing barriers (e.g. low perceived personal risk, not knowing how to recognize a tick). The challenge is to take our study findings and translate them into appropriate prevention strategies.

show abstract

Section: Discussionmentioning

confidence: 99%

Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs

et al. 2013

View full text Add to dashboard Cite

show abstract

“…An antibiotic prophylaxis after a tick bite is not recommended (Corapi et al 2007). Since the majority of patients affected by EM remember a contact with ticks, information of the general population on areas with high incidence and on the clinical presentation of the illness should be provided.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological situation of Lyme borreliosis in Germany: Surveillance data from six Eastern German States, 2002 to 2006

Fülöp

Poggensee

2008

Parasitol Res

View full text Add to dashboard Cite

Lyme borreliosis is the most frequent vector-borne disease in Germany; however, in only six states in the eastern part of Germany (Berlin, Brandenburg, Mecklenburg Western Pomerania, Saxony, Saxony-Anhalt and Thuringia) is early Lyme disease (erythema migrans and early neuroborreliosis) a notifiable disease. Between 2002 and 2006, the incidence increased constantly; in 2002, the incidence per 100,000 inhabitants was 17.8 and rose by 110% to 37.3 in 2006. The incidence among the states varies greatly with Brandenburg accounting for the highest incidence (77.6 per 100,000 inhabitants) and Berlin for the lowest incidence (5.7 per 100,00 inhabitants). The age distribution is bimodal with incidence peaks in childhood between the ages 5 to 9 and in adulthood in the age group 65 to 69 years. In general, females are more frequently affected than males (55% versus 45%). Erythema migrans and early neuroborreliosis affected 20,787 patients (90%) and 799 patients (3%), respectively. Around 70% of all cases occurred between June and September. Further studies are needed to answer the question to which extent the annual increase can be related to a changing epidemiological situation or to other factors such as growing awareness, better diagnostic tools and changing recreational habits.

show abstract

“…Studies have shown that improved knowledge of the basic protective behaviors that can be taken to reduce tick bites may decrease the risk of tick-borne disease (Ergonul 2006;Mead 2011). Certainly in the case of Lyme disease, our understanding of the tick vector life cycle and the effectiveness of prevention strategies should make it a preventable illness, yet the incidence of the disease continues to increase (Corapi et al 2007).…”

Section: Introductionmentioning

confidence: 99%

Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Mowbray

Amlôt²,

Rubin

2012

Vector-Borne and Zoonotic Diseases

View full text Add to dashboard Cite

Tick-borne disease has become increasingly prevalent across Europe. Despite the effectiveness of protective behaviors, relatively few people adopt them when in areas where ticks are known to be present. In this systematic review we identified studies that assessed the impact of any educational or behavioral interventions intended to encourage the widespread use of protective behaviors against tick-borne disease. An extensive search of electronic databases returned a total of only nine such studies. Only two of these were fully randomized controlled trials, with the remaining studies using weaker designs and often relying solely on selfreports to assess behavior. The majority of research in this area has not explicitly noted the consideration of any formal psychological theory on how best to promote behaviors that protect health. Nonetheless, the results show that both knowledge of and attitudes towards tick-borne disease are amenable to change, although the stability of these changes over time has not yet been determined. Not all intervention strategies have proved effective, with some producing detrimental effects. More theory-based, methodologically-robust studies are urgently required if we are to gain a better understanding of the most effective strategies for encouraging members of the public to adopt behaviors known to protect against tick-borne disease.

show abstract

Strategies for primary and secondary prevention of Lyme disease

Cited by 33 publications

References 32 publications

Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs

Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs

Epidemiological situation of Lyme borreliosis in Germany: Surveillance data from six Eastern German States, 2002 to 2006

Ticking All the Boxes? A Systematic Review of Education and Communication Interventions to Prevent Tick-Borne Disease

Contact Info

Product

Resources

About