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Published on: March 16, 2019
Mosquito-borne infectious disease, risk-perceptions, and personal protective behavior among U.S. international
Oghenekaro Omodior1, Maya C Luetke2, Erik J Nelson2
1Department of Recreation, Park, and Tourism Studies, Indiana University School of Public Health-Bloomington, United States of America.
Abstract:
Vector-borne diseases account for a significant amount of the global infectious disease burden, including morbidity and mortality. In particular, mosquito-borne infectious diseases (MBIDs) have the greatest burden in number of cases, mortality, and disability-adjusted life years and their prevention and control is critical. However, prevention efforts are hindered by the absence of vaccines and failure of long-term mosquito vector control for these MBIDs. Thus, personal protective behaviors (PPBs) may offer the most promising and effective mode of prevention. This study examines the impact of awareness, perceived susceptibility, and perceived severity for five MBIDs (e.g., Malaria, Dengue, Zika, Chikungunya and West Nile) on the adoption of PPBs. Study participants (n = 1043) were recruited from a probability-based internet panel of adult United States residents with a history of traveling outside of the country in the past year. Data were collected in the U.S. between June 7, 2017 and June 12, 2017. Our findings show that awareness of Zika disease among respondents was consistently associated with adoption of all three PPBs. Respondents that reported high-perceived severity for all five MBIDs were also more likely to report adopting the PPBs of wearing covering clothing and use of mosquito repellent spray. Our findings indicate that U.S. travelers are largely more concerned about Zika, Chikungunya, and Dengue than Malaria and West Nile and that these concerns drive their adoption of the three recommended PPBs. This information should inform the development and design of future public health campaigns for behavior modification to prevent MBIDs.
Insights
Awareness of Zika and perceived severity of mosquito-borne infectious diseases (MBIDs) encourage personal protective behaviors (PPBs) in US travelers. Concerns about specific MBIDs drive the adoption of protective measures like clothing and repellent.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Vector-borne diseases, particularly mosquito-borne infectious diseases (MBIDs), represent a substantial global health burden.
- Existing prevention strategies like vaccines and vector control are often insufficient for MBIDs.
- Personal protective behaviors (PPBs) are crucial for preventing MBIDs, especially for travelers.
Purpose of the Study:
- To investigate how awareness, perceived susceptibility, and perceived severity of five major MBIDs influence the adoption of PPBs among US travelers.
- To identify which MBIDs and psychological factors are most strongly associated with PPB adoption.
Main Methods:
- A survey was conducted with 1043 adult US residents who had traveled internationally in the past year.
- Data collection focused on awareness and perceptions of risk for Malaria, Dengue, Zika, Chikungunya, and West Nile virus.
- Statistical analysis examined the association between these perceptions and the reported adoption of three key PPBs.
Main Results:
- Awareness of Zika virus was significantly linked to the adoption of all three studied PPBs.
- High perceived severity for all five MBIDs correlated with increased use of protective clothing and mosquito repellent.
- US travelers expressed greater concern for Zika, Chikungunya, and Dengue compared to Malaria and West Nile.
Conclusions:
- Public health campaigns should leverage awareness of specific diseases like Zika and emphasize perceived severity to promote PPBs.
- Targeted interventions focusing on traveler concerns can enhance the adoption of effective personal protection strategies against MBIDs.
- Understanding traveler perceptions is key to designing effective behavior modification strategies for MBID prevention.
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