title: Knowledge, attitudes, and behaviors regarding Lyme disease prevention among Connecticut residents, 1999-2004.
abstract: Lyme disease, caused by the tick-transmitted bacterium Borrelia burgdorferi, is the most common vector-borne disease in the United States. We surveyed residents of three Connecticut health districts to evaluate the impact of intensive community-wide education programs on knowledge, attitudes, and behaviors to prevent Lyme disease. Overall, 84% of respondents reported that they knew a lot or some about Lyme disease, and 56% felt that they were very or somewhat likely to get Lyme disease in the coming year. During 2002-2004, the percentage of respondents who reported always performing tick checks increased by 7% and the percentage of respondents who reported always using repellents increased by 5%, whereas the percentage of respondents who reported avoiding wooded areas and tucking pants into socks decreased. Overall, 99% of respondents used personal protective behaviors to prevent Lyme disease. In comparison, 65% of respondents reported using environmental tick controls, and increased use of environmental tick controls was observed in only one health district. The majority of respondents were unwilling to spend more than $100 on tick control. These results provide guidance for the development of effective Lyme disease prevention programs by identifying measures most likely to be adopted by residents of Lyme disease endemic communities.
authors.affiliation: Division of Vector-Borne Infectious Diseases, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado 80521, USA. lgould@cdc.gov
authors.forename: L Hannah
authors.initials: LH
authors.lastname: Gould
authors.forename: Randall S
authors.initials: RS
authors.lastname: Nelson
authors.forename: Kevin S
authors.initials: KS
authors.lastname: Griffith
authors.forename: Edward B
authors.initials: EB
authors.lastname: Hayes
authors.forename: Joseph
authors.initials: J
authors.lastname: Piesman
authors.forename: Paul S
authors.initials: PS
authors.lastname: Mead
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Cartter
mesh_terms: D000818:Animals; D003237:Connecticut / Q000453:epidemiology; D003625:Data Collection; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018884:Ixodes; D008193:Lyme Disease / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D013983:Tick Control / Q000379:methods; D013997:Time Factors