Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico
Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010-2022. To date, the majority of control measures to prevent these diseases focus on mosquito control and ma...
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description | Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010-2022. To date, the majority of control measures to prevent these diseases focus on mosquito control and many require community participation. In 2018, the U.S. Centers for Disease Control and Prevention launched the COPA project, a community-based cohort study in Ponce, Puerto Rico, to measure the impact of novel vector control interventions in reducing arboviral infections. Randomly selected households from 38 designated cluster areas were offered participation, and baseline data were collected from 2,353 households between May 2018 and May 2019. Household-level responses were provided by one representative per home. Cross-sectional analyses of baseline data were conducted to estimate 1) the association between arboviral risk perception and annual household expenditure on mosquito control, and 2) the association between arboviral risk perception and engagement in ≥3 household-level risk reduction behaviors. In this study, 27% of household representatives believed their household was at high risk of arboviruses and 36% of households engaged in at least three of the six household-level preventive behaviors. Households where the representative perceived their household at high risk spent an average of $35.9 (95% confidence interval: $23.7, $48.1) more annually on mosquito bite prevention compared to households where the representative perceived no risk. The probability of engaging in ≥3 household-level mosquito-preventive behaviors was 10.2 percentage points greater (7.2, 13.0) in households where the representatives perceived high risk compared to those in which the representatives perceived no risk. Paired with other research, these results support investment in community-based participatory approaches to mosquito control and providing accessible information for communities to accurately interpret their risk. |
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In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010-2022. To date, the majority of control measures to prevent these diseases focus on mosquito control and many require community participation. In 2018, the U.S. Centers for Disease Control and Prevention launched the COPA project, a community-based cohort study in Ponce, Puerto Rico, to measure the impact of novel vector control interventions in reducing arboviral infections. Randomly selected households from 38 designated cluster areas were offered participation, and baseline data were collected from 2,353 households between May 2018 and May 2019. Household-level responses were provided by one representative per home. Cross-sectional analyses of baseline data were conducted to estimate 1) the association between arboviral risk perception and annual household expenditure on mosquito control, and 2) the association between arboviral risk perception and engagement in ≥3 household-level risk reduction behaviors. In this study, 27% of household representatives believed their household was at high risk of arboviruses and 36% of households engaged in at least three of the six household-level preventive behaviors. Households where the representative perceived their household at high risk spent an average of $35.9 (95% confidence interval: $23.7, $48.1) more annually on mosquito bite prevention compared to households where the representative perceived no risk. The probability of engaging in ≥3 household-level mosquito-preventive behaviors was 10.2 percentage points greater (7.2, 13.0) in households where the representatives perceived high risk compared to those in which the representatives perceived no risk. Paired with other research, these results support investment in community-based participatory approaches to mosquito control and providing accessible information for communities to accurately interpret their risk.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0010653</identifier><identifier>PMID: 35881642</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aedes ; Animals ; Aquatic insects ; Arboviruses ; Baseline studies ; Biology and Life Sciences ; Chikungunya virus ; Cohort Studies ; Cohorts ; Community involvement ; Community participation ; Cross-Sectional Studies ; Dengue ; Dengue fever ; Disease control ; Disease prevention ; Family income ; FDA approval ; Forecasts and trends ; Health aspects ; Health behavior ; Households ; Human diseases ; Humans ; Illnesses ; Infections ; Insect control ; Insecticides ; Medicine and Health Sciences ; Morbidity ; Mosquito Vectors ; Mosquitoes ; Participatory approaches ; Perception ; Perceptions ; Prevention ; Probability theory ; Public health ; Public opinion ; Puerto Rico - epidemiology ; Risk ; Risk management ; Risk perception ; Risk taking ; Social Sciences ; Statistical analysis ; Tropical diseases ; Variables ; Vector-borne diseases ; Viruses ; Zika Virus ; Zika Virus Infection - epidemiology ; Zika Virus Infection - prevention & control</subject><ispartof>PLoS neglected tropical diseases, 2022-07, Vol.16 (7), p.e0010653-e0010653</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-fa124fe97fc72791a6b45f84d2463a92f50285d5f88a9b74843af61dfe7ea7203</citedby><cites>FETCH-LOGICAL-c624t-fa124fe97fc72791a6b45f84d2463a92f50285d5f88a9b74843af61dfe7ea7203</cites><orcidid>0000-0002-0179-5349 ; 0000-0001-7434-2159 ; 0000-0003-4810-0871 ; 0000-0001-8289-8587 ; 0000-0003-2837-3629</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355236/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9355236/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35881642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Pathmeswaran, Arunasalam</contributor><creatorcontrib>Dussault, Josée M</creatorcontrib><creatorcontrib>Paz-Bailey, Gabriela</creatorcontrib><creatorcontrib>Sánchez-González, Liliana</creatorcontrib><creatorcontrib>Adams, Laura E</creatorcontrib><creatorcontrib>Rodríguez, Dania M</creatorcontrib><creatorcontrib>Ryff, Kyle R</creatorcontrib><creatorcontrib>Major, Chelsea G</creatorcontrib><creatorcontrib>Lorenzi, Olga</creatorcontrib><creatorcontrib>Rivera-Amill, Vanessa</creatorcontrib><title>Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Mosquito-borne arboviruses are an important cause of morbidity and mortality in the Caribbean. In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010-2022. To date, the majority of control measures to prevent these diseases focus on mosquito control and many require community participation. In 2018, the U.S. Centers for Disease Control and Prevention launched the COPA project, a community-based cohort study in Ponce, Puerto Rico, to measure the impact of novel vector control interventions in reducing arboviral infections. Randomly selected households from 38 designated cluster areas were offered participation, and baseline data were collected from 2,353 households between May 2018 and May 2019. Household-level responses were provided by one representative per home. 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The probability of engaging in ≥3 household-level mosquito-preventive behaviors was 10.2 percentage points greater (7.2, 13.0) in households where the representatives perceived high risk compared to those in which the representatives perceived no risk. Paired with other research, these results support investment in community-based participatory approaches to mosquito control and providing accessible information for communities to accurately interpret their risk.</description><subject>Aedes</subject><subject>Animals</subject><subject>Aquatic insects</subject><subject>Arboviruses</subject><subject>Baseline studies</subject><subject>Biology and Life Sciences</subject><subject>Chikungunya virus</subject><subject>Cohort Studies</subject><subject>Cohorts</subject><subject>Community involvement</subject><subject>Community participation</subject><subject>Cross-Sectional Studies</subject><subject>Dengue</subject><subject>Dengue fever</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Family income</subject><subject>FDA approval</subject><subject>Forecasts and trends</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Households</subject><subject>Human 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risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico</title><author>Dussault, Josée M ; Paz-Bailey, Gabriela ; Sánchez-González, Liliana ; Adams, Laura E ; Rodríguez, Dania M ; Ryff, Kyle R ; Major, Chelsea G ; Lorenzi, Olga ; Rivera-Amill, Vanessa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c624t-fa124fe97fc72791a6b45f84d2463a92f50285d5f88a9b74843af61dfe7ea7203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aedes</topic><topic>Animals</topic><topic>Aquatic insects</topic><topic>Arboviruses</topic><topic>Baseline studies</topic><topic>Biology and Life Sciences</topic><topic>Chikungunya virus</topic><topic>Cohort Studies</topic><topic>Cohorts</topic><topic>Community involvement</topic><topic>Community participation</topic><topic>Cross-Sectional Studies</topic><topic>Dengue</topic><topic>Dengue fever</topic><topic>Disease 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In Puerto Rico, chikungunya, dengue, and Zika viruses have each caused large outbreaks during 2010-2022. To date, the majority of control measures to prevent these diseases focus on mosquito control and many require community participation. In 2018, the U.S. Centers for Disease Control and Prevention launched the COPA project, a community-based cohort study in Ponce, Puerto Rico, to measure the impact of novel vector control interventions in reducing arboviral infections. Randomly selected households from 38 designated cluster areas were offered participation, and baseline data were collected from 2,353 households between May 2018 and May 2019. Household-level responses were provided by one representative per home. Cross-sectional analyses of baseline data were conducted to estimate 1) the association between arboviral risk perception and annual household expenditure on mosquito control, and 2) the association between arboviral risk perception and engagement in ≥3 household-level risk reduction behaviors. In this study, 27% of household representatives believed their household was at high risk of arboviruses and 36% of households engaged in at least three of the six household-level preventive behaviors. Households where the representative perceived their household at high risk spent an average of $35.9 (95% confidence interval: $23.7, $48.1) more annually on mosquito bite prevention compared to households where the representative perceived no risk. The probability of engaging in ≥3 household-level mosquito-preventive behaviors was 10.2 percentage points greater (7.2, 13.0) in households where the representatives perceived high risk compared to those in which the representatives perceived no risk. Paired with other research, these results support investment in community-based participatory approaches to mosquito control and providing accessible information for communities to accurately interpret their risk.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35881642</pmid><doi>10.1371/journal.pntd.0010653</doi><orcidid>https://orcid.org/0000-0002-0179-5349</orcidid><orcidid>https://orcid.org/0000-0001-7434-2159</orcidid><orcidid>https://orcid.org/0000-0003-4810-0871</orcidid><orcidid>https://orcid.org/0000-0001-8289-8587</orcidid><orcidid>https://orcid.org/0000-0003-2837-3629</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Aedes Animals Aquatic insects Arboviruses Baseline studies Biology and Life Sciences Chikungunya virus Cohort Studies Cohorts Community involvement Community participation Cross-Sectional Studies Dengue Dengue fever Disease control Disease prevention Family income FDA approval Forecasts and trends Health aspects Health behavior Households Human diseases Humans Illnesses Infections Insect control Insecticides Medicine and Health Sciences Morbidity Mosquito Vectors Mosquitoes Participatory approaches Perception Perceptions Prevention Probability theory Public health Public opinion Puerto Rico - epidemiology Risk Risk management Risk perception Risk taking Social Sciences Statistical analysis Tropical diseases Variables Vector-borne diseases Viruses Zika Virus Zika Virus Infection - epidemiology Zika Virus Infection - prevention & control |
title | Arbovirus risk perception as a predictor of mosquito-bite preventive behaviors in Ponce, Puerto Rico |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T21%3A57%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Arbovirus%20risk%20perception%20as%20a%20predictor%20of%20mosquito-bite%20preventive%20behaviors%20in%20Ponce,%20Puerto%20Rico&rft.jtitle=PLoS%20neglected%20tropical%20diseases&rft.au=Dussault,%20Jos%C3%A9e%20M&rft.date=2022-07-01&rft.volume=16&rft.issue=7&rft.spage=e0010653&rft.epage=e0010653&rft.pages=e0010653-e0010653&rft.issn=1935-2735&rft.eissn=1935-2735&rft_id=info:doi/10.1371/journal.pntd.0010653&rft_dat=%3Cgale_plos_%3EA712643715%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2703170798&rft_id=info:pmid/35881642&rft_galeid=A712643715&rft_doaj_id=oai_doaj_org_article_64a04b2c417f45618c26a609b14bff1c&rfr_iscdi=true |