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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Veröffentlicht in:PLoS neglected tropical diseases 2022-07, Vol.16 (7), p.e0010653-e0010653
Hauptverfasser: 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
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container_issue 7
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container_title PLoS neglected tropical diseases
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creator 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
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.
doi_str_mv 10.1371/journal.pntd.0010653
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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
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