Associations Between Personal Protective Measures and Self-Reported Tick-Borne Disease Diagnosis in Indiana Residents
Several personal protective measures (PPMs) are recommended to prevent tick-borne diseases (TBD). We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June–July 2018, with a cross-sectional study d...
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| Veröffentlicht in: | Journal of community health 2020-08, Vol.45 (4), p.739-750 |
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| creator | Kianersi, Sina Luetke, Maya Wolfe, Caryn Gail Clark, William Alexander Omodior, OgheneKaro |
| description | Several personal protective measures (PPMs) are recommended to prevent tick-borne diseases (TBD). We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June–July 2018, with a cross-sectional study design, we surveyed a sample of adult Indiana state residents. Overall, 2927 participants were eligible for this analysis. All data were self-reported. We used the double robust approach of stabilized inverse probability weighting and propensity score adjustment to obtain ORs. Approximately 5% of participants (n = 142) self-reported TBD diagnosis. Practicing different PPMs ranged from 48% for treating outdoor clothing with special bug-spray to 83% for walking on established trails. Using insect repellent on exposed skin was protective against TBD diagnosis [OR (95% CI): 0.55 (0.35, 0.88)]. A thorough body/clothes check after being outdoors was also protective against TBD diagnosis [OR (95% CI): 0.40 (0.25, 0.67)]. In stratified analyses, TBD knowledge, safety worry because of ticks, avoiding outdoors because of ticks, and pet TBD risk modified the associations between different PPMs and self-reported TBD diagnosis. In the state of Indiana, thorough body/clothes check after being outdoors and use of insect repellent on exposed skin might be strongly effective in preventing TBD. The protective effect of different PPMs might be stronger among people with high TBD knowledge, high safety worry because of ticks, high avoidance of being outdoors because of ticks, and low pet TBD risk. These results might be useful in the design of intervention programs. |
| doi_str_mv | 10.1007/s10900-020-00789-w |
| format | Article |
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We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June–July 2018, with a cross-sectional study design, we surveyed a sample of adult Indiana state residents. Overall, 2927 participants were eligible for this analysis. All data were self-reported. We used the double robust approach of stabilized inverse probability weighting and propensity score adjustment to obtain ORs. Approximately 5% of participants (n = 142) self-reported TBD diagnosis. Practicing different PPMs ranged from 48% for treating outdoor clothing with special bug-spray to 83% for walking on established trails. Using insect repellent on exposed skin was protective against TBD diagnosis [OR (95% CI): 0.55 (0.35, 0.88)]. A thorough body/clothes check after being outdoors was also protective against TBD diagnosis [OR (95% CI): 0.40 (0.25, 0.67)]. In stratified analyses, TBD knowledge, safety worry because of ticks, avoiding outdoors because of ticks, and pet TBD risk modified the associations between different PPMs and self-reported TBD diagnosis. In the state of Indiana, thorough body/clothes check after being outdoors and use of insect repellent on exposed skin might be strongly effective in preventing TBD. The protective effect of different PPMs might be stronger among people with high TBD knowledge, high safety worry because of ticks, high avoidance of being outdoors because of ticks, and low pet TBD risk. These results might be useful in the design of intervention programs.</description><identifier>ISSN: 0094-5145</identifier><identifier>EISSN: 1573-3610</identifier><identifier>DOI: 10.1007/s10900-020-00789-w</identifier><identifier>PMID: 31916179</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Animals ; Arachnids ; Community and Environmental Psychology ; Cross-Sectional Studies ; Diagnosis ; Ethics ; Female ; Health Promotion and Disease Prevention ; Humans ; Indiana ; Insects ; Male ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Outdoors ; Parasitic diseases ; Protective clothing ; Safety ; Self Report ; Surveys and Questionnaires ; Tick-borne diseases ; Tick-Borne Diseases - diagnosis ; Tick-Borne Diseases - prevention & control ; Ticks</subject><ispartof>Journal of community health, 2020-08, Vol.45 (4), p.739-750</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6c34ea68bb88ef8b35c179066f91a705abdd4ab8295bce72b8981493d78d57383</citedby><cites>FETCH-LOGICAL-c375t-6c34ea68bb88ef8b35c179066f91a705abdd4ab8295bce72b8981493d78d57383</cites><orcidid>0000-0002-6918-1917</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10900-020-00789-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10900-020-00789-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31916179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kianersi, Sina</creatorcontrib><creatorcontrib>Luetke, Maya</creatorcontrib><creatorcontrib>Wolfe, Caryn Gail</creatorcontrib><creatorcontrib>Clark, William Alexander</creatorcontrib><creatorcontrib>Omodior, OgheneKaro</creatorcontrib><title>Associations Between Personal Protective Measures and Self-Reported Tick-Borne Disease Diagnosis in Indiana Residents</title><title>Journal of community health</title><addtitle>J Community Health</addtitle><addtitle>J Community Health</addtitle><description>Several personal protective measures (PPMs) are recommended to prevent tick-borne diseases (TBD). We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June–July 2018, with a cross-sectional study design, we surveyed a sample of adult Indiana state residents. Overall, 2927 participants were eligible for this analysis. All data were self-reported. We used the double robust approach of stabilized inverse probability weighting and propensity score adjustment to obtain ORs. Approximately 5% of participants (n = 142) self-reported TBD diagnosis. Practicing different PPMs ranged from 48% for treating outdoor clothing with special bug-spray to 83% for walking on established trails. Using insect repellent on exposed skin was protective against TBD diagnosis [OR (95% CI): 0.55 (0.35, 0.88)]. A thorough body/clothes check after being outdoors was also protective against TBD diagnosis [OR (95% CI): 0.40 (0.25, 0.67)]. In stratified analyses, TBD knowledge, safety worry because of ticks, avoiding outdoors because of ticks, and pet TBD risk modified the associations between different PPMs and self-reported TBD diagnosis. In the state of Indiana, thorough body/clothes check after being outdoors and use of insect repellent on exposed skin might be strongly effective in preventing TBD. The protective effect of different PPMs might be stronger among people with high TBD knowledge, high safety worry because of ticks, high avoidance of being outdoors because of ticks, and low pet TBD risk. 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Academic</collection><jtitle>Journal of community health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kianersi, Sina</au><au>Luetke, Maya</au><au>Wolfe, Caryn Gail</au><au>Clark, William Alexander</au><au>Omodior, OgheneKaro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations Between Personal Protective Measures and Self-Reported Tick-Borne Disease Diagnosis in Indiana Residents</atitle><jtitle>Journal of community health</jtitle><stitle>J Community Health</stitle><addtitle>J Community Health</addtitle><date>2020-08-01</date><risdate>2020</risdate><volume>45</volume><issue>4</issue><spage>739</spage><epage>750</epage><pages>739-750</pages><issn>0094-5145</issn><eissn>1573-3610</eissn><abstract>Several personal protective measures (PPMs) are recommended to prevent tick-borne diseases (TBD). We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June–July 2018, with a cross-sectional study design, we surveyed a sample of adult Indiana state residents. Overall, 2927 participants were eligible for this analysis. All data were self-reported. We used the double robust approach of stabilized inverse probability weighting and propensity score adjustment to obtain ORs. Approximately 5% of participants (n = 142) self-reported TBD diagnosis. Practicing different PPMs ranged from 48% for treating outdoor clothing with special bug-spray to 83% for walking on established trails. Using insect repellent on exposed skin was protective against TBD diagnosis [OR (95% CI): 0.55 (0.35, 0.88)]. A thorough body/clothes check after being outdoors was also protective against TBD diagnosis [OR (95% CI): 0.40 (0.25, 0.67)]. In stratified analyses, TBD knowledge, safety worry because of ticks, avoiding outdoors because of ticks, and pet TBD risk modified the associations between different PPMs and self-reported TBD diagnosis. In the state of Indiana, thorough body/clothes check after being outdoors and use of insect repellent on exposed skin might be strongly effective in preventing TBD. The protective effect of different PPMs might be stronger among people with high TBD knowledge, high safety worry because of ticks, high avoidance of being outdoors because of ticks, and low pet TBD risk. These results might be useful in the design of intervention programs.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31916179</pmid><doi>10.1007/s10900-020-00789-w</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-6918-1917</orcidid></addata></record> |
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| subjects | Adult Animals Arachnids Community and Environmental Psychology Cross-Sectional Studies Diagnosis Ethics Female Health Promotion and Disease Prevention Humans Indiana Insects Male Medical diagnosis Medicine Medicine & Public Health Middle Aged Original Paper Outdoors Parasitic diseases Protective clothing Safety Self Report Surveys and Questionnaires Tick-borne diseases Tick-Borne Diseases - diagnosis Tick-Borne Diseases - prevention & control Ticks |
| title | Associations Between Personal Protective Measures and Self-Reported Tick-Borne Disease Diagnosis in Indiana Residents |
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