PMID: 12777368Jun 5, 2003Paper

Longitudinal evaluation of an educational intervention for preventing tick bites in an area with endemic lyme disease in Baltimore County, Maryland

American Journal of Epidemiology
Rebecca MalouinBrian S Schwartz

Abstract

The authors attempted to determine whether a targeted educational intervention in an area with endemic Lyme disease could increase knowledge, positive attitudes, and reported behaviors related to tick bite prevention and consequently decrease tick bites, as measured by a biomarker of tick bites. Between April and September of 1999, 317 subjects in Baltimore County, Maryland, were randomized to receive either tick-related or general health-related educational materials bimonthly through the mail. At each of three clinic visits, participants completed a self-administered questionnaire and provided a serum sample. Anti-recombinant tick calreticulin antibody (ARTCA), measured in ng/ micro l, was used as a biomarker of tick bites. Linear and logistic regression analyses were used to determine 1) whether the educational intervention was associated with a change in knowledge, attitudes, and behaviors (KAB) and 2) whether change in KAB predicted change in ARTCA levels. Proportions of desired responses increased significantly among intervention subjects versus the comparison group on KAB measures related to examining the body for ticks and insect repellent use. Levels of ARTCA were low among all study subjects. Only six of 37 models exh...Continue Reading

Citations

Oct 27, 2004·Emerging Infectious Diseases·Islay RodríguezOmar Fuentes
Sep 20, 2007·Annual Review of Entomology·Joseph Piesman, Lars Eisen
Jul 22, 2008·Vector Borne and Zoonotic Diseases·L Hannah GouldMatthew L Cartter
Apr 13, 2011·Journal of Medical Entomology·Nathan J MillerThomas N Mather
Feb 24, 2016·Vector Borne and Zoonotic Diseases·Desirée BeaujeanDirk Ruwaard
Dec 26, 2015·Ticks and Tick-borne Diseases·Amber D ButlerRamin Ahmadi
Jul 24, 2013·Evidence-based Child Health : a Cochrane Review Journal·Denise KendrickCarol Coupland
Aug 30, 2008·Infectious Disease Clinics of North America·Roger P Clark, Linden T Hu
Apr 26, 2014·Journal of Public Health Management and Practice : JPHMP·Sara L ValenteJudith A Savageau
Aug 4, 2012·Journal of the Neurological Sciences·S Ali HosseiniH Haghgoo
Sep 26, 2016·Ticks and Tick-borne Diseases·Cécile AenishaenslinNicholas H Ogden
Oct 25, 2016·Ticks and Tick-borne Diseases·Cécile AenishaenslinNicholas H Ogden
Jul 17, 2009·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Daniel S MorrisMatthew W Kreuter
Feb 11, 2004·Current Opinion in Rheumatology·Jaya K Rao, Jennifer M Hootman
May 6, 2019·International Journal of Environmental Research and Public Health·Johann JacobMaxime Tessier
Sep 14, 2012·The Cochrane Database of Systematic Reviews·Denise KendrickCarol Coupland
May 31, 2019·American Journal of Epidemiology·Ilya R FischhoffRichard S Ostfeld
Jun 2, 2020·Journal of Medical Microbiology·Ilia Rochlin, Alvaro Toledo
Jul 12, 2017·Frontiers in Cellular and Infection Microbiology·Ladislav ŠimoSarah I Bonnet
Nov 24, 2020·Journal of Medical Entomology·Victoria L HornbostelNeeta P Connally

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