Preventing Lyme disease through identification of key beliefs

Abstract

Lyme disease and other vector-borne diseases are on the rise because of climate change. In the province of Quebec, Canada, Lyme disease has become a public health problem deserving the attention of health authorities. Despite their recognized effectiveness at preventing tick-to-human transmission, rates of adoption of Lyme disease adaptive behaviours (LDAB) remain relatively low in the population. Using the Theory of Planned Behaviour (TPB), the aim of this study is to identify specific and actionable beliefs associated with the adoption of Lyme disease adaptive behaviours. Specifically, 2,011 people were surveyed to determine the decision-making process behind specific beliefs, which could be targeted for raising awareness. Statistically significant associations were found between the three determinants of the TPB (i.e., attitudes, perceived social pressure and perceived behavioral control) and the intention to adapt. In addition, the intention itself was significantly associated with adopting LDAB. Belief-based analyses indicated that 8 primary beliefs (4 behavioral beliefs, 2 normative beliefs, and 2 control beliefs) were associated with LDAB. Among these, control beliefs (barriers and facilitating factors) appeared to have the greatest impact on adaptation. These findings can be used to guide educational and awareness-raising campaigns to promote LDAB by changing or reinforcing these primary beliefs.