Skip to main content
Top
Published in: BMC Public Health 1/2023

Open Access 01-12-2023 | Tick | Research

Can protection motivation theory predict protective behavior against ticks?

Authors: Mette Frimodt Hansen, Pelle Korsbaek Sørensen, Anja Elaine Sørensen, Karen Angeliki Krogfelt

Published in: BMC Public Health | Issue 1/2023

Login to get access

Abstract

Background

Cases of reported tick-borne diseases in humans have increased over the past decades. Strategies informing the public about ticks, their associated diseases, and preventive measures are often highlighted as important in limiting pathogen transfer and disease. However, knowledge about the motivation for people to apply preventative measures is sparse.

Methods

The aim was to examine if Protection Motivation Theory, a model of disease prevention and health promotion, can predict the use of protective measures against ticks. Ordinal logistic regression and Chi-square tests were used on data from a cross-sectional survey with respondents from Denmark, Norway, and Sweden (n = 2658). We examined the effect of (1) the perceived seriousness of tick bites, Lyme borreliosis (LB), and tick-borne encephalitis (TBE), and (2) the perceived probability of getting a tick bite, Lyme borreliosis, and tick-borne encephalitis on protection against ticks. Finally, we examined if there was an association between the use of a protective measure and the perceived efficacy of that measure.

Results

The perceived seriousness of a tick bite and LB significantly predict who is more likely to apply protective measures for all three countries combined. The perceived seriousness of TBE did not significantly predict the level of adoption of protective measures applied by respondents. The perceived likelihood of getting a tick bite within the next 12 months and the perceived likelihood of getting LB if bitten by a tick significantly predicted the application of protective measures. However, the increases in the likelihood of protection were very small. The application of a certain type of protection was always correlated with the perceived efficacy of the same protective measure.

Conclusion

Some variables of PMT may be used to predict the level of adoption of protection applied against ticks and tick-borne diseases. We found that the perceived seriousness of a tick bite and LB significantly predict the level of adoption protection. The perceived likelihood of getting a tick bite or LB also significantly predicted the level of adoption of protection, although the change was very small. The results regarding TBE were less clear. Lastly, there was an association between applying a protective measure and the perceived efficacy of the same measure.
Appendix
Available only for authorised users
Literature
8.
go back to reference Knudtzen FC, Andersen NS, Jensen TG, Skarphédinsson S. “Characteristics and Clinical Outcome of Lyme Neuroborreliosis in a High Endemic Area, 1995–2014: A Retrospective Cohort Study in Denmark,” Clin. Infect. Dis., vol. 65, no. 9, pp. 1489–1495, Oct. 2017, https://doi.org/10.1093/CID/CIX568. Knudtzen FC, Andersen NS, Jensen TG, Skarphédinsson S. “Characteristics and Clinical Outcome of Lyme Neuroborreliosis in a High Endemic Area, 1995–2014: A Retrospective Cohort Study in Denmark,” Clin. Infect. Dis., vol. 65, no. 9, pp. 1489–1495, Oct. 2017, https://​doi.​org/​10.​1093/​CID/​CIX568.
12.
go back to reference des Vignes F, Piesman J, Heffernan R, Schulze TL, Stafford KC, Fish D. “Effect of tick removal on transmission of Borrelia burgdorferi and Ehrlichia phagocytophila by Ixodes scapularis Nymphs,” J. Infect. Dis., vol. 183, no. 5, pp. 773–778, Mar. 2001, https://doi.org/10.1086/318818. des Vignes F, Piesman J, Heffernan R, Schulze TL, Stafford KC, Fish D. “Effect of tick removal on transmission of Borrelia burgdorferi and Ehrlichia phagocytophila by Ixodes scapularis Nymphs,” J. Infect. Dis., vol. 183, no. 5, pp. 773–778, Mar. 2001, https://​doi.​org/​10.​1086/​318818.
14.
go back to reference Schwartz AM, Mackeprang JM, Mead PS, Hinckley AF. “Effectiveness of personal protection measures against Lyme disease: A review of epidemiologic studies from the United States,” Zoonoses Public Health, vol. 69, no. 7, pp. 777–791, Nov. 2022, https://doi.org/10.1111/ZPH.12984. Schwartz AM, Mackeprang JM, Mead PS, Hinckley AF. “Effectiveness of personal protection measures against Lyme disease: A review of epidemiologic studies from the United States,” Zoonoses Public Health, vol. 69, no. 7, pp. 777–791, Nov. 2022, https://​doi.​org/​10.​1111/​ZPH.​12984.
17.
go back to reference Buczek A, Pilch J, Buczek W. “Tick preventive behaviors and practices adopted by medical students from Poland, Germany, and Thailand in relation to socio-demographic conditions and their knowledge of ticks and tick-borne diseases,” Insects, vol. 11, no. 12, pp. 1–17, Dec. 2020, https://doi.org/10.3390/INSECTS11120863. Buczek A, Pilch J, Buczek W. “Tick preventive behaviors and practices adopted by medical students from Poland, Germany, and Thailand in relation to socio-demographic conditions and their knowledge of ticks and tick-borne diseases,” Insects, vol. 11, no. 12, pp. 1–17, Dec. 2020, https://​doi.​org/​10.​3390/​INSECTS11120863.
18.
go back to reference Valente SL, Wemple D, Ramos S, Cashman SB, Savageau JA. “Preventive behaviors and knowledge of tick-borne illnesses: results of a survey from an endemic area,” J Public Heal Manag Pract, vol. 21, no. 3, pp. E16–E23, Dec. 2015. Valente SL, Wemple D, Ramos S, Cashman SB, Savageau JA. “Preventive behaviors and knowledge of tick-borne illnesses: results of a survey from an endemic area,” J Public Heal Manag Pract, vol. 21, no. 3, pp. E16–E23, Dec. 2015.
19.
go back to reference Beaujean DJMA, Bults M, van Steenbergen JE, Voeten HACM. “Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs,” BMC Public Heal. 2013 131, vol. 13, no. 1, pp. 1–11, Mar. 2013, https://doi.org/10.1186/1471-2458-13-225. Beaujean DJMA, Bults M, van Steenbergen JE, Voeten HACM. “Study on public perceptions and protective behaviors regarding Lyme disease among the general public in the Netherlands: implications for prevention programs,” BMC Public Heal. 2013 131, vol. 13, no. 1, pp. 1–11, Mar. 2013, https://​doi.​org/​10.​1186/​1471-2458-13-225.
20.
go back to reference Rogers RW. A Protection Motivation Theory of Fear Appeals and attitude change. J Psychol no. 1975;91:93–114.CrossRef Rogers RW. A Protection Motivation Theory of Fear Appeals and attitude change. J Psychol no. 1975;91:93–114.CrossRef
22.
go back to reference Rogers RW. “Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation,” in Basic Social Psychophysiological Research, 1983, pp. 153–76. Rogers RW. “Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation,” in Basic Social Psychophysiological Research, 1983, pp. 153–76.
23.
go back to reference Maddux JE, Rogers RW. “Protection Motivation and Self-Efficacy: A Revised Theory of Fear Appeals and Attitude Change,” 1983. Maddux JE, Rogers RW. “Protection Motivation and Self-Efficacy: A Revised Theory of Fear Appeals and Attitude Change,” 1983.
24.
go back to reference Norman P, Boer H, Seydel ER, Mullan B. In: Conner M, Norman P, editors. Protection Motivation Theory,” in Predicting Health Behaviour. 2nd ed. Open University Press; 2005. pp. 81–126. Norman P, Boer H, Seydel ER, Mullan B. In: Conner M, Norman P, editors. Protection Motivation Theory,” in Predicting Health Behaviour. 2nd ed. Open University Press; 2005. pp. 81–126.
26.
go back to reference Rogers RW, Prentice-Dunn S. Protection Motivation Theory. In: Gochman DS, editor. in Handbook of health behavior research 1: personal and social determinants. Plenum Press; 1997. pp. 113–32. Rogers RW, Prentice-Dunn S. Protection Motivation Theory. In: Gochman DS, editor. in Handbook of health behavior research 1: personal and social determinants. Plenum Press; 1997. pp. 113–32.
27.
go back to reference Parisi S, Mazigo HD, Kreibich S, Puchner K, Kasang C, Mueller A. Factors associated with relevant knowledge of intestinal schistosomiasis and intention to participate in treatment campaigns: a cross sectional survey among school children at Ijinga Island on Lake Victoria, North-Western Tanzania. BMC Public Health. Dec. 2019;19(1). https://doi.org/10.1186/S12889-019-8091-4. Parisi S, Mazigo HD, Kreibich S, Puchner K, Kasang C, Mueller A. Factors associated with relevant knowledge of intestinal schistosomiasis and intention to participate in treatment campaigns: a cross sectional survey among school children at Ijinga Island on Lake Victoria, North-Western Tanzania. BMC Public Health. Dec. 2019;19(1). https://​doi.​org/​10.​1186/​S12889-019-8091-4.
30.
go back to reference Floyd DL, Prentice-Dunn S, Rogers RW. “A Meta-Analysis of Research on Protection Motivation Theory,” 2000. Floyd DL, Prentice-Dunn S, Rogers RW. “A Meta-Analysis of Research on Protection Motivation Theory,” 2000.
36.
go back to reference Norman P, Boer H, Seydel ER, Mullan B. “Protection Motivation Theory,” in Predicting and changing Health Behaviour: Research and practice with Social Cognition Models, 3rd ed., McGraw-Hill Education, 2015, 70–106. Norman P, Boer H, Seydel ER, Mullan B. “Protection Motivation Theory,” in Predicting and changing Health Behaviour: Research and practice with Social Cognition Models, 3rd ed., McGraw-Hill Education, 2015, 70–106.
37.
go back to reference Eisen RJ, Piesman J, Zielinski-Gutierrez E, Eisen L. “What Do We Need to Know About Disease Ecology to Prevent Lyme Disease in the Northeastern United States?,” J. Med. Entomol., vol. 49, no. 1, pp. 11–22, Jan. 2012, https://doi.org/10.1603/ME11138. Eisen RJ, Piesman J, Zielinski-Gutierrez E, Eisen L. “What Do We Need to Know About Disease Ecology to Prevent Lyme Disease in the Northeastern United States?,” J. Med. Entomol., vol. 49, no. 1, pp. 11–22, Jan. 2012, https://​doi.​org/​10.​1603/​ME11138.
44.
go back to reference Pettersson JHO, Golovljova I, Vene S, Jaenson TGT. “Prevalence of tick-borne encephalitis virus in Ixodes ricinus ticks in northern Europe with particular reference to Southern Sweden,” Parasit. Vectors, vol. 7, no. 1, p. 102, Mar. 2014, https://doi.org/10.1186/1756-3305-7-102. Pettersson JHO, Golovljova I, Vene S, Jaenson TGT. “Prevalence of tick-borne encephalitis virus in Ixodes ricinus ticks in northern Europe with particular reference to Southern Sweden,” Parasit. Vectors, vol. 7, no. 1, p. 102, Mar. 2014, https://​doi.​org/​10.​1186/​1756-3305-7-102.
46.
go back to reference Slovic P. Informing and educating the public about risk. In: Löfstedt RE, editor. in The perception of risk. Earthscan Publications Ltd; 2000. pp. 182–98. Slovic P. Informing and educating the public about risk. In: Löfstedt RE, editor. in The perception of risk. Earthscan Publications Ltd; 2000. pp. 182–98.
49.
go back to reference Rozin P, Haidt J, McCauley CR. Disgust. In: Lewis M, Haviland-Jones JM, editors. Handbook of emotions. 2nd ed. New York: Guilford Press; 2000. pp. 637–53. Rozin P, Haidt J, McCauley CR. Disgust. In: Lewis M, Haviland-Jones JM, editors. Handbook of emotions. 2nd ed. New York: Guilford Press; 2000. pp. 637–53.
55.
go back to reference Slovic P, Fischhoff B, Lichtenstain S. Rating the risks. In: Löfstedt RE, editor. The perception of risk. earthscan Publications Ltd; 2000. pp. 104–20. Slovic P, Fischhoff B, Lichtenstain S. Rating the risks. In: Löfstedt RE, editor. The perception of risk. earthscan Publications Ltd; 2000. pp. 104–20.
59.
go back to reference Alekseev A, Chunikhin SP. “The experimental transmission of the tick-borne encephalitis virus by ixodid ticks (the mechanisms, time periods, species and sex differences),” Parazitologiia, vol. 24, no. 3, pp. 177–185, May 1990, Accessed: Sep. 02, 2021. [Online]. Available: https://pubmed.ncbi.nlm.nih.gov/2216530/. Alekseev A, Chunikhin SP. “The experimental transmission of the tick-borne encephalitis virus by ixodid ticks (the mechanisms, time periods, species and sex differences),” Parazitologiia, vol. 24, no. 3, pp. 177–185, May 1990, Accessed: Sep. 02, 2021. [Online]. Available: https://​pubmed.​ncbi.​nlm.​nih.​gov/​2216530/​.
61.
go back to reference Sheeran P, Harris PR, Epton T. “Does heightening risk appraisals change people’s intentions and behavior? A meta-analysis of experimental studies,” Psychol. Bull., vol. 140, no. 2, pp. 511–543, Mar. 2014, https://doi.org/10.1037/a0033065. Sheeran P, Harris PR, Epton T. “Does heightening risk appraisals change people’s intentions and behavior? A meta-analysis of experimental studies,” Psychol. Bull., vol. 140, no. 2, pp. 511–543, Mar. 2014, https://​doi.​org/​10.​1037/​a0033065.
Metadata
Title
Can protection motivation theory predict protective behavior against ticks?
Authors
Mette Frimodt Hansen
Pelle Korsbaek Sørensen
Anja Elaine Sørensen
Karen Angeliki Krogfelt
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2023
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-023-16125-5

Other articles of this Issue 1/2023

BMC Public Health 1/2023 Go to the issue