Knowledge, Attitudes, and Practices on Tick-Borne Human Diseases and Tick-Borne Encephalitis Vaccine among Farmers from North-Eastern Italy (2017)

Matteo Riccò, Nicola Luigi Bragazzi, Luigi Vezzosi, Federica Balzarini, Maria Eugenia Colucci, Licia Veronesi

Research output: Contribution to journalArticle

Abstract

Objectives: Tick-borne diseases (T-BD) represent a potential health threat for outdoor workers in endemic areas, such as the Autonomous Province of Trento (APT). We conducted a questionnaire-based survey to assess T-BD knowledge, attitudes, and preventive practices among APT farmers, specifically focusing on the use of protective habits and the uptake of the tick-borne encephalitis (TBE) vaccine. Methods: A convenience sample of 106 farmers (all males, mean age 47.3 ± 13.6 years) attending pesticide training courses (12/2016–03/2017) completed the anonymous survey. Binary regression analysis, calculations of multivariate odds ratios (mOR) and 95% confidence intervals were used to assess knowledge, attitudes, and risk perceptions as predictors of preventive measures. Results: Though general understanding of T-BD was fairly low, the majority of the participants perceived TBE infection as a frequent (73.6%) and severe disease (61.3%). Overall, 43.3% of participants knew a TBE vaccine was available, and 24.5% had been vaccinated. Protective habits were reported by 53.8% of respondents, with self-checks for tick bites particularly low at 2.8% of participants. Better knowledge of T-BD and favorable attitudes toward vaccinations were associated with TBE immunization (mOR 4.708; 95%CI 1.273–17.409 and mOR 3.555; 95%CI 1.175–10.760, respectively), while previous history of tick bite and any interaction with T-BD significantly predicted adherence to protective measures (mOR 4.458; 95%CI 1.808–10.991, and mOR 9.433; 95%CI 1.127–78.973, respectively). Conclusions: Adherence to preventive measures (TBE vaccine) and protective habits was unsatisfactory in our sampled group, being a possible consequence of significant knowledge gaps. Public health communication on T-BD in farmers should, therefore, target understanding of health issues and appropriate preventive measures.

Original languageEnglish
JournalJournal of Agromedicine
DOIs
Publication statusAccepted/In press - Jan 1 2019

Fingerprint

Tick-Borne Diseases
Tick-Borne Encephalitis
Health Knowledge, Attitudes, Practice
Italy
Vaccines
Odds Ratio
Tick Bites
Habits
Health Communication
Health
Farmers
Pesticides
Immunization
Vaccination
Public Health
Regression Analysis
Confidence Intervals

Keywords

  • attitudes
  • encephalitis
  • health knowledge
  • lyme disease
  • practices
  • tick-borne
  • Tick-borne diseases
  • vaccines

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Knowledge, Attitudes, and Practices on Tick-Borne Human Diseases and Tick-Borne Encephalitis Vaccine among Farmers from North-Eastern Italy (2017). / Riccò, Matteo; Bragazzi, Nicola Luigi; Vezzosi, Luigi; Balzarini, Federica; Colucci, Maria Eugenia; Veronesi, Licia.

In: Journal of Agromedicine, 01.01.2019.

Research output: Contribution to journalArticle

Riccò, Matteo ; Bragazzi, Nicola Luigi ; Vezzosi, Luigi ; Balzarini, Federica ; Colucci, Maria Eugenia ; Veronesi, Licia. / Knowledge, Attitudes, and Practices on Tick-Borne Human Diseases and Tick-Borne Encephalitis Vaccine among Farmers from North-Eastern Italy (2017). In: Journal of Agromedicine. 2019.
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abstract = "Objectives: Tick-borne diseases (T-BD) represent a potential health threat for outdoor workers in endemic areas, such as the Autonomous Province of Trento (APT). We conducted a questionnaire-based survey to assess T-BD knowledge, attitudes, and preventive practices among APT farmers, specifically focusing on the use of protective habits and the uptake of the tick-borne encephalitis (TBE) vaccine. Methods: A convenience sample of 106 farmers (all males, mean age 47.3 ± 13.6 years) attending pesticide training courses (12/2016–03/2017) completed the anonymous survey. Binary regression analysis, calculations of multivariate odds ratios (mOR) and 95{\%} confidence intervals were used to assess knowledge, attitudes, and risk perceptions as predictors of preventive measures. Results: Though general understanding of T-BD was fairly low, the majority of the participants perceived TBE infection as a frequent (73.6{\%}) and severe disease (61.3{\%}). Overall, 43.3{\%} of participants knew a TBE vaccine was available, and 24.5{\%} had been vaccinated. Protective habits were reported by 53.8{\%} of respondents, with self-checks for tick bites particularly low at 2.8{\%} of participants. Better knowledge of T-BD and favorable attitudes toward vaccinations were associated with TBE immunization (mOR 4.708; 95{\%}CI 1.273–17.409 and mOR 3.555; 95{\%}CI 1.175–10.760, respectively), while previous history of tick bite and any interaction with T-BD significantly predicted adherence to protective measures (mOR 4.458; 95{\%}CI 1.808–10.991, and mOR 9.433; 95{\%}CI 1.127–78.973, respectively). Conclusions: Adherence to preventive measures (TBE vaccine) and protective habits was unsatisfactory in our sampled group, being a possible consequence of significant knowledge gaps. Public health communication on T-BD in farmers should, therefore, target understanding of health issues and appropriate preventive measures.",
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AU - Vezzosi, Luigi

AU - Balzarini, Federica

AU - Colucci, Maria Eugenia

AU - Veronesi, Licia

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