Psychosocial Determinants of Lyme Disease Preventive Behavior Among Outdoor Recreationists

Abstract

The incidence of Lyme disease (LD) has grown over time despite extensive awareness campaigns of disease risk. While previous research has explored public knowledge, perceptions, and attitudes toward tick-borne diseases, there is minimal research in understanding preventive behavior among individuals frequently engaging in outdoor recreation. This study addresses this gap by investigating the perceptions of LD preventive behavior, focusing on psychosocial factors influencing behavior. Utilizing an integrative framework incorporating the Health Belief Model and Social Cognitive Theory, we examined outdoor recreationist performance of three key preventive behaviors: tick checks, tick repellent use, and protective clothing. Data were collected through intercept surveys at Bradbury Mountain State Park (Maine, US). Findings indicate that tick-related knowledge and experience have a limited impact on preventive behavior, while efficacy beliefs and perceived benefits significantly influence behavior. In this paper we discuss the implications of these factors to both theory and practice in LD prevention studies.