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Open AccessArticle

Factors Leading Municipal Authorities to Implement Preventive Interventions for Lyme Disease

Observatoire Québécois de L’adaptation aux Changements Climatiques (OQACC), Faculté des Sciences de L’éducation, Université Laval, Québec, QC GIV 0A6, Canada
Groupe de Recherche en épidémiologie des Zoonoses et Santé Publique (GREZOSP), Faculté de Médecine Vétérinaire (FMV), Université de Montréal, Saint-Hyacinthe, QC J2S 2M1, Canada
Public Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Saint-Hyacinthe, QC J2S 2M1, Canada
National Public Health Institute of Quebec (INSPQ), Montréal, QC H2P 1E2, Canada
Département de Médecine Sociale et Préventive, Faculté de Médecine, Université Laval, Québec, QC G1V 0A6, Canada
Unité Santé des Populations et Pratiques Optimales en Santé, Centre de Recherche du CHU de Québec – Université Laval, Québec, QC G1S 4L8, Canada
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(9), 1547;
Received: 12 March 2019 / Revised: 20 April 2019 / Accepted: 26 April 2019 / Published: 1 May 2019
The aim of this study is to document climate change adaptation interventions targeting Lyme disease at the municipal level in the province of Quebec (Canada). This exploratory study relies on the theory of planned behavior and certain constructs from the health belief model to identify the factors leading municipal authorities to implement preventive interventions for Lyme disease (PILD). Data were obtained from an online survey sent, during the summer of 2018, to municipal officers in 820 municipalities in Quebec, in all health regions where the population is at risk of contracting Lyme disease (response rate = 36%). The questionnaire was used to measure the implementation of PILD, the intention to implement these interventions, attitudes, perceived social pressure, perceived control (levers and barriers) over interventions, perceived effectiveness of preventive measures, risk, and perceived vulnerability. Results of structural equation analyses showed that attitudes were significantly associated with municipal authorities’ intention to implement PILD, while the intention to implement PILD was a significant predictor of the implementation of PILD. Additional analyses showed that perceived barriers added a moderating effect in the intention-implementation relationship. The prediction of behaviors or practices that municipal authorities could implement to prevent Lyme disease will enable the evaluation over time of the evolution of Quebec municipalities’ adaptation to Lyme disease. Moreover, the examination of the associations of specific psychosocial factors revealed important implications for the design of effective behavior-change interventions, which would allow health officials doing awareness work to create personalized interventions better suited to municipal officers and their specific contexts. View Full-Text
Keywords: municipal; climate change; Lyme disease; attitude; theory of planned behavior municipal; climate change; Lyme disease; attitude; theory of planned behavior
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Jacob, J.; Valois, P.; Aenishaenslin, C.; Bouchard, C.; Briand, S.; Talbot, D.; Tessier, M. Factors Leading Municipal Authorities to Implement Preventive Interventions for Lyme Disease. Int. J. Environ. Res. Public Health 2019, 16, 1547.

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