Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut (Ms Niesobecki and Dr Niccolai); Maryland Department of Health, Baltimore, Maryland (Ms Rutz); Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado (Ms Hook and Dr Hinckley); and Maryland Department of Health, Baltimore, Maryland (Dr Feldman).
J Public Health Manag Pract. 2022;28(1):E37-E42. doi: 10.1097/PHH.0000000000001295.
Tick-borne diseases (TBDs) are increasing despite prevention recommendations. We explored whether cost is a barrier to prevention use in Connecticut and Maryland, using a cross-sectional survey. Respondents were queried regarding their willingness to pay for chemical, natural, and rodent-targeted yard pesticide treatments and permethrin-treated clothing. We evaluated associations between demographics, TBD knowledge and attitudes, and willingness to pay for prevention methods. Most respondents would pay for yard treatments (85%); 95% preferring natural pesticide, and 82% would pay for permethrin-treated clothing. Most did not want to pay more than $99 for any of the yard treatments. Having a household income of $100 000 was associated with willingness to pay $100 or more for chemical, natural, or rodent-targeted treatments and $25 or more for permethrin self-treated and pretreated clothing. Yard treatments, especially natural pesticides, were acceptable for TBD prevention; however, current pricing may be cost-prohibitive. Permethrin-treated clothing may be an affordable and acceptable prevention method.
蜱传疾病（TBDs）尽管有预防建议，但仍在增加。我们使用横断面调查探讨了在康涅狄格州和马里兰州，成本是否是预防使用的障碍。受访者被询问他们是否愿意为化学、自然和针对啮齿动物的庭院杀虫剂处理以及用氯菊酯处理的衣物付费。我们评估了人口统计学、TBD 知识和态度以及对预防方法的支付意愿之间的关联。大多数受访者愿意为庭院处理付费（85%）；95%的人更喜欢天然杀虫剂，82%的人愿意为氯菊酯处理的衣物付费。大多数人不希望为任何庭院处理支付超过 99 美元。家庭收入为 100000 美元与愿意为化学、自然或针对啮齿动物的处理支付 100 美元或更多以及为自行处理和预处理的氯菊酯衣物支付 25 美元或更多有关。庭院处理，特别是天然杀虫剂，是蜱传疾病预防的可接受方法；然而，目前的价格可能过高。用氯菊酯处理的衣物可能是一种负担得起且可接受的预防方法。
