{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:15:18Z","timestamp":1787681718665,"version":"build-2784847793"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"unspecified","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002341","name":"Research Council of Finland","doi-asserted-by":"publisher","award":["329323"],"award-info":[{"award-number":["329323"]}],"id":[{"id":"10.13039\/501100002341","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>With climate change, the geographic distribution of some VBDs has expanded, highlighting the need for adaptation, and managing the risks associated with emergence in new areas. We conducted a questionnaire survey on the knowledge, attitudes, and practices (KAP) about vector-borne diseases (VBDs) among sample of Finnish residents. The questions were scored and the level of KAP was determined based on scoring as poor, fair, good, or excellent. Binary logistic regression analysis was used to evaluate the associations of different KAP levels with sex, age, education, and possible previous VPD infection. We received 491\/1995 (25%) responses across the country and detected generally good knowledge, but only fair practices towards VBDs. Sex and age of the respondents were most often significantly associated with the level of KAP (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05). Despite the generally good knowledge, we detected major gaps, especially regarding the distinction of tick-borne encephalitis and Lyme borreliosis (LB), risk of disease, and protective measures. Additionally, many respondents thought the vaccination protects against LB or tick bites. This calls for awareness raising on disease risk and prevention measures. With increasing cases and the effects of climate change, surveillance of VBDs communication to the general public should be strengthened.<\/jats:p>","DOI":"10.1017\/s0950268824001468","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T11:56:37Z","timestamp":1736942197000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Knowledge, attitudes, and practices towards vector-borne diseases in changing climate in Finland"],"prefix":"10.1017","volume":"153","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1784-8190","authenticated-orcid":false,"given":"Henna","family":"M\u00e4kel\u00e4","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1819-518X","authenticated-orcid":false,"given":"Timoth\u00e9e","family":"Dub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Pekka","family":"Nuorti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jussi","family":"Sane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"S0950268824001468_r25","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1007\/s00436-010-2131-4","article-title":"Comparison of the tick repellent efficacy of chemical and biological products originating from Europe and the USA","volume":"108","author":"Semmler","year":"2011","journal-title":"Parasitology Research"},{"key":"S0950268824001468_r15","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.ttbdis.2017.07.004","article-title":"Knowledge, attitudes, and practices regarding ticks and tick-borne diseases, Finland","volume":"8","author":"Z\u00f6ldi","year":"2017","journal-title":"Ticks and Tick-borne Diseases"},{"key":"S0950268824001468_r19","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.3201\/eid2506.181741","article-title":"Enhancement of risk for Lyme disease by landscape connectivity, New York, New York, USA","volume":"25","author":"VanAcker","year":"2019","journal-title":"Emerging Infectious Diseases"},{"key":"S0950268824001468_r10","doi-asserted-by":"crossref","first-page":"101449","DOI":"10.1016\/j.ttbdis.2020.101449","article-title":"Monitoring of ticks and tick-borne pathogens through a nationwide research station network in Finland","volume":"11","author":"Sormunen","year":"2020","journal-title":"Ticks and Tick-borne Diseases"},{"key":"S0950268824001468_r24","doi-asserted-by":"crossref","first-page":"101307","DOI":"10.1016\/j.ttbdis.2019.101307","article-title":"Knowledge, habits and attitudes towards TBE and other tick-borne diseases in German forestry trainees","volume":"11","author":"San Martin Rodriguez","year":"2020","journal-title":"Ticks and Tick-borne Diseases"},{"key":"S0950268824001468_r14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/emi.2017.17","article-title":"Crowdsourcing-based nationwide tick collection reveals the distribution of Ixodes ricinus and I. persulcatus and associated pathogens in Finland","volume":"6","author":"Laaksonen","year":"2017","journal-title":"Emerging Microbes and Infections"},{"key":"S0950268824001468_r6","first-page":"11","volume-title":"Climate Change 2022: Impacts, Adaptation, and Vulnerability. Contribution of Working Group II to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change","author":"P\u00f6rtner","year":"2022"},{"key":"S0950268824001468_r13","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1186\/1756-3305-4-84","article-title":"Multi-source analysis reveals latitudinal and altitudinal shifts in range of Ixodes ricinus at its northern distribution limit","volume":"4","author":"Jore","year":"2011","journal-title":"Parasites and Vectors"},{"key":"S0950268824001468_r4","doi-asserted-by":"crossref","first-page":"110038","DOI":"10.1016\/j.envres.2020.110038","article-title":"Environmental drivers, climate change and emergent diseases transmitted by mosquitoes and their vectors in southern Europe: a systematic review","volume":"191","author":"Brugueras","year":"2020","journal-title":"Environmental Research"},{"key":"S0950268824001468_r21","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1080\/23744235.2020.1775883","article-title":"Lack of perception regarding risk of dengue and day-active mosquitoes in Finnish travellers","volume":"52","author":"M\u00e4kel\u00e4","year":"2020","journal-title":"Infectious Diseases"},{"key":"S0950268824001468_r26","doi-asserted-by":"crossref","first-page":"102339","DOI":"10.1016\/j.healthplace.2020.102339","article-title":"Knowledge, attitudes, and practices regarding dengue, chikungunya, and Zika in Cali, Colombia","volume":"63","author":"Desjardins","year":"2020","journal-title":"Health and Place"},{"key":"S0950268824001468_r22","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1186\/s12889-019-7613-4","article-title":"Protective practices against tick bites in Denmark, Norway and Sweden: a questionnaire-based study","volume":"19","author":"Jepsen","year":"2019","journal-title":"BMC Public Health"},{"key":"S0950268824001468_r11","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1016\/j.cmi.2019.10.003","article-title":"Seroprevalence of Lyme borreliosis in Finland 50 years ago","volume":"26","author":"Cuellar","year":"2020","journal-title":"Clinical Microbiology and Infection"},{"key":"S0950268824001468_r23","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5604\/12321966.1219183","article-title":"Students\u2019 attitudes to tick risks","volume":"23","author":"Nejezchlebov\u00e1","year":"2016","journal-title":"Annals of Agricultural and Environmental Medicine"},{"key":"S0950268824001468_r28","doi-asserted-by":"crossref","first-page":"8","DOI":"10.22582\/am.v11i1.31","article-title":"How much can a KAP survey tell us about people\u2019s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi","volume":"11","author":"Launiala","year":"1970","journal-title":"Anthropology Matters"},{"key":"S0950268824001468_r1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s10096-003-0918-2","article-title":"Shift of the tick Ixodes ricinus and tick-borne encephalitis to higher altitudes in Central Europe","volume":"22","author":"Daniel","year":"2003","journal-title":"European Journal of Clinical Microbiology and Infectious Diseases"},{"key":"S0950268824001468_r5","doi-asserted-by":"crossref","first-page":"5387","DOI":"10.3390\/ijerph17155387","article-title":"A mini-review of Ixodes ticks climate sensitive infection dispersion risk in the Nordic region","volume":"17","author":"van Oort","year":"2020","journal-title":"International Journal of Environmental Research and Public Health"},{"key":"S0950268824001468_r27","doi-asserted-by":"crossref","unstructured":"[27] Raina, S (2013) Assessment of knowledge, attitude, and practice in health care delivery. North American Journal of Medical Sciences 5(3), 249\u2013250. https:\/\/doi.org\/10.4103\/1947-2714.109226.","DOI":"10.4103\/1947-2714.109226"},{"key":"S0950268824001468_r29","doi-asserted-by":"crossref","first-page":"2281055","DOI":"10.1080\/20008686.2023.2281055","article-title":"Outdoor recreation, tick borne encephalitis incidence and seasonality in Finland, Norway and Sweden during the COVID-19 pandemic (2020\/2021)","volume":"13","author":"Jore","year":"2023","journal-title":"Infection Ecology and Epidemiology"},{"key":"S0950268824001468_r9","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.3201\/eid2308.161273","article-title":"Lyme borreliosis in Finland, 1995\u20132014","volume":"23","author":"Sajanti","year":"2017","journal-title":"Emerging Infectious Diseases"},{"key":"S0950268824001468_r2","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1756-3305-5-8","article-title":"Changes in the geographical distribution and abundance of the tick Ixodes ricinus during the past 30 years in Sweden","volume":"5","author":"Jaenson","year":"2012","journal-title":"Parasites and Vectors"},{"key":"S0950268824001468_r8","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1146\/annurev-ento-052720-094533","article-title":"The impacts of climate change on ticks and tick-borne disease risk","volume":"66","author":"Gilbert","year":"2021","journal-title":"Annual Review of Entomology"},{"key":"S0950268824001468_r20","unstructured":"[20] MSD Animal Health, Protect Our Future Too Initiative (n.d.) 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e12"}}