{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:26:48Z","timestamp":1790616408950,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>A growing number of Lyme disease (LD) cases in the U.S. are reported in states neighbouring those with high\u2010incidence (&gt;10 cases per 100,000 population) rates. Considering the evolving epidemiology, high\u2010incidence counties in many of these \u201cneighbouring states,\u201d and the forthcoming vaccines, understanding the drivers of vaccination intention is critical, particularly how drivers of intention in neighbouring states vary relative to regions currently classified as high incidence.<\/jats:p><jats:p>This study uses the Health Belief Model (HBM) to determine the key drivers associated with vaccine intention for U.S. adults and caregivers of children residing in neighbouring states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Using an established panel with quotas for age, sex, race\/ethnicity and urbanity, we surveyed 887 adults and 822 caregivers of children residing in U.S. neighbouring states. Survey items included measures of intention and HBM constructs, all of which were assessed using 5\u2010point Likert scales. We subsequently used structural equation modelling to understand the influence of the HBM constructs on LD vaccine intention.<\/jats:p><jats:p>Estimates from structural equation modelling show that the HBM constructs explain much of the variation in intention to vaccinate against LD. Intentions to vaccinate for both adults and caregivers are positively influenced by cues to action, perceived susceptibility of LD, and perceived benefits to vaccination. Both are also negatively influenced by perceived barriers to vaccination. The caregiver's intention to vaccinate is also positively influenced by the perceived severity of LD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The intention to vaccinate for respondents residing in LD neighbouring states is strongly influenced by recommendations from healthcare providers or the Centers for Disease Control and Prevention (CDC). As incidence rises in neighbouring states and the need to prevent disease becomes more overt, public health officials should strongly recognize the influence of healthcare providers and CDC recommendations on intention to vaccinate against LD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/zph.13142","type":"journal-article","created":{"date-parts":[[2024,5,11]],"date-time":"2024-05-11T03:08:32Z","timestamp":1715396912000},"page":"526-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Using the Health Belief Model to understand intention to vaccinate for Lyme disease in the United States"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8971-3311","authenticated-orcid":false,"given":"L. Hannah","family":"Gould","sequence":"first","affiliation":[{"name":"Global Medical Affairs, Vaccines and Antivirals, Pfizer US Commercial Division  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0728-876X","authenticated-orcid":false,"given":"James H.","family":"Stark","sequence":"additional","affiliation":[{"name":"Global Medical Affairs, Vaccines and Antivirals, Pfizer US Commercial Division  Cambridge Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"McFadden","sequence":"additional","affiliation":[{"name":"Behavioralize LLC  Wynnewood Pennsylvania USA"},{"name":"The Department of Agricultural Economics and Agribusiness University of Arkansas  Fayetteville Arkansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyati","family":"Patel","sequence":"additional","affiliation":[{"name":"Behavioralize LLC  Wynnewood Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick H.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Global Medical Affairs, Vaccines and Antivirals, Pfizer US Commercial Division  Collegeville Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Riis","sequence":"additional","affiliation":[{"name":"Behavioralize LLC  Wynnewood Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/psrm.2018.28"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118763520"},{"key":"e_1_2_11_4_1","volume-title":"Surveillance for Ixodes pacificus and pathogens found in this tick species in the United States","author":"CDC","year":"2018"},{"key":"e_1_2_11_5_1","volume-title":"Data and surveillance","author":"CDC","year":"2022"},{"key":"e_1_2_11_6_1","volume-title":"Lyme disease (Borrelia burgdorferi) 2022 case definition","author":"CDC","year":"2022"},{"key":"e_1_2_11_7_1","volume-title":"Lyme disease vaccine","author":"CDC","year":"2023"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/07370016.2011.539087"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2013.12.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/jme\/tjv237"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2017.1401623"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2011.05.014"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160\u2010012\u20109366\u20105"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-015-0617-9"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2021.11.065"},{"key":"e_1_2_11_16_1","volume-title":"Data explorer","author":"John Hopkins","year":"2023"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofv143"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofw269"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-017-9888-y"},{"key":"e_1_2_11_20_1","volume-title":"How people get local news and information in different communities","author":"Miller C.","year":"2012"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019206"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2019.07.008"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1086\/209405"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0208402"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2013.04.010"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019817400200405"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6622a1"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/zph.12984"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201010816\u20107"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/zph.13107"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105314539527"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.4dfb.8dfd"},{"key":"e_1_2_11_33_1","unstructured":"U.S. Census Burearu. 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