{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:35:23Z","timestamp":1790127323596,"version":"4.0.1"},"reference-count":68,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T00:00:00Z","timestamp":1720137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002343","name":"Institut de Recherche Robert-Sauv\u00e9 en Sant\u00e9 et en S\u00e9curit\u00e9 du Travail","doi-asserted-by":"publisher","award":["2019\u20130001"],"award-info":[{"award-number":["2019\u20130001"]}],"id":[{"id":"10.13039\/501100002343","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Lyme disease is a well\u2010known occupational risk across North America caused by exposure to <jats:italic>Borrelia burgdorferi<\/jats:italic> via blacklegged ticks (<jats:italic>Ixodes scapularis<\/jats:italic>). As the geographic range of <jats:italic>B. burgdorferi<\/jats:italic> advances with the increasing distribution of blacklegged ticks, more outdoor workers are at risk of contracting Lyme disease. In this study, we examined the demography and personal perceptions of outdoor workers within one framework to better determine the overall risk for those working outdoors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>We analysed outdoor worker knowledge of ticks and of behaviours that can prevent tick bites and Lyme disease. We then compared these risk perceptions of individuals across age, sex, education, and industry, as well as time spent outdoors. We tested the hypothesis that the risk perception of an individual and their knowledge of Lyme disease transmission was dependent on their demographics, experience in their job, and the region in which they spend time outdoors. We estimated a knowledge\u2010based risk score based on individuals' answers to a questionnaire on risk perception given to voluntary participants who work outdoors. Those who had higher risk scores were more at risk. We found that knowledge\u2010based risk scores were correlated with geographic risk levels and with the number of hours per day spent outdoors. Those who work longer hours and who work in areas with mid\u2010level risk had higher risk scores. Those who spend more time outdoors recreationally had lower risk scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Further examination and acknowledgment of the reasoning behind why these factors are affecting workers' risks must be considered to recognize that it is not necessarily demographics or geographically high\u2010risk areas that affect an individual's risk. Workers' knowledge of these risks is affected by several variables that should be taken into consideration when implementing safety measures and awareness programs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/zph.13167","type":"journal-article","created":{"date-parts":[[2024,7,5]],"date-time":"2024-07-05T15:33:22Z","timestamp":1720193602000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Outdoor worker knowledge of ticks and Lyme disease in Qu\u00e9bec"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6297-8176","authenticated-orcid":false,"given":"Erica","family":"Fellin","sequence":"first","affiliation":[{"name":"Department of Biology McGill University  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0298-8430","authenticated-orcid":false,"given":"Mathieu","family":"Varin","sequence":"additional","affiliation":[{"name":"Centre d'enseignement et de Recherche en Foresterie (CERFO)  Qu\u00e9bec City Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Millien","sequence":"additional","affiliation":[{"name":"Department of Biology McGill University  Montreal Qu\u00e9bec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,5]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.14745\/ccdr.v47i01a08"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2016.09.007"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010022\u201013222\u20109"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201014\u20101298"},{"issue":"10","key":"e_1_2_12_6_1","first-page":"11","article-title":"Reported vectorborne and zoonotic diseases, U.S. Air Force 2000\u20132011","volume":"19","author":"Anna M. 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