{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T09:09:01Z","timestamp":1788944941243,"version":"build-2803163510"},"reference-count":53,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Qual Health Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    In peasant livelihoods, families are regularly exposed to ectoparasites such as ticks, and thus to the diseases they carry. Little is known about how rural families\u2019 knowledge influences health in domestic and community environments. We applied reflexive thematic analysis (RTA) to family preventative and curative strategies for tick exposure and bites in a Maya community in Yucatan, Mexico. Data were collected over six months via participant observation and 26 semi-structured interviews with fifteen women homemakers, five peasant farmers, three traditional healers, and three biomedical professionals. Three themes became apparent via RTA: \u201cSocialization and normalization of tick management,\u201d \u201cPragmatism and observation,\u201d and \u201cWomen Caregivers.\u201d A principal finding is that local participants only associated tick bites with skin ailments, which they treated at home using mostly homemade remedies, as well as some biomedical products. Based on their knowledge of and experience with ticks, their preventive strategies in the domestic sphere focused on minimizing tick contact with the skin, preventing ticks from entering the house, and protecting children. All family members contributed to implementing anti-tick strategies, using knowledge created through communal processes influenced by economic factors and experiences with similar illnesses. One biomedical professional commented that the study population\u2019s lack of awareness about the magnitude of the disease risk from ticks is alarming, referring to tick-borne\n                    <jats:italic toggle=\"yes\">Rickettsia<\/jats:italic>\n                    as a \u201csleeping giant.\u201d Our findings underscore that acknowledging and understanding domestic knowledge and strategies is vital to developing programs to assist rural populations in better controlling this and other disease vectors.\n                  <\/jats:p>","DOI":"10.1177\/10497323251344058","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T09:09:10Z","timestamp":1749460150000},"page":"1359-1372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cYou Pinch It With the Nail Clipper, and You Kill It\u201d: A Reflexive Thematic Analysis of How Maya Families Prevent and Manage Tick Bites in Yucatan, Mexico"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1932-9829","authenticated-orcid":false,"given":"Jasset","family":"Puc-V\u00e1zquez","sequence":"first","affiliation":[{"name":"Centro de Investigaci\u00f3n y de Estudios Avanzados (Cinvestav), Unidad M\u00e9rida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-3797","authenticated-orcid":false,"given":"Karla Rossanet","family":"Dzul\u2013Rosado","sequence":"additional","affiliation":[{"name":"Universidad Aut\u00f3noma de Yucatan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5071-1124","authenticated-orcid":false,"given":"Luz","family":"Arenas-Monreal","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones en Sistemas de Salud\/Instituto Nacional de Salud P\u00fablica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4980-4344","authenticated-orcid":false,"given":"Carlos N.","family":"Ibarra-Cerde\u00f1a","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y de Estudios Avanzados (Cinvestav), Unidad M\u00e9rida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1858-2873","authenticated-orcid":false,"given":"Mar\u00eda Teresa","family":"Castillo-Burguete","sequence":"additional","affiliation":[{"name":"Centro de Investigaci\u00f3n y de Estudios Avanzados (Cinvestav), Unidad M\u00e9rida"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732319882674"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(17)30173-1"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.21149\/spm.v57i1.7404"},{"issue":"2","key":"e_1_3_6_5_1","first-page":"181","article-title":"Prevention of tick bites and protection against tick-borne diseases in South-Eastern Poland","volume":"15","author":"Bartosik K.","year":"2008","unstructured":"Bartosik K., Kubrak T., Olszewski T., Jung M., Buczek A. (2008). Prevention of tick bites and protection against tick-borne diseases in South-Eastern Poland. Annals of Agricultural and Environmental Medicine, 15(2), 181\u2013185.","journal-title":"Annals of Agricultural and Environmental Medicine"},{"issue":"2","key":"e_1_3_6_6_1","first-page":"56","article-title":"Garrapatas (Ixodidae), potenciales transmisores de Rickettsia rickettsii en un municipio con alta frecuencia de infecci\u00f3n por Rickettsiosis [Ticks (Ixodidae), potential transmitters of Rickettsia rickettsii in a municipality with a high frequency of Rickettsiosis infection]","volume":"3","author":"Braga-Ord\u00f3\u00f1ez J.","year":"2016","unstructured":"Braga-Ord\u00f3\u00f1ez J., Balmaceda L., P\u00e9rez-Osorio C., Peniche-Lara G. (2016). Garrapatas (Ixodidae), potenciales transmisores de Rickettsia rickettsii en un municipio con alta frecuencia de infecci\u00f3n por Rickettsiosis [Ticks (Ixodidae), potential transmitters of Rickettsia rickettsii in a municipality with a high frequency of Rickettsiosis infection]. 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