{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:47:16Z","timestamp":1792788436380,"version":"4.5.0"},"reference-count":83,"publisher":"Public Library of Science (PLoS)","issue":"9","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018693","name":"HORIZON EUROPE Framework Programme","doi-asserted-by":"publisher","award":["101045989"],"award-info":[{"award-number":["101045989"]}],"id":[{"id":"10.13039\/100018693","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018693","name":"HORIZON EUROPE Framework Programme","doi-asserted-by":"publisher","award":["101045989"],"award-info":[{"award-number":["101045989"]}],"id":[{"id":"10.13039\/100018693","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018693","name":"HORIZON EUROPE Framework Programme","doi-asserted-by":"publisher","award":["101045989"],"award-info":[{"award-number":["101045989"]}],"id":[{"id":"10.13039\/100018693","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018693","name":"HORIZON EUROPE Framework Programme","doi-asserted-by":"publisher","award":["101095619"],"award-info":[{"award-number":["101095619"]}],"id":[{"id":"10.13039\/100018693","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018693","name":"HORIZON EUROPE Framework Programme","doi-asserted-by":"publisher","award":["101131957"],"award-info":[{"award-number":["101131957"]}],"id":[{"id":"10.13039\/100018693","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Agence Nationale de la Recherche","award":["ANR-19-CE46-0008"],"award-info":[{"award-number":["ANR-19-CE46-0008"]}],"id":[{"id":"https:\/\/ror.org\/00rbzpz17","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Agence Nationale de la Recherche","award":["ANR-19-CE46-0008"],"award-info":[{"award-number":["ANR-19-CE46-0008"]}],"id":[{"id":"https:\/\/ror.org\/00rbzpz17","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Fondazione Cassa di Risparmio di Torino"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>\n                    The dengue virus, transmitted by\n                    <jats:italic>Aedes<\/jats:italic>\n                    mosquitoes, causes an estimated 100\u2013390 million infections annually worldwide. With no treatment available, mitigation and prevention involve reducing mosquito breeding and limiting feeding opportunities. Due to changing climate conditions,\n                    <jats:italic>Aedes<\/jats:italic>\n                    mosquitoes are increasingly established in Europe causing more local cases. Thus, understanding population knowledge, attitudes, and practices in areas where dengue is an emerging threat is necessary for effective prevention. We designed a cross-sectional survey collecting knowledge, attitudes, and beliefs about dengue in the general population, leveraging the French and Italian 2024 cohorts of the participatory surveillance network InfluenzaNet. We analyzed pooled responses from 2,500 participants in mainland France and 404 in Italy. Via bias-adjusted (age, sex and education) logistic and ordinal regression, we examined determinants of awareness of dengue, knowledge of its characteristics, adoption of preventive measures, and vaccination willingness. Over 91% of included participants were aware of dengue as a disease, and 14.6% had sought information. Seeking information and concern levels were significant determinants of dengue knowledge, preventive measures adoption, and vaccination willingness. Better knowledge of dengue characteristics, vaccination status, residence in areas with detected autochthonous cases, and presence of comorbidities were associated with greater adoption of preventive measures. Living in rural areas was associated with lower knowledge and vaccination willingness but higher adoption of preventive measures. Finally, 0.4% of participants had received a dengue vaccine (not recommended to the general population), and 54.6% would accept a vaccine if offered. Low-risk perception was the most common reason for refusal. Our study highlights the interplay between knowledge, attitudes, behaviours, socio-demographic, individual and contextual characteristics of the participants related to dengue in a non-endemic context. Targeted communication strategies accounting for these factors are essential to enhance preparedness and outbreak prevention in regions where dengue represents an emerging threat.\n                  <\/jats:p>","DOI":"10.1371\/journal.pgph.0007162","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:24:39Z","timestamp":1790184279000},"page":"e0007162","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing dengue knowledge, attitudes and preventive practices in France and Italy: A cross-sectional study using participatory surveillance cohorts"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9362-4763","authenticated-orcid":true,"given":"Lucille","family":"Calmon","sequence":"first","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Pierre Louis Institute of Epidemiology and Public Health","place":["Paris, France"]},{"name":"ISI Foundation","place":["Turin, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2116-0113","authenticated-orcid":true,"given":"Alessandro","family":"De Gaetano","sequence":"additional","affiliation":[{"name":"ISI Foundation","place":["Turin, Italy"]},{"name":"Aix Marseille Univ, Universit\u00e9 de Toulon, CNRS, CPT","place":["Marseille, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Mazzoli","sequence":"additional","affiliation":[{"name":"ISI Foundation","place":["Turin, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00f2","family":"Gozzi","sequence":"additional","affiliation":[{"name":"ISI Foundation","place":["Turin, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5146-7642","authenticated-orcid":true,"given":"Marion","family":"Debin","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Pierre Louis Institute of Epidemiology and Public Health","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5074-9541","authenticated-orcid":true,"given":"Cl\u00e9ment","family":"Turbelin","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Pierre Louis Institute of Epidemiology and Public Health","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Marmorat","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Pierre Louis Institute of Epidemiology and Public Health","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Perra","sequence":"additional","affiliation":[{"name":"School of Mathematical Sciences, Queen Mary University of London","place":["London, United Kingdom"]},{"name":"The Alan Turing Institute","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Barrat","sequence":"additional","affiliation":[{"name":"Aix Marseille Univ, Universit\u00e9 de Toulon, CNRS, CPT","place":["Marseille, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vittoria","family":"Colizza","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Pierre Louis Institute of Epidemiology and Public Health","place":["Paris, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Paolotti","sequence":"additional","affiliation":[{"name":"ISI Foundation","place":["Turin, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"issue":"10427","key":"pgph.0007162.ref001","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/S0140-6736(23)02576-X","article-title":"Dengue","volume":"403","author":"G Paz-Bailey","year":"2024","journal-title":"Lancet"},{"issue":"7446","key":"pgph.0007162.ref002","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1038\/nature12060","article-title":"The global distribution and burden of dengue","volume":"496","author":"S Bhatt","year":"2013","journal-title":"Nature"},{"issue":"10159","key":"pgph.0007162.ref003","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/S0140-6736(18)32279-7","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990\u20132017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"392","author":"SL James","year":"2018","journal-title":"Lancet"},{"issue":"10159","key":"pgph.0007162.ref004","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.1016\/S0140-6736(18)32203-7","article-title":"Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980\u20132017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"392","author":"GA Roth","year":"2018","journal-title":"Lancet"},{"issue":"13","key":"pgph.0007162.ref005","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1007\/s40265-016-0626-8","article-title":"Tetravalent Dengue Vaccine: A Review in the Prevention of Dengue Disease","volume":"76","author":"LJ Scott","year":"2016","journal-title":"Drugs"},{"key":"pgph.0007162.ref006","unstructured":"World Health Organization [Internet]. Vaccines and immunization: Dengue. [cited 2025 Jun 27]. Available from: https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/dengue-vaccines"},{"issue":"4","key":"pgph.0007162.ref007","doi-asserted-by":"crossref","first-page":"251","DOI":"10.5216\/rpt.v53i4.80613","article-title":"Dengue prevention and treatment: a scoping review","volume":"53","author":"L Casagrande Passoni Lopes","year":"2024","journal-title":"Rev Patol Trop"},{"key":"pgph.0007162.ref008","unstructured":"World Health Organization. Dengue guidelines for diagnosis, treatment, prevention and control: new edition. 2009 [cited 2025 Jun 30];(WHO\/HTM\/NTD\/DEN\/2009.1). Available from: https:\/\/iris.who.int\/handle\/10665\/44188"},{"issue":"3","key":"pgph.0007162.ref009","doi-asserted-by":"crossref","DOI":"10.1016\/S1473-3099(16)30471-6","article-title":"Prevention and control of dengue-the light at the end of the tunnel","volume":"17","author":"T Pang","year":"2017","journal-title":"Lancet Infect Dis"},{"key":"pgph.0007162.ref010","doi-asserted-by":"crossref","first-page":"336","DOI":"10.3389\/fcimb.2017.00336","article-title":"Prevention and Control Strategies to Counter Dengue Virus Infection","volume":"7","author":"IA Rather","year":"2017","journal-title":"Front Cell Infect Microbiol"},{"issue":"1","key":"pgph.0007162.ref011","doi-asserted-by":"crossref","first-page":"2426348","DOI":"10.1080\/16549716.2024.2426348","article-title":"Beyond top-down: community co-creation approaches for sustainable dengue vector control","volume":"17","author":"P Dambach","year":"2024","journal-title":"Glob Health Action"},{"key":"pgph.0007162.ref012","article-title":"Evidence based community mobilization for dengue prevention in Nicaragua and Mexico (Camino Verde, the Green Way): cluster randomized controlled trial","volume":"2015","author":"N Andersson","year":"2015","journal-title":"BMJ"},{"issue":"15","key":"pgph.0007162.ref013","doi-asserted-by":"crossref","first-page":"2400515","DOI":"10.2807\/1560-7917.ES.2025.30.15.2400515","article-title":"Description and comparison of national surveillance systems and response measures for Aedes-borne diseases in France, Italy and Portugal: a benchmarking study","volume":"30","author":"EA Fotakis","year":"2025","journal-title":"Eurosurveillance"},{"issue":"8","key":"pgph.0007162.ref014","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0001760","article-title":"Refining the global spatial limits of dengue virus transmission by evidence-based consensus","volume":"6","author":"OJ Brady","year":"2012","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"pgph.0007162.ref015","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1038\/s41590-020-0648-y","article-title":"Climate change: an enduring challenge for vector-borne disease prevention and control","volume":"21","author":"J Rockl\u00f6v","year":"2020","journal-title":"Nat Immunol"},{"issue":"5","key":"pgph.0007162.ref016","doi-asserted-by":"crossref","first-page":"56002","DOI":"10.1289\/EHP14463","article-title":"A State-of-the-Science Review of Long-Term Predictions of Climate Change Impacts on Dengue Transmission Risk","volume":"133","author":"J Islam","year":"2025","journal-title":"Environ Health Perspect"},{"key":"pgph.0007162.ref017","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.envres.2016.07.026","article-title":"Dengue in a changing climate","volume":"151","author":"KL Ebi","year":"2016","journal-title":"Environ Res"},{"key":"pgph.0007162.ref018","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.gloplacha.2011.05.008","article-title":"Projection of climatic suitability for Aedes albopictus Skuse (Culicidae) in Europe under climate change conditions","volume":"78","author":"D Fischer","year":"2011","journal-title":"Glob Planet Change"},{"key":"pgph.0007162.ref019","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1016\/j.envres.2019.02.026","article-title":"Climate change may enable Aedes aegypti infestation in major European cities by 2100","volume":"172","author":"J Liu-Helmersson","year":"2019","journal-title":"Environ Res"},{"key":"pgph.0007162.ref020","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ebiom.2016.03.046","article-title":"Climate Change and Aedes Vectors: 21st Century Projections for Dengue Transmission in Europe","volume":"7","author":"J Liu-Helmersson","year":"2016","journal-title":"eBioMedicine"},{"key":"pgph.0007162.ref021","doi-asserted-by":"crossref","unstructured":"Naddaf M. Dengue is spreading in Europe: how worried should we be? Nature [Internet]. 2023 [cited 2025 Jun 30]; Available from: https:\/\/www.nature.com\/articles\/d41586-023-03407-6","DOI":"10.1038\/d41586-023-03407-6"},{"key":"pgph.0007162.ref022","doi-asserted-by":"crossref","DOI":"10.1093\/eurpub\/ckz186.628","article-title":"Autochthonous chikungunya and dengue fever outbreak in Mainland France, 2010-2018","volume":"29","author":"F Franke","year":"2019","journal-title":"Eur J Public Health"},{"issue":"47","key":"pgph.0007162.ref023","doi-asserted-by":"crossref","first-page":"2400713","DOI":"10.2807\/1560-7917.ES.2024.29.47.2400713","article-title":"Autochthonous dengue outbreak in Marche Region, Central Italy, August to October 2024","volume":"29","author":"C Sacco","year":"2024","journal-title":"Eurosurveillance"},{"key":"pgph.0007162.ref024","unstructured":"Chikungunya, dengue et zika - Donn\u00e9es de la surveillance renforc\u00e9e en France hexagonale. 2024 [Internet]. [cited 2025 Oct 20]. Available from: https:\/\/www.santepubliquefrance.fr\/maladies-et-traumatismes\/maladies-a-transmission-vectorielle\/chikungunya\/articles\/donnees-en-france-metropolitaine\/chikungunya-dengue-et-zika-donnees-de-la-surveillance-renforcee-en-france-hexagonale-2024"},{"key":"pgph.0007162.ref025","unstructured":"European Centre for Disease Prevention and Control. Public health guidance for assessing and mitigating the risk of locally-acquired Aedes-borne viral diseases in the EU\/EEA. [Internet]. LU: Publications Office; 2025 [cited 2025 Sep 26]. Available from: https:\/\/data.europa.eu\/doi\/10.2900\/8091262"},{"key":"pgph.0007162.ref026","unstructured":"Recrudescence de cas import\u00e9s de dengue en France hexagonale: appel \u00e0 la vigilance \u00e0 l\u2019approche de la saison d\u2019activit\u00e9 du moustique tigre [Internet]. [cited 2025 Oct 28]. Available from: https:\/\/www.santepubliquefrance.fr\/les-actualites\/2024\/recrudescence-de-cas-importes-de-dengue-en-france-hexagonale-appel-a-la-vigilance-a-l-approche-de-la-saison-d-activite-du-moustique-tigre"},{"key":"pgph.0007162.ref027","doi-asserted-by":"crossref","DOI":"10.1038\/nrmicro2460","article-title":"Dengue: a continuing global threat","volume":"8","author":"MG Guzman","year":"2010","journal-title":"Nat Rev Microbiol"},{"issue":"4","key":"pgph.0007162.ref028","doi-asserted-by":"crossref","DOI":"10.1002\/hsr2.2034","article-title":"Upsurge of dengue outbreaks in several WHO regions: Public awareness, vector control activities, and international collaborations are key to prevent spread","volume":"7","author":"R Sarker","year":"2024","journal-title":"Health Sci Rep"},{"issue":"1","key":"pgph.0007162.ref029","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/109019818401100101","article-title":"The Health Belief Model: a decade later","volume":"11","author":"NK Janz","year":"1984","journal-title":"Health Educ Q"},{"issue":"1","key":"pgph.0007162.ref030","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4269\/ajtmh.2005.72.67","article-title":"Elimination of dengue by community programs using Mesocyclops(Copepoda) against Aedes aegypti in central Vietnam","volume":"72","author":"SN Vu","year":"2005","journal-title":"Am J Trop Med Hyg"},{"issue":"7","key":"pgph.0007162.ref031","doi-asserted-by":"crossref","first-page":"4390","DOI":"10.3390\/ijerph19074390","article-title":"Knowledge, Attitudes, Beliefs, and Practices Regarding Dengue in La R\u00e9union Island, France","volume":"19","author":"F Lamaurt","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"pgph.0007162.ref032","doi-asserted-by":"crossref","first-page":"195","DOI":"10.4269\/ajtmh.17-0528","article-title":"Knowledge, Attitudes, and Preventive Practices Regarding Dengue in Maracay, Venezuela","volume":"99","author":"J Elsinga","year":"2018","journal-title":"Am J Trop Med Hyg"},{"issue":"1","key":"pgph.0007162.ref033","article-title":"Sociodemographic predictors of knowledge, mosquito bite patterns and protective behaviors concerning vector borne disease: The case of dengue fever in Chinese subtropical city, Hong Kong","volume":"15","author":"EYY Chan","year":"2021","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"pgph.0007162.ref034","doi-asserted-by":"crossref","first-page":"191","DOI":"10.4103\/apjtm.apjtm_925_23","article-title":"Global systematic review and meta-analysis of knowledge, attitudes, and practices towards dengue fever among the general population","volume":"17","author":"AS Jahromi","year":"2024","journal-title":"Asian Pac J Trop Med"},{"issue":"4","key":"pgph.0007162.ref035","article-title":"Factors Affecting Dengue Prevention Practices: Nationwide Survey of the Malaysian Public","volume":"10","author":"LP Wong","year":"2015","journal-title":"PLOS ONE"},{"key":"pgph.0007162.ref036","doi-asserted-by":"crossref","first-page":"1239874","DOI":"10.3389\/fpubh.2023.1239874","article-title":"A review of knowledge, attitudes and practices regarding mosquitoes and mosquito-borne infectious diseases in nonendemic regions","volume":"11","author":"P Duval","year":"2023","journal-title":"Front Public Health"},{"issue":"11","key":"pgph.0007162.ref037","doi-asserted-by":"crossref","first-page":"3960","DOI":"10.3390\/ijerph17113960","article-title":"Knowledge, Attitude and Practices towards the Tiger Mosquito Aedes Albopictus. A Questionnaire Based Survey in Lazio Region (Italy) before the 2017 Chikungunya Outbreak","volume":"17","author":"B Caputo","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"pgph.0007162.ref038","first-page":"510","article-title":"Repr\u00e9sentations et comportements de pr\u00e9vention des arboviroses en France m\u00e9tropolitaine: Barom\u00e8tre sant\u00e9 2016","author":"Le groupe Barom\u00e8tre sant\u00e9 2016","year":"2018","journal-title":"Bull Epid\u00e9miol Hebd"},{"issue":"3","key":"pgph.0007162.ref039","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10393-020-01500-0","article-title":"The Ecology of Protective Behaviors: A Study in New Risk Areas for Mosquito-Borne Diseases","volume":"17","author":"A Constant","year":"2020","journal-title":"Ecohealth"},{"issue":"6","key":"pgph.0007162.ref040","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2012-002094","article-title":"Public perceptions and behaviours related to the risk of infection with Aedes mosquito-borne diseases: a cross-sectional study in Southeastern France","volume":"2","author":"J Raude","year":"2012","journal-title":"BMJ Open"},{"issue":"1","key":"pgph.0007162.ref041","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1186\/s12889-024-19293-0","article-title":"Determinants of intended prevention behaviour against mosquitoes and mosquito-borne viruses in the Netherlands and Spain using the MosquitoWise survey: cross-sectional study","volume":"24","author":"PA de Best","year":"2024","journal-title":"BMC Public Health"},{"issue":"1","key":"pgph.0007162.ref042","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1186\/s13071-022-05520-3","article-title":"How do attitudes shape protective practices against the Asian tiger mosquito in community gardens in a nonendemic country?","volume":"15","author":"P Duval","year":"2022","journal-title":"Parasit Vectors"},{"issue":"1","key":"pgph.0007162.ref043","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1186\/s12889-019-7317-9","article-title":"Low to medium-low risk perception for dengue, chikungunya and Zika outbreaks by infectious diseases physicians in France, Western Europe","volume":"19","author":"M Le Tyrant","year":"2019","journal-title":"BMC Public Health"},{"issue":"5","key":"pgph.0007162.ref044","article-title":"Impact of climate and Aedes albopictus establishment on dengue and chikungunya outbreaks in Europe: a time-to-event analysis","volume":"9","author":"Z Farooq","year":"2025","journal-title":"Lancet Planet Health"},{"issue":"8","key":"pgph.0007162.ref045","doi-asserted-by":"crossref","DOI":"10.2196\/38551","article-title":"The Landscape of Participatory Surveillance Systems Across the One Health Spectrum: Systematic Review","volume":"8","author":"C McNeil","year":"2022","journal-title":"JMIR Public Health Surveill"},{"key":"pgph.0007162.ref046","doi-asserted-by":"crossref","DOI":"10.1093\/infdis\/jiw280","article-title":"Participatory Syndromic Surveillance of Influenza in Europe","volume":"214","author":"C Guerrisi","year":"2016","journal-title":"J Infect Dis"},{"key":"pgph.0007162.ref047","doi-asserted-by":"crossref","first-page":"100614","DOI":"10.1016\/j.lanepe.2023.100614","article-title":"Attitudes towards booster, testing and isolation, and their impact on COVID-19 response in winter 2022\/2023 in France, Belgium, and Italy: a cross-sectional survey and modelling study","volume":"28","author":"G De Meijere","year":"2023","journal-title":"Lancet Reg Health Eur"},{"issue":"1","key":"pgph.0007162.ref048","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1186\/s12889-025-22496-8","article-title":"Exploring influenza vaccination determinants through digital participatory surveillance","volume":"25","author":"K Kelley","year":"2025","journal-title":"BMC Public Health"},{"issue":"5","key":"pgph.0007162.ref049","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pcbi.1007879","article-title":"Towards a data-driven characterization of behavioral changes induced by the seasonal flu","volume":"16","author":"N Gozzi","year":"2020","journal-title":"PLoS Comput Biol"},{"issue":"1","key":"pgph.0007162.ref050","doi-asserted-by":"crossref","first-page":"436","DOI":"10.3390\/ijerph19010436","article-title":"Are people optimistically biased about the risk of COVID-19 infection? Lessons from the first wave of the pandemic in Europe","volume":"19","author":"K McColl","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"9","key":"pgph.0007162.ref051","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0073675","article-title":"Evaluating the feasibility and participants\u2019 representativeness of an online nationwide surveillance system for influenza in France","volume":"8","author":"M Debin","year":"2013","journal-title":"PLoS One"},{"key":"pgph.0007162.ref052","unstructured":"FOR2 - Population non scolaris\u00e9e de 15 ans ou plus par sexe, \u00e2ge et dipl\u00f4me le plus \u00e9lev\u00e9 en 2019 \u2212 France enti\u00e8re \u2212Dipl\u00f4mes - Formation en 2019 | Insee [Internet]. 2019 [cited 2025 Mar 7]. Available from: https:\/\/www.insee.fr\/fr\/statistiques\/6455250?sommaire=6455252&geo=FE-1"},{"key":"pgph.0007162.ref053","unstructured":"Grado di istruzione dettagliato della popolazione residente di 6 anni e pi\u00f9 [Internet]. 2022 [cited 2025 Mar 7]. Available from: http:\/\/dati-censimentopopolazione.istat.it\/Index.aspx?DataSetCode=DICA_GRADOISTR1"},{"key":"pgph.0007162.ref054","unstructured":"Rodr\u00edguez G. Chapter 6: Multinomial Response Models [Internet]. 2007. Available from: https:\/\/grodri.github.io\/glms\/notes\/"},{"issue":"1","key":"pgph.0007162.ref055","first-page":"77","article-title":"Ordinal Regression Models in Psychology: A Tutorial","volume":"2","author":"P-C B\u00fcrkner","year":"2019","journal-title":"Adv Methods Pract Psychol Sci"},{"key":"pgph.0007162.ref056","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.jesp.2018.08.009","article-title":"Analyzing ordinal data with metric models: What could possibly go wrong?","volume":"79","author":"TM Liddell","year":"2018","journal-title":"J Exp Soc Psychol"},{"key":"pgph.0007162.ref057","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-19425-7","volume-title":"Regression Modeling Strategies: With Applications to Linear Models, Logistic and Ordinal Regression, and Survival Analysis [Internet]","author":"FE Harrell","year":"2015"},{"key":"pgph.0007162.ref058","unstructured":"Ordinal Logistic Regression| R data analysis examples [Internet]. UCLA: Statistical Consulting Group; [cited 2025 Mar 14]. Available from: https:\/\/stats.oarc.ucla.edu\/r\/dae\/ordinal-logistic-regression\/"},{"key":"pgph.0007162.ref059","unstructured":"Principali statistiche geografiche sui comuni \u2013 Istat [Internet]. [cited 2024 Oct 1]. Available from: https:\/\/www.istat.it\/classificazione\/principali-statistiche-geografiche-sui-comuni\/"},{"key":"pgph.0007162.ref060","unstructured":"Une nouvelle d\u00e9finition du rural pour mieux rendre compte des r\u00e9alit\u00e9s des territoires et de leurs transformations \u2212 La France et ses territoires | Insee [Internet]. 2021 [cited 2025 Mar 11]. Available from: https:\/\/www.insee.fr\/fr\/statistiques\/5039991?sommaire=5040030"},{"key":"pgph.0007162.ref061","unstructured":"Chikungunya, dengue et zika - Donn\u00e9es de la surveillance renforc\u00e9e en France m\u00e9tropolitaine en 2023 [Internet]. [cited 2025 Apr 16]. Available from: https:\/\/www.santepubliquefrance.fr\/maladies-et-traumatismes\/maladies-a-transmission-vectorielle\/chikungunya\/articles\/donnees-en-france-metropolitaine\/chikungunya-dengue-et-zika-donnees-de-la-surveillance-renforcee-en-france-metropolitaine-en-2023"},{"key":"pgph.0007162.ref062","unstructured":"EpiCentro. Febbre dengue - News [Internet]. [cited 2025 Apr 16]. Available from: https:\/\/www.epicentro.iss.it\/febbre-dengue\/2021-2023"},{"key":"pgph.0007162.ref063","unstructured":"European Centre for Disease Prevention and Control [Internet]. 2010 [cited 2025 Jun 18]. Dengue. Available from: https:\/\/www.ecdc.europa.eu\/en\/dengue"},{"issue":"1","key":"pgph.0007162.ref064","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1186\/s12889-019-7174-6","article-title":"Factors associated with influenza-like-illness: a crowdsourced cohort study from 2012\/13 to 2017\/18","volume":"19","author":"C Guerrisi","year":"2019","journal-title":"BMC Public Health"},{"issue":"3","key":"pgph.0007162.ref065","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1093\/ijpp\/riac007","article-title":"Seasonal influenza vaccination in pharmacy in France: description and determinants of the vaccinated at-risk population using this service, 1 year after implementation","volume":"30","author":"R Liard","year":"2022","journal-title":"Int J Pharm Pract"},{"key":"pgph.0007162.ref066","doi-asserted-by":"crossref","first-page":"150035","DOI":"10.1038\/sdata.2015.35","article-title":"The global compendium of Aedes aegypti and Ae. albopictus occurrence","volume":"2","author":"MUG Kraemer","year":"2015","journal-title":"Sci Data"},{"issue":"1","key":"pgph.0007162.ref067","doi-asserted-by":"crossref","first-page":"15335","DOI":"10.1038\/s41598-019-51787-5","article-title":"Urbanization creates diverse aquatic habitats for immature mosquitoes in urban areas","volume":"9","author":"ABB Wilke","year":"2019","journal-title":"Sci Rep"},{"issue":"8","key":"pgph.0007162.ref068","doi-asserted-by":"crossref","first-page":"4649","DOI":"10.3390\/ijerph19084649","article-title":"Risk perception towards COVID-19: a systematic review and qualitative synthesis","volume":"19","author":"S Cipolletta","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pgph.0007162.ref069","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.glt.2020.06.003","article-title":"Predictors of COVID-19 voluntary compliance behaviors: An international investigation","volume":"2","author":"C Clark","year":"2020","journal-title":"Glob Transit"},{"issue":"1","key":"pgph.0007162.ref070","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10935-022-00719-7","article-title":"Factors Influencing COVID-19 Prevention Behaviors","volume":"44","author":"E Wachira","year":"2023","journal-title":"J Prevention"},{"issue":"6","key":"pgph.0007162.ref071","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0235112","volume":"15","author":"H Seale","year":"2020","journal-title":"PLoS ONE"},{"issue":"8","key":"pgph.0007162.ref072","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pcbi.1013262","article-title":"Socioeconomic determinants of protective behaviors and contact patterns in the post-COVID-19 pandemic era: A cross-sectional study in Italy","volume":"21","author":"M Tizzani","year":"2025","journal-title":"PLoS Comput Biol"},{"issue":"2","key":"pgph.0007162.ref073","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1111\/jrh.12556","article-title":"Rural and Urban Differences in COVID-19 Prevention Behaviors","volume":"37","author":"T Callaghan","year":"2021","journal-title":"J Rural Health"},{"issue":"10","key":"pgph.0007162.ref074","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1016\/j.pec.2020.06.007","article-title":"Health literacy in rural and urban populations: A systematic review","volume":"103","author":"N Aljassim","year":"2020","journal-title":"Patient Educ Couns"},{"issue":"7","key":"pgph.0007162.ref075","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1007\/s10198-020-01208-6","article-title":"Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19","volume":"21","author":"S Neumann-B\u00f6hme","year":"2020","journal-title":"Eur J Health Econ"},{"issue":"38","key":"pgph.0007162.ref076","doi-asserted-by":"crossref","first-page":"6472","DOI":"10.1016\/j.vaccine.2011.06.107","article-title":"Factors associated with uptake of vaccination against pandemic influenza: a systematic review","volume":"29","author":"A Bish","year":"2011","journal-title":"Vaccine"},{"issue":"8","key":"pgph.0007162.ref077","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1007\/s10389-021-01677-w","article-title":"Gender differences in the intention to get vaccinated against COVID-19: a systematic review and meta-analysis","volume":"31","author":"S Zintel","year":"2023","journal-title":"J Public Health (Berl)"},{"issue":"8","key":"pgph.0007162.ref078","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0011537","volume":"17","author":"E Annan","year":"2023","journal-title":"PLoS Negl Trop Dis"},{"key":"pgph.0007162.ref079","unstructured":"FluSurvey [Internet]. [cited 2026 May 28]. Available from: https:\/\/flusurvey.net\/project"},{"key":"pgph.0007162.ref080","unstructured":"InfectieRadar [Internet]. [cited 2026 May 28]. Available from: https:\/\/www.infectieradar.nl\/informatie\/about"},{"issue":"6","key":"pgph.0007162.ref081","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2401","article-title":"Incidence of Online Health Information Search: A Useful Proxy for Public Health Risk Perception","volume":"15","author":"B Liang","year":"2013","journal-title":"J Med Internet Res"},{"key":"pgph.0007162.ref082","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.epidem.2015.05.001","article-title":"Ten-year performance of Influenzanet: ILI time series, risks, vaccine effects, and care-seeking behaviour","volume":"13","author":"SP van Noort","year":"2015","journal-title":"Epidemics"},{"key":"pgph.0007162.ref083","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1186\/1471-2458-14-984","article-title":"The representativeness of a European multi-center network for influenza-like-illness participatory surveillance","volume":"14","author":"P Cantarelli","year":"2014","journal-title":"BMC Public Health"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007162","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:24:58Z","timestamp":1790184298000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007162"}},"subtitle":[],"editor":[{"given":"Muhammad","family":"Asaduzzaman","sequence":"first","affiliation":[{"name":"University of Oslo Faculty of Medicine: Universitetet i Oslo Det medisinske fakultet","place":["NORWAY"]}],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":83,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,23]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0007162","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]}}}