Research Brief ReportWillingness to Pay for Select Tick-Borne Disease Prevention Measures in Endemic AreasNiesobecki, Sara MPH, MS; Rutz, Heather MCRP, MHS; Niccolai, Linda PhD; Hook, Sarah MA; Feldman, Katherine DVM, MPH; Hinckley, Alison PhDAuthor Information Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut (Ms Niesobecki and Dr Niccolai); Maryland Department of Health, Baltimore, Maryland (Ms Rutz); Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado (Ms Hook and Dr Hinckley); and Maryland Department of Health, Baltimore, Maryland (Dr Feldman). Correspondence: Sara Niesobecki, MPH, MS, Connecticut Emerging Infections Program, Yale School of Public Health, One Church St, 7th Floor, New Haven, CT 06510 ([email protected]). This work was supported by the Centers for Disease Control and Prevention (grant no. 5NU50CK000488-04-00). The authors acknowledge AmberJean Hansen, MPH, Research Assistant, Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut; and James Meek, MPH, Associate Director, Connecticut Emerging Infections Program, Yale School of Public Health, New Haven, Connecticut. Conflicts of Interest: None. Journal of Public Health Management and Practice: January/February 2022 - Volume 28 - Issue 1 - p E37-E42 doi: 10.1097/PHH.0000000000001295 Buy Metrics Abstract Tick-borne diseases (TBDs) are increasing despite prevention recommendations. We explored whether cost is a barrier to prevention use in Connecticut and Maryland, using a cross-sectional survey. Respondents were queried regarding their willingness to pay for chemical, natural, and rodent-targeted yard pesticide treatments and permethrin-treated clothing. We evaluated associations between demographics, TBD knowledge and attitudes, and willingness to pay for prevention methods. Most respondents would pay for yard treatments (85%); 95% preferring natural pesticide, and 82% would pay for permethrin-treated clothing. Most did not want to pay more than $99 for any of the yard treatments. Having a household income of $100 000 was associated with willingness to pay $100 or more for chemical, natural, or rodent-targeted treatments and $25 or more for permethrin self-treated and pretreated clothing. Yard treatments, especially natural pesticides, were acceptable for TBD prevention; however, current pricing may be cost-prohibitive. Permethrin-treated clothing may be an affordable and acceptable prevention method. © 2021 Wolters Kluwer Health, Inc. All rights reserved.