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Recent evidence suggests that climate change and other factors are leading to the emergence of Lyme disease in the province of Quebec, where it previously did not exist. As risk areas expand further north, the population can adopt specific preventive behaviors to limit chances of infection. The objectives of this study were to (1) create an index of Lyme disease prevention behaviors (LDP, and (2) use the theory of planned behavior (TP to explain the decision-making process of people who choose to adopt LDPB. A sample of 1959 adults