The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza.

The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza.
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DOI:
10.1186/1471-2334-10-296
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发表时间:
2010-10-14
影响因子:
3.7
通讯作者:
Galvani AP
Galvani AP
中科院分区:
医学3区
文献类型:
--
作者:
Ibuka Y;Chapman GB;Meyers LA;Li M;Galvani AP

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传染病爆发的轨迹受到个体行为的影响,而行为往往与个体的风险感知有关。我们评估了针对 H1N1 流感的风险认知和预防行为的时间变化和地理差异。 2009 年 4 月 28 日至 5 月 27 日期间,1,290 名美国成年人完成了一项关于针对 H1N1 流感的风险认知、对药物干预措施(预防性干预和治疗性干预)的兴趣以及参与预防活动(信息查找活动和采取隔离措施)的在线调查。分析了风险认知和预防行为与受访者性别、年龄和家庭规模之间的关联。通过回归分析评估线性和二次时间趋势。评估了风险认知和预防行为的地理差异。分析了采取药物干预意愿的预测因素。正如规范预测的那样,来自较大家庭的受访者表示对服用药物更感兴趣,并参与了更多的预防活动。感知风险随着时间的推移而增加,而对药物预防干预措施和参与某些预防活动的兴趣随着时间的推移而减少。居住在人均 H1N1 流感发病率较高的州的受访者认为感染流感的可能性较高,但并未对药物干预措施表现出更大的兴趣,也没有参与更高程度的预防活动。女性对流感感染的感知可能性、服用药物的意愿以及参与信息查找活动的比例高于男性。感知的感染风险和预防行为可能随时间变化,并因人口特征和地理位置而异。这些模式可能会影响疾病控制措施的有效性。
The trajectory of an infectious disease outbreak is affected by the behavior of individuals, and the behavior is often related to individuals' risk perception. We assessed temporal changes and geographical differences in risk perceptions and precautionary behaviors in response to H1N1 influenza. 1,290 US adults completed an online survey on risk perceptions, interests in pharmaceutical interventions (preventive intervention and curative intervention), and engagement in precautionary activities (information seeking activities and taking quarantine measures) in response to H1N1 influenza between April 28 and May 27 2009. Associations of risk perceptions and precautionary behaviors with respondents' sex, age, and household size were analyzed. Linear and quadratic time trends were assessed by regression analyses. Geographic differences in risk perception and precautionary behaviors were evaluated. Predictors of willingness to take pharmaceutical intervention were analyzed. Respondents from larger households reported stronger interest in taking medications and engaged in more precautionary activities, as would be normatively predicted. Perceived risk increased over time, whereas interest in pharmaceutical preventive interventions and the engagement in some precautionary activities decreased over time. Respondents who live in states with higher H1N1 incidence per population perceived a higher likelihood of influenza infection, but did not express greater interests in pharmaceutical interventions, nor did they engage in a higher degree of precautionary activities. Perceived likelihood of influenza infection, willingness to take medications and engagement in information seeking activities were higher for women than men. Perceived risk of infection and precautionary behavior can be dynamic in time, and differ by demographic characteristics and geographical locations. These patterns will likely influence the effectiveness of disease control measures.
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发表时间: 2010-06
影响因子: 4.9
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Lau JT;Griffiths S;Choi KC;Lin C
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发表时间: 2009-12-03
期刊: PloS one
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DOI: 10.7326/0000605-200912150-00157
发表时间: 2009-12-15
影响因子: 39.2
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