Early responses to H7N9 in southern Mainland China.

Early responses to H7N9 in southern Mainland China.
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DOI:
10.1186/1471-2334-14-8
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发表时间:
2014-01-07
影响因子:
3.7
通讯作者:
Sun S
Sun S
中科院分区:
医学3区
文献类型:
--
作者:
Goodwin R;Sun S

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H7N9 禽流感给中国社会带来了潜在的严重健康挑战。此前该国爆发的非典伴随着相互矛盾的信息,而对流感大范围传播的担忧导致了世界范围内的歧视。因此,及早了解公众威胁认知对于有效的公共卫生沟通和干预非常重要。在第一起案件发生两周后,我们通过电话采访了 1011 名受访者。问题考察了风险意识和媒体使用、对威胁出现和高危人群的信念、对感染的焦虑以及预防和回避行为。结果显示,人们的焦虑程度适中,但对政府官员的信任程度相对较高。威胁的出现与卫生水平、气温变化、黄浦江浮猪以及向城市的迁移有关。焦虑预示着推荐和不推荐的行为改变。人们对中国政府有关 H7N9 禽流感的建议的信任度相对较高,这与中国之前的疫情传播形成鲜明对比。焦虑有助于推动推荐和不推荐的行为,具有潜在的重要经济和社会影响。这包括与威胁相关的人(例如移民)的“其他”证据。调查结果强调,有必要在新的流感爆发期间尽早管理公共传播。
H7N9 posed potentially serious health challenges for Chinese society. The previous SARS outbreak in this country was accompanied by contradictory information, while worries about wide-spread influenza led to discrimination worldwide. Early understanding of public threat perceptions is therefore important for effective public health communication and intervention. We interviewed 1011 respondents by phone two weeks after the first case. Questions examined risk awareness and media use, beliefs about the emergence of the threat and those most at risk, anxiety about infection and preventive and avoidant behaviours. Results demonstrate moderate levels of anxiety but relatively high levels of trust towards government officials. Threat emergence was associated with hygiene levels, temperature change, floating pigs in the Huangpu River and migration to the city. Anxiety predicted both recommended and non-recommended behavioural changes. Comparatively high levels of trust in Chinese government advice about H7N9 contrast positively with previous pandemic communications in China. Anxiety helped drive both recommended and non-recommended behaviours, with potentially important economic and social implications. This included evidence of 'othering’ of those associated with the threat (e.g. migrants). Findings emphasise the need to manage public communications early during new influenza outbreaks.
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