Sources, perceived usefulness and understanding of information disseminated to families who entered home quarantine during the H1N1 pandemic in Victoria, Australia: a cross-sectional study.
Sources, perceived usefulness and understanding of information disseminated to families who entered home quarantine during the H1N1 pandemic in Victoria, Australia: a cross-sectional study.
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DOI：
10.1186/1471-2334-11-2
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发表时间：
2011-01-04
影响因子：
3.7
通讯作者：
Studdert DM
中科院分区：
文献类型：
--
作者：
Kavanagh AM;Bentley RJ;Mason KE;McVernon J;Petrony S;Fielding J;LaMontagne AD;Studdert DM
对病例和密切接触者的自愿居家隔离是在澳大利亚对2009年H1N1流感大流行（pH 1 N1）疫情的最初应对中用于限制其传播的主要非药物干预措施。从逻辑上讲，自愿隔离的有效性取决于受影响的家庭清楚地了解他们被要求做什么。信息可能来自许多来源，包括媒体、卫生官员、家人和朋友、学校和卫生专业人员。我们报告了进入家庭隔离的家庭收到和使用关于他们应该做什么的信息的程度。具体而言，我们概述了他们的信息来源;每个来源的感知有用性;以及对建议的理解与遵守之间的关联。通过互联网和计算机辅助电话访问进行横断面调查，这些家庭的学童因被诊断患有H1N1或与病例密切接触而被建议进行家庭隔离。样本包括314 1157个潜在的合格家庭（27%的响应率）从33所学校在大都市墨尔本。调整集群内的学校，我们描述了自我报告的“了解他们在隔离期间要做什么”;信息来源（如卫生部门）和有用的信息。使用逻辑回归，我们研究是否符合检疫建议与理解和使用的信息源的类型。90%的人理解他们在隔离期间应该做什么，有病例的家庭的理解水平更高（98%，95% CI 93%-99% vs 88%，95% CI 84%-91%，P = 0.006）。超过87%的家长从学校获得了有关隔离的信息，63%来自卫生部门，44%来自媒体。53%的家庭完全依从，并且报告他们理解他们应该做什么的家庭依从性增加（比值比2.27，95% CI 1.35-3.80）。公共卫生官员必须与其他政府部门和媒体密切合作，就隔离期间应做的事情提供清晰、一致和简单的信息，因为高度的理解将最大限度地提高被隔离人群的依从性。
Voluntary home quarantine of cases and close contacts was the main non-pharmaceutical intervention used to limit transmission of pandemic (H1N1) 2009 influenza (pH1N1) in the initial response to the outbreak of the disease in Australia. The effectiveness of voluntary quarantine logically depends on affected families having a clear understanding of what they are being asked to do. Information may come from many sources, including the media, health officials, family and friends, schools, and health professionals. We report the extent to which families who entered home quarantine received and used information on what they were supposed to do. Specifically, we outline their sources of information; the perceived usefulness of each source; and associations between understanding of recommendations and compliance. Cross-sectional survey administered via the internet and computer assisted telephone interview to families whose school children were recommended to go into home quarantine because they were diagnosed with H1N1 or were a close contact of a case. The sample included 314 of 1157 potentially eligible households (27% response rate) from 33 schools in metropolitan Melbourne. Adjusting for clustering within schools, we describe self-reported 'understanding of what they were meant to do during the quarantine period'; source of information (e.g. health department) and usefulness of information. Using logistic regression we examine whether compliance with quarantine recommendations was associated with understanding and the type of information source used. Ninety per cent understood what they were meant to do during the quarantine period with levels of understanding higher in households with cases (98%, 95% CI 93%-99% vs 88%, 95% CI 84%-91%, P = 0.006). Over 87% of parents received information about quarantine from the school, 63% from the health department and 44% from the media. 53% of households were fully compliant and there was increased compliance in households that reported that they understood what they were meant to do (Odds Ratio 2.27, 95% CI 1.35-3.80). It is critical that public health officials work closely with other government departments and media to provide clear, consistent and simple information about what to do during quarantine as high levels of understanding will maximise compliance in the quarantined population.
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影响因子：
3.7
作者：
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通讯作者：
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影响因子：
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影响因子：
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