Knowledge and Adoption of Community Mitigation Efforts in Mexico During the 2009 H1N1 Pandemic
Knowledge and Adoption of Community Mitigation Efforts in Mexico During the 2009 H1N1 Pandemic
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DOI：
10.1016/j.amepre.2010.07.011
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发表时间：
2010-11-01
影响因子：
5.5
通讯作者：
Harrington, Theresa A.
中科院分区：
文献类型：
--
作者：
Aburto, Nancy J.;Pevzner, Eric;Harrington, Theresa A.
背景：公众在大流行期间采取社区缓解措施的能力和意愿在文献中是有争议的。目的：测量2009年甲型H1N1流感(H1N1)(PH1N1)大流行期间墨西哥社区缓解措施的知晓度和采用率，以评估民众是否收到、理解并对公共卫生信息采取行动。方法：于2009年5月和6月在墨西哥城、圣路易斯波托西(高病例比率)和奎雷塔罗(低病例比率)进行具有代表性的横断面家庭调查。考虑到复杂的调查设计，所有问题的答案的百分比和95%的CI都是基于生活在墨西哥城内外、社区感染的高流行率和低流行率、以及对病毒的严重程度和知识的感知而产生和比较的。结果：超过90%的受访者收到了社区缓解信息，并采取了一种或多种社区缓解措施。不同城市之间的差异很小。受访者报告说，口罩、肥皂和凝胶的高成本是社区采用缓解措施的障碍。近五分之一的受访者认为一些信息令人困惑，他们中的比例不成比例地来自较低的社会经济比例。一半的家庭报告了疫情造成的负面经济影响。结论：墨西哥的社区缓解运动覆盖了三个调查城市的大多数人口。有时有报道称，对社区缓解努力采用的信息和经济障碍感到困惑。(Am J Prev Med 2010；39(5)：395-402)，爱思唯尔公司代表美国预防医学杂志出版
Background: The public's ability and willingness to adopt community mitigation efforts during a pandemic are debated in the literature.Purpose: Awareness and adoption of community mitigation efforts in Mexico during the 2009 pandemic influenza A (H1N1) (pH1N1) outbreak were measured to evaluate if the population received, understood, and acted on public health messages.Methods: A cross-sectional representative household survey in Mexico City; San Luis Potosi (high case ratio); and Queretaro (low case ratio) was conducted in May and June 2009. Accounting for the complex survey design, percentages and 95% CI for answers to all questions were generated and compared based on living inside or outside Mexico City, high versus low prevalence of infection in the community, and perceived severity and knowledge of the virus.Results: Greater than 90% of respondents received community mitigation messages and adopted one or more community mitigation efforts. There were few differences among cities. Respondents reported high cost of masks, soaps, and gels as barriers to community mitigation-effort adoption. Nearly one fifth of respondents, disproportionally from the lower socioeconomic tertile, found some messages confusing. Half of all households reported a negative economic impact resulting from the outbreak.Conclusions: Mexico's community mitigation campaign reached the majority of the population in three surveyed cities. Confusion regarding messages and economic barriers to community mitigation-effort adoption were sometimes reported. (Am J Prev Med 2010;39(5):395-402) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine