Predictors of knowledge of H1N1 infection and transmission in the U.S. population
Predictors of knowledge of H1N1 infection and transmission in the U.S. population
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DOI：
10.1186/1471-2458-12-328
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发表时间：
2012-05-03
影响因子：
4.5
通讯作者：
Viswanath, Kasisomayajula
中科院分区：
文献类型：
--
作者：
Savoia, Elena;Testa, Marcia A.;Viswanath, Kasisomayajula
背景：一个社会对突发公共卫生事件的反应能力在一定程度上取决于满足所有人口部分的需求，特别是那些最脆弱和遭受最大逆境的人。自H1N1大流行初期以来，H1N1信息的公共传播一直被认为是一个具有挑战性的问题。公共传播被认为是一项关键的公共卫生任务，以减轻突发公共卫生事件之前、期间和之后对人口健康造成的不利后果。为了调查普通人群对甲型H1N1流感大流行的知识和知识差距，并确定与之相关的社会决定因素，我们于2010年3月对具有代表性的美国家庭进行了一项随机抽样的调查。方法：收集1569名受访者(回复率为66.3%)的数据，并使用有序Logistic回归分析社会经济因素和人口特征对个人对甲型H1N1流感感染和传播知识的影响。结果：教育程度和住房拥有率是衡量社会经济状况(SEP)的可靠指标，与H1N1知识水平相关。文化程度与病毒传播知识水平直接相关[OR=1.35，95%C.I.1.12~1.63]。自置居所与租房与对甲型H1N1感染症状和体征的了解也呈正相关[OR=2.89，95%C.I.1.26-6.66]。结论：政策制定者和公共卫生从业者在实施促进人群健康和准备的教育和预防干预措施时，以及在公共卫生突发事件期间设计沟通活动时，应考虑特定的SEP因素。
Background: The strength of a society's response to a public health emergency depends partly on meeting the needs of all segments of the population, especially those who are most vulnerable and subject to greatest adversity. Since the early stages of the H1N1 pandemic, public communication of H1N1 information has been recognized as a challenging issue. Public communication is considered a critical public health task to mitigating adverse population health outcomes before, during, and after public health emergencies. To investigate knowledge and knowledge gaps in the general population regarding the H1N1 pandemic, and to identify the social determinants associated with those gaps, we conducted a survey in March 2010 using a representative random sample of U.S. households.Methods: Data were gathered from 1,569 respondents (66.3% response rate) and analyzed using ordered logistic regression to study the impact of socioeconomic factors and demographic characteristics on the individual's knowledge concerning H1N1 infection and transmission.Results: Results suggest that level of education and home ownership, reliable indicators of socioeconomic position (SEP), were associated with knowledge of H1N1. Level of education was found to be directly associated with level of knowledge about virus transmission [OR = 1.35, 95% C.I. 1.12-1.63]. Home ownership versus renting was also positively associated with knowledge on the signs and symptoms of H1N1 infection in particular [OR = 2.89, 95% C.I. 1.26-6.66].Conclusions: Policymakers and public health practitioners should take specific SEP factors into consideration when implementing educational and preventive interventions promoting the health and preparedness of the population, and when designing communication campaigns during a public health emergency.