Self-reported anticipated compliance with physician advice to stay home during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey.
Self-reported anticipated compliance with physician advice to stay home during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey.
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DOI：
10.1186/1471-2458-10-138
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发表时间：
2010-03-16
影响因子：
4.5
通讯作者：
Speare R
中科院分区：
文献类型：
--
作者：
Brown LH;Aitken P;Leggat PA;Speare R
在大流行期间，公共卫生官员可以采取的一项策略是医生建议隔离感染者。这项研究是在 2009 年澳大利亚 H1N1 流感大流行最严重时期进行的，目的是衡量自我报告的遵守医生建议在家呆 7 天的意愿，并比较当前流行性流感、禽流感、季节性流感和普通感冒的反应。数据是作为 2009 年昆士兰社会调查 (QSS) 的一部分收集的，其中包括标准化介绍、37 个人口问题以及通过成本分摊安排纳入的研究问题。 2009 年 QSS 中纳入了四个问题，涉及受访者在患有普通感冒、季节性流感、2009 年 H1N1 流感或禽流感时预期遵守医生建议的呆在家里的情况，并使用平衡李克特量表记录回答，范围从“极不可能”到“极有可能”。使用麦克尼马尔检验分析了对不同疾病的反应之间的不一致。使用皮尔逊卡方或卡方逐线性关联分析人口统计变量与预期依从性之间的关联，并使用多元逻辑回归进行确认； p < 0.05 用于建立统计显着性。自我报告的预期依从性从普通感冒的 59.9% 增加到季节性流感的 71.3% (p < 0.001)，2009 年大流行 (H1N1) 流感增加到 95.0%，禽流感增加到 94.7%（与季节性流感相比，p < 0.001）。 2009 年 H1N1 流感大流行和禽流感的预期依从性没有差异 (p = 0.815)。年龄和性别均与季节性流感和普通感冒的预期依从性相关。值得注意的是，27.1% 的卫生和社区服务工作者不会遵守医生关于季节性流感留在家里的建议。 95% 的人表示，如果他们被诊断出患有 2009 年 H1N1 流感大流行或禽流感，他们会遵守医生的建议，在家呆 7 天，但只有 71% 的人会在季节性流感的情况下遵守，而如果他们被诊断为普通感冒，预计会遵守的人就更少了。可能成为旨在提高季节性流感自我隔离率的公共卫生信息的有价值目标的亚人群包括男性、年轻人和医护人员。
One strategy available to public health officials during a pandemic is physician recommendations for isolation of infected individuals. This study was undertaken during the height of the Australian pandemic (H1N1) 2009 outbreak to measure self-reported willingness to comply with physician recommendations to stay home for seven days, and to compare responses for the current strain of pandemic influenza, avian influenza, seasonal influenza, and the common cold. Data were collected as part of the Queensland Social Survey (QSS) 2009, which consisted of a standardized introduction, 37 demographic questions, and research questions incorporated through a cost-sharing arrangement. Four questions related to respondents' anticipated compliance with a physician's advice to stay home if they had a common cold, seasonal influenza, pandemic (H1N1) 2009 influenza or avian influenza were incorporated into QSS 2009, with responses recorded using a balanced Likert scale ranging from "very unlikely" to "very likely." Discordance between responses for different diseases was analysed using McNemar's test. Associations between demographic variables and anticipated compliance were analysed using Pearson's chi-square or chi-square for linear-by-linear association, and confirmed using multivariate logistic regression; p < 0.05 was used to establish statistical significance. Self-reported anticipated compliance increased from 59.9% for the common cold to 71.3% for seasonal influenza (p < .001), and to 95.0% for pandemic (H1N1) 2009 influenza and 94.7% for avian influenza (p < 0.001 for both versus seasonal influenza). Anticipated compliance did not differ for pandemic (H1N1) 2009 and avian influenza (p = 0.815). Age and sex were both associated with anticipated compliance in the setting of seasonal influenza and the common cold. Notably, 27.1% of health and community service workers would not comply with physician advice to stay home for seasonal influenza. Ninety-five percent of people report they would comply with a physicians' advice to stay home for seven days if they are diagnosed with pandemic (H1N1) 2009 or avian influenza, but only 71% can be expected to comply in the setting of seasonal influenza and fewer still can be expected to comply if they are diagnosed with a common cold. Sub-populations that might be worthwhile targets for public health messages aimed at increasing the rate of self-imposed isolation for seasonal influenza include males, younger people, and healthcare workers.
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将网络理论应用于流行病：肺炎支原体暴发的控制措施。
影响因子：
11.8
作者：
Ancel Meyers L;Newman ME;Martin M;Schrag S
通讯作者：
Schrag S
DOI：
10.2471/blt.08.060772
发表时间：
2009-08-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Eastwood, Keith;Durrheim, David;Speare, Rick
通讯作者：
Speare, Rick
影响因子：
11.8
作者：
Malone, Joseph L.;Madjid, Mohammad;Casscellst, S. Ward
通讯作者：
Casscellst, S. Ward
影响因子：
6.4
作者：
Potter, J;Stott, DJ;Carman, WF
通讯作者：
Carman, WF
影响因子：
2.3
作者：
Martinese, Franco;Keijzers, Gerben;Lind, James
通讯作者：
Lind, James