Knowledge, attitudes, and practices of Hong Kong population towards human A/H7N9 influenza pandemic preparedness, China, 2014.
Knowledge, attitudes, and practices of Hong Kong population towards human A/H7N9 influenza pandemic preparedness, China, 2014.
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DOI：
10.1186/s12889-015-2245-9
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发表时间：
2015-09-22
影响因子：
4.5
通讯作者：
Lee P
中科院分区：
文献类型：
--
作者：
Chan EY;Cheng CK;Tam G;Huang Z;Lee P
自2003年SARS流行以来，香港经历了几次重大的流行病风险，但公众如何应对反复出现的传染病健康风险尚未有研究。 2013年，报告了来自中国的输入性人感染H7N9流感病例。我们的研究旨在评估 2014 年初香港普通民众对 A/H7N9 流感大流行防范的知识、态度和实践 (KAP)。2014 年 2 月，我们对香港 15 岁以上粤语人群进行了一项横断面、以人群为基础的电话调查研究。该研究调查由 78 个 KAP 问题组成。分析了与个人和家庭大流行防范相关的因素。最终研究样本为 1,020 人，响应率为 45.9%。在受访者中，大多数人认为个人卫生和避免禽类接触可以有效预防H7N9感染。大多数受访者有令人满意的手部卫生习惯，避免接触鸟类，但没有采取其他预防措施。女性、25 岁或以上、白领工人、患有慢性病的人和居住在市中心的人往往报告有更好的卫生习惯。状态-特质焦虑量表平均得分为1.85，与第一波H7N9疫情和第二波H7N9疫情开始时相似。在本研究中，一般人群中自我报告患有流感样疾病时佩戴口罩的比例从 2007 年 H5N1 流感期间的 92.4% 下降到了 39.0%。香港市民对新毒株的焦虑程度和误解程度较低，而且对流感爆发的预防措施的感知有用性与实践之间存在差距。开展教育活动和制定问题框架以提高公众和媒体的认识对于防止当前公众对疫情爆发的疲劳至关重要。
Since SARS epidemic in 2003, Hong Kong has experienced several major epidemic risks, but how general community might react to the repeated infectious diseases health risks have not been studied. In 2013, imported human H7N9 influenza infected cases from China were reported. Our study aims to assess the knowledge, attitude and practice (KAP) concerning A/H7N9 among Hong Kong general population regarding pandemic preparedness in early 2014. A cross-sectional, population-based telephone survey study was conducted among the Cantonese-speaking population aged over 15 years in Hong Kong in February 2014. The study survey was composed of 78 KAP questions. Factors associated with individual and household pandemic preparedness were analyzed. Final study sample was 1,020 with a response rate of 45.9 %. Among the respondents, most of them believed personal hygiene and avoidance of avian contacts were effective in preventing H7N9 infections. The majority of respondents had satisfactory hand hygiene practices and avoided touching avian species but did not employ other preventive measures. Female, 25 years old or older, white collar workers, people with chronic diseases and people living in the city center tended to report better hygiene practices. The average State-Trait Anxiety Inventory score was 1.85, similar to that of the period during the first wave and at the start of the second wave of the H7N9 epidemic. Self-reported face masks wearing when having influenza-like illness in general population dropped from 92.4 % during H5N1 period in 2007 to 39.0 % in this study. Hong Kong citizens show a low level of anxiety, misconceptions regarding the novel strains as well as gaps between perceived usefulness and practice of preventive measures towards influenza outbreaks. Educational campaigns and framing the issue to increase public and media awareness are crucial in preventing the current public fatigue towards outbreaks.