The influence of social-cognitive factors on personal hygiene practices to protect against influenzas: using modelling to compare avian A/H5N1 and 2009 pandemic A/H1N1 influenzas in Hong Kong.
The influence of social-cognitive factors on personal hygiene practices to protect against influenzas: using modelling to compare avian A/H5N1 and 2009 pandemic A/H1N1 influenzas in Hong Kong.
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DOI：
10.1007/s12529-010-9123-8
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发表时间：
2011-06
影响因子：
2.7
通讯作者：
Fielding R
中科院分区：
文献类型：
--
作者：
Liao Q;Cowling BJ;Lam WW;Fielding R
了解人群对流感的反应有助于优化公共卫生干预措施。相关的理论框架仍处于萌芽状态。建立对信息的信任、感知的卫生有效性、对流感病因的了解、感知的易感性和担忧以及与流感相关的个人卫生习惯之间的关联。关于禽流感A/H5N1(2006年)和大流行性流感A/H1N1(2009年)的横断面家庭电话调查收集了关于对流感信息的正式和非正式来源的信任、与流感相关的知识、感知的卫生有效性、担忧、感知的易感性和公共卫生规划的可比数据。探索性因素分析确定领域内容，验证性因素分析对提取的因素进行评价。根据不同的理论框架编制的假设模型，利用结构方程模型对A/H5N1疫情数据进行了优化。然后根据甲型H1N1流感数据集对优化后的模型进行测试。尽管对应的路径权重不同，但该模型在数据集上是健壮的。在两个数据集中，对正式信息的信任与感知的卫生有效性正相关，而感知的卫生有效性与PHP正相关。在A/H5N1数据中，对正式信息的信任与流感担忧呈正相关，在A/H1N1数据中与对流感病因的了解呈正相关，这两个变量都与公共卫生政策呈正相关。在两个数据集中，对非正式信息的信任与流感担忧呈正相关。独立于信息信任，感知到的流感易感性与流感担忧有关。仅在A/H5N1数据中与PHP相关的担忧。流感病因的知识和感知的PHP效果与PHPS相关。改善对正式信息的信任应该会增加公共部门合作伙伴。在甲型H5N1流感中，担忧与流行性感冒密切相关。
Understanding population responses to influenza helps optimize public health interventions. Relevant theoretical frameworks remain nascent. To model associations between trust in information, perceived hygiene effectiveness, knowledge about the causes of influenza, perceived susceptibility and worry, and personal hygiene practices (PHPs) associated with influenza. Cross-sectional household telephone surveys on avian influenza A/H5N1 (2006) and pandemic influenza A/H1N1 (2009) gathered comparable data on trust in formal and informal sources of influenza information, influenza-related knowledge, perceived hygiene effectiveness, worry, perceived susceptibility, and PHPs. Exploratory factor analysis confirmed domain content while confirmatory factor analysis was used to evaluate the extracted factors. The hypothesized model, compiled from different theoretical frameworks, was optimized with structural equation modelling using the A/H5N1 data. The optimized model was then tested against the A/H1N1 dataset. The model was robust across datasets though corresponding path weights differed. Trust in formal information was positively associated with perceived hygiene effectiveness which was positively associated with PHPs in both datasets. Trust in formal information was positively associated with influenza worry in A/H5N1 data, and with knowledge of influenza cause in A/H1N1 data, both variables being positively associated with PHPs. Trust in informal information was positively associated with influenza worry in both datasets. Independent of information trust, perceived influenza susceptibility associated with influenza worry. Worry associated with PHPs in A/H5N1 data only. Knowledge of influenza cause and perceived PHP effectiveness were associated with PHPs. Improving trust in formal information should increase PHPs. Worry was significantly associated with PHPs in A/H5N1.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.7
作者：
De Wandel, David;Maes, Lea;Blot, Stijn
通讯作者：
Blot, Stijn
影响因子：
1.9
作者：
Fatiregun, Akinola A.;Saani, Mobolaji M.
通讯作者：
Saani, Mobolaji M.
影响因子：
3.9
作者：
Berry, Tanya R.;Wharf-Higgins, Joan;Naylor, P. J.
通讯作者：
Naylor, P. J.