Avoidance behaviors and negative psychological responses in the general population in the initial stage of the H1N1 pandemic in Hong Kong.

Avoidance behaviors and negative psychological responses in the general population in the initial stage of the H1N1 pandemic in Hong Kong.
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香港H1N1流感流行初期公众的回避行为和负面心理反应。

DOI:
10.1186/1471-2334-10-139
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发表时间:
2010-05-28
影响因子:
3.7
通讯作者:
Tsui, Hi Yi
Tsui, Hi Yi
中科院分区:
医学3区
文献类型:
--
作者:
Lau, Joseph T. F.;Griffiths, Sian;Choi, Kai Chow;Tsui, Hi Yi

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在SARS肆虐香港期间,社会上普遍恐慌和忧虑,市民避免逗留在公众地方。这种回避行为可能会极大地影响社区的日常生活和当地经济。本研究旨在探讨香港一般市民在H1N1疫症初期的回避行为(即避免外出、前往人多挤迫的地方及前往医院)及负面心理反应的普遍情况。在一项以人口为基础的调查中招募了999名答卷人。在香港H1N1流行的“前社区传播阶段”,受访者使用随机电话号码通过电话访问完成了一份结构化问卷。研究发现,76.5%的受访者目前避免外出或前往人多挤迫的地方或医院,15%的受访者担心感染H1N1,6%的受访者表示情绪困扰。女性、老年人、对传播方式有未经证实的信念的人以及因H1N1疫情而感到担忧和情绪困扰的人比其他人更有可能采取一些回避行为。那些认为感染H1N1病毒的严重性和易感性很高,并怀疑政府准备是否充分的人比其他人更容易感到情绪困扰。回避行为的发生率很高。认知,包括未经证实的信念传播方式,感知的严重性和易感性与一些回避行为和情绪困扰变量。因此,公共卫生教育应提供明确的信息,以纠正相关的观念。
During the SARS pandemic in Hong Kong, panic and worry were prevalent in the community and the general public avoided staying in public areas. Such avoidance behaviors could greatly impact daily routines of the community and the local economy. This study examined the prevalence of the avoidance behaviors (i.e. avoiding going out, visiting crowded places and visiting hospitals) and negative psychological responses of the general population in Hong Kong at the initial stage of the H1N1 epidemic. A sample of 999 respondents was recruited in a population-based survey. Using random telephone numbers, respondents completed a structured questionnaire by telephone interviews at the 'pre-community spread phase' of the H1N1 epidemic in Hong Kong. This study found that 76.5% of the respondents currently avoided going out or visiting crowded places or hospitals, whilst 15% felt much worried about contracting H1N1 and 6% showed signs of emotional distress. Females, older respondents, those having unconfirmed beliefs about modes of transmissions, and those feeling worried and emotionally distressed due to H1N1 outbreak were more likely than others to adopt some avoidance behaviors. Those who perceived high severity and susceptibility of getting H1N1 and doubted the adequacy of governmental preparedness were more likely than others to feel emotionally distressed. The prevalence of avoidance behaviors was very high. Cognitions, including unconfirmed beliefs about modes of transmission, perceived severity and susceptibility were associated with some of the avoidance behaviors and emotional distress variables. Public health education should therefore provide clear messages to rectify relevant perceptions.
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