Public and health professional epidemic risk perceptions in countries that are highly vulnerable to epidemics: a systematic review.
Public and health professional epidemic risk perceptions in countries that are highly vulnerable to epidemics: a systematic review.
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对高度易受流行病影响的国家的公共和卫生专业人员的流行病风险认知：一项系统审查。
DOI：
10.1186/s40249-021-00927-z
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发表时间：
2022-01-06
影响因子：
8.1
通讯作者：
Roberts B
中科院分区：
文献类型：
--
作者：
Abdelmagid N;Checchi F;Roberts B
流行病期间的风险沟通干预措施旨在改变风险观念，以实现人口健康行为的迅速转变。频繁接触流行病，而且往往是同时接触流行病，可能会影响公众和卫生专业人员如何看待和应对流行病风险。这次审查的目的是系统地审查在极易发生流行病的国家对易患传染病的疾病的风险认识的证据。我们使用PRISMA标准进行了系统评价。我们纳入了同行评审的研究，这些研究描述或衡量了62个被认为极易受流行病影响的国家的普通成年人或卫生专业人员对易患流行病的风险认知。我们搜索了七个书目数据库，并应用了四个阶段的筛选和选择过程，其次是质量评估。我们在风险社会放大框架的指导下，对证据进行了叙述性综合分析和描述性总结。五十六项研究符合最终审查的条件。这些研究在18个国家进行，涉及13种易患疟疾的疾病。45项研究是定量的，6项是定性的，5项使用混合方法。41项研究描述了普通公众和卫生专业人员中的流行病风险认知。在公共和卫生专业人群中，对易患疟疾疾病的严重程度的认识似乎很高。然而，在一般公众中，感知的患病可能性从低到中到高不等，在卫生专业人员中似乎一直很高。其他高暴露于特定疾病的职业群体，如肉类加工者，报告的感知可能性甚至低于一般人群。在卫生专业人员中，工作环境的安全性和有效性以及更广泛的卫生系统反应影响了他们的看法。在一般人群中，疾病严重程度、对疾病的熟悉程度和可控性是影响因素。然而，关于流行病风险认知如何在这些人群中形成或改变的证据有限。这些证据使人们对流行病风险认知模式和影响因素有了一些了解，但没有充分探讨认知的基础及其变异性，特别是在疾病、人群和时间之间。界定和衡量流行病风险认知的方法相对不成熟。在线版本包含补充材料，可通过10.1186/s40249-021-00927-z获得。
Risk communication interventions during epidemics aim to modify risk perceptions to achieve rapid shifts in population health behaviours. Exposure to frequent and often concurrent epidemics may influence how the public and health professionals perceive and respond to epidemic risks. This review aimed to systematically examine the evidence on risk perceptions of epidemic-prone diseases in countries highly vulnerable to epidemics. We conducted a systematic review using PRISMA standards. We included peer-reviewed studies describing or measuring risk perceptions of epidemic-prone diseases among the general adult population or health professionals in 62 countries considered highly vulnerable to epidemics. We searched seven bibliographic databases and applied a four-stage screening and selection process, followed by quality appraisal. We conducted a narrative meta-synthesis and descriptive summary of the evidence, guided by the Social Amplification of Risk Framework. Fifty-six studies were eligible for the final review. They were conducted in eighteen countries and addressed thirteen epidemic-prone diseases. Forty-five studies were quantitative, six qualitative and five used mixed methods. Forty-one studies described epidemic risk perceptions in the general public and nineteen among health professionals. Perceived severity of epidemic-prone diseases appeared high across public and health professional populations. However, perceived likelihood of acquiring disease varied from low to moderate to high among the general public, and appeared consistently high amongst health professionals. Other occupational groups with high exposure to specific diseases, such as bushmeat handlers, reported even lower perceived likelihood than the general population. Among health professionals, the safety and effectiveness of the work environment and of the broader health system response influenced perceptions. Among the general population, disease severity, familiarity and controllability of diseases were influential factors. However, the evidence on how epidemic risk perceptions are formed or modified in these populations is limited. The evidence affords some insights into patterns of epidemic risk perception and influencing factors, but inadequately explores what underlies perceptions and their variability, particularly among diseases, populations and over time. Approaches to defining and measuring epidemic risk perceptions are relatively underdeveloped. The online version contains supplementary material available at 10.1186/s40249-021-00927-z.
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影响因子：
3.5
作者：
Asnakew Z;Asrese K;Andualem M
通讯作者：
Andualem M
影响因子：
3.9
作者：
Dolinski, Dariusz;Dolinska, Barbara;Kulesza, Wojciech
通讯作者：
Kulesza, Wojciech
影响因子：
3.3
作者：
Blum, Lauren S.;Dentz, Holly;Mintz, Eric D.
通讯作者：
Mintz, Eric D.
影响因子：
3.7
作者：
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通讯作者：
Hawkes, Michael T.
影响因子：
2.8
作者：
Echoru, Isaac;Kasozi, Keneth Iceland;Welburn, Susan Christina
通讯作者：
Welburn, Susan Christina