Knowledge, attitudes and practices towards pandemic influenza among cases, close contacts, and healthcare workers in tropical Singapore: a cross-sectional survey
Knowledge, attitudes and practices towards pandemic influenza among cases, close contacts, and healthcare workers in tropical Singapore: a cross-sectional survey
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DOI：
10.1186/1471-2458-10-442
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发表时间：
2010-07-28
影响因子：
4.5
通讯作者：
Tor, Phern-Chern
中科院分区：
文献类型：
--
作者：
Yap, Jonathan;Lee, Vernon J.;Tor, Phern-Chern
背景：有效的流感大流行管理需要了解影响行为变化的因素。我们的目的是确定不同群体在知识、态度和实践方面的差异，并探索影响热带新加坡行为的相关因素。方法：2009年8月中旬至10月初，我们在新加坡军队中进行了一项横断面知识、态度和实践调查，调查对象为4个暴露组的3054名人员--实验室确诊的H1N1-2009病例，结果：1063人（34.8%）进行了问卷调查。平均年龄为21.4（SE 0.2）岁。密切接触者的知识得分最高（71.7%，p = 0.004），而病例的实践得分最高（58.8%，p < 0.001）。知识与行为得分（r = 0.27，p < 0.01）和知识与态度得分（r = 0.21，p < 0.01）之间存在强相关。较高的实践得分的显著预测因素是较高的知识得分（p < 0.001），马来族（p < 0.001），暴露组（p < 0.05）和较低的教育水平（p < 0.05）。较高的态度得分的显着预测因素是马来族（p = 0.014）和较高的知识得分（p < 0.001）。结论：知识对流感大流行中的态度和行为有显著影响，个人经历影响实践行为。应努力教育广大民众改进应对当前流行病和未来流行病的做法。
Background: Effective influenza pandemic management requires understanding of the factors influencing behavioral changes. We aim to determine the differences in knowledge, attitudes and practices in various different cohorts and explore the pertinent factors that influenced behavior in tropical Singapore.Methods: We performed a cross-sectional knowledge, attitudes and practices survey in the Singapore military from mid-August to early-October 2009, among 3054 personnel in four exposure groups - laboratory-confirmed H1N1-2009 cases, close contacts of cases, healthcare workers, and general personnel.Results: 1063 (34.8%) participants responded. The mean age was 21.4 (SE 0.2) years old. Close contacts had the highest knowledge score (71.7%, p = 0.004) while cases had the highest practice scores (58.8%, p < 0.001). There was a strong correlation between knowledge and practice scores (r = 0.27, p < 0.01) and knowledge and attitudes scores (r = 0.21, p < 0.01). The significant predictors of higher practice scores were higher knowledge scores (p < 0.001), Malay ethnicity (p < 0.001), exposure group (p < 0.05) and lower education level (p < 0.05). The significant predictors for higher attitudes scores were Malay ethnicity (p = 0.014) and higher knowledge scores (p < 0.001). The significant predictor for higher knowledge score was being a contact (p = 0.007).Conclusion: Knowledge is a significant influence on attitudes and practices in a pandemic, and personal experience influences practice behaviors. Efforts should be targeted at educating the general population to improve practices in the current pandemic, as well as for future epidemics.