Perceptions related to human avian influenza and their associations with anticipated psychological and behavioral responses at the onset of outbreak in the Hong Kong Chinese general population.

Perceptions related to human avian influenza and their associations with anticipated psychological and behavioral responses at the onset of outbreak in the Hong Kong Chinese general population.
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DOI:
10.1016/j.ajic.2006.07.010
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发表时间:
2007-03
影响因子:
4.9
通讯作者:
Griffiths S
Griffiths S
中科院分区:
医学3区
文献类型:
--
作者:
Lau JT;Kim JH;Tsui H;Griffiths S

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预期的心理反应和对风险的看法在流行病爆发之前没有得到审查。2005年11月,采用横断面电话调查,对805名香港成年华人进行了匿名访问,以检查与H5 N1禽流感相关的信念和预期反应。分别有71.4%和52.4%的受访者认为明年会发生禽传人或人传人H5 N1。如果香港爆发禽流感或人与人之间的疫情,许多人预计死亡率很高(分别为70.5%和74.4%),永久性物理损伤(分别为52.0%和54.9%),疫苗不足(分别为50.0%和64.4%)、药品供应不足(分别为43.7%和54.5%),医院感染控制不足(分别为35.1%和43.3%),家庭成员感染H5 N1的高易感性对自身/家庭的影响比SARS严重(分别为21.2%和25.0%)。大多数人预计至少有一个研究的7个压力相关的反应(例如,恐慌)或采用5种研究的预防行为措施中的至少1种(例如,避免外出)。一旦发生人禽流感疫情,可能会出现恐慌和日常生活中断。传播准确、及时的信息将减少不必要的痛苦和不必要的行为。
Anticipated psychological responses and perceptions of risk have not been examined prior to the outbreak of an epidemic. Using a cross-sectional, telephone survey, 805 Chinese adults in Hong Kong were interviewed anonymously in November, 2005 to examine beliefs related to H5N1 avian influenza and anticipated responses. Of respondents, 71.4% and 52.4%, respectively, believed that bird-to-human or human-to-human H5N1 transmission would occur in the next year. In the event of a bird-to-human or human-to-human outbreak in Hong Kong, many anticipated high fatality rates (70.5% and 74.4%, respectively), permanent physical damage (52.0% and 54.9%, respectively), inadequate vaccines (50.0% and 64.4%, respectively), insufficient medicine supplies (43.7% and 54.5%, respectively), inadequate hospital infection control (35.1% and 43.3%, respectively), high susceptibility of family members contracting H5N1 (13.9% and 24.3%, respectively), and impact on oneself/family worse than those of severe acute respiratory syndrome (21.2 and 25.0%, respectively). Most anticipated at least 1 of the 7 studied stress-related responses (e.g., panic) or the adoption of at least 1 of the 5 studied preventive behavioral measures (e.g., avoiding going out). Panic and interruption of daily routines may occur in the event of a human avian influenza outbreak. Dissemination of accurate, timely information would reduce unnecessary distress and unwanted behaviors.
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