Facing a Health Threat in a Complex Information Environment: A National Representative Survey Examining American Adults' Behavioral Responses to the 2009/2010 A(H1N1) Pandemic
Facing a Health Threat in a Complex Information Environment: A National Representative Survey Examining American Adults' Behavioral Responses to the 2009/2010 A(H1N1) Pandemic
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DOI：
10.1177/1090198117708011
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发表时间：
2018-02-01
影响因子：
4.2
通讯作者：
Viswanath, Kasisomayajula
中科院分区：
文献类型：
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作者：
Lin, Leesa;McCloud, Rachel F.;Viswanath, Kasisomayajula
背景资料。最近的甲型H1N1流感研究表明，个人内部和人际因素可能会影响人们在大流行期间为避免流感而采取的预防行为。目标。在大流行期间，非药物干预(NPI)和疫苗接种在控制疾病传播方面发挥着关键作用。我们研究了在2009年甲型H1N1流感大流行期间，个人内部和人际因素是如何影响非营利机构的采用和疫苗接种的。方法。这些数据来自一项对1569名美国成年人进行的具有全国代表性的抽样调查。多因素Logistic回归分析社会经济地位、对威胁的关注和知识、寻求健康咨询的社会网络、医生的健康咨询、非营利组织(包括个人的社会疏远行为和卫生习惯)与疫苗接受度之间的关系。结果。在与健康相关的社交网络上得分较高、对甲型H1N1流感更了解或更关注的人，以及那些咨询过医生的人，比其他人更有可能采用NPIs。对甲型H1N1流感的担忧、看过医生和寻求疫苗之间有很大的关联。结论。这些发现表明，人际传播因素，如与健康相关的社会网络和与医生的咨询，以及个人内部因素，如关切和知识，在流行病期间的非营利机构和疫苗接种中发挥关键作用，并提供干预途径。
Background. Recent A(H1N1) studies suggest that intrapersonal and interpersonal factors may exert influence on people's preventive behaviors for avoiding the flu during pandemics. Aims. Nonpharmaceutical interventions (NPIs) and vaccinations play key roles in containing disease transmission during a pandemic. We examined how intrapersonal and interpersonal factors influenced adoption of NPIs and vaccine uptake during the A(H1N1) pandemic of 2009. Method. The data come from a nationally representative sample survey of 1,569 American adults. Hierarchical multivariable logistic regression was conducted to investigate the association between socioeconomic position, concern and knowledge about the threat, social networks for health advice or health care seeking, health consultations with doctors, and NPIs (including individual's social distancing behaviors and hygiene practices) and vaccine acceptance. Results. People with higher scores on health-related social networks, more knowledge or concern about A(H1N1), and those who have consulted their doctor were more likely than others to adopt NPIs. There was a significant association between being concerned about A(H1N1), having consulted a doctor, and seeking a vaccine. Conclusions. These findings suggest that interpersonal communication factors, such as health-related social networks and consultations with doctors, and intrapersonal factors, such as concern and knowledge, play a critical role in NPIs and vaccine uptake during pandemics and offer avenues for intervention.