Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys.

Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys.
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在荷兰流感A(H1N1)大流行的早期阶段,普通大众的风险,焦虑和行为反应感知到了:连续三个在线调查的结果。

DOI:
10.1186/1471-2458-11-2
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发表时间:
2011-01-03
期刊:
影响因子:
4.5
通讯作者:
Voeten HA
Voeten HA
中科院分区:
医学2区
文献类型:
--
作者:
Bults M;Beaujean DJ;de Zwart O;Kok G;van Empelen P;van Steenbergen JE;Richardus JH;Voeten HA

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对新出现传染病的风险认知和行为反应的研究仍然相对较新。本研究的目的是考察荷兰甲型H1N1流感大流行初期公众的认知和行为。两次横断面调查和一次后续在线调查(2009年4月30日至5月4日调查1;6月15日至19日调查2;8月11日至20日调查3)。邀请18岁及以上的成年人参加有代表性的互联网小组(调查1,n = 456;调查2,n = 478;随访调查3,n = 934)。主要结局测量指标为:1)风险感知、焦虑感和行为反应的时间趋势(调查1-3);2)与采取预防措施相关的因素以及未来遵守政府建议的预防措施的强烈意愿(调查3)。2009年5月至8月期间,有关甲型H1N1流感的知识水平有所提高,而新流感的严重程度、自我效能感和遵守预防措施的意愿有所下降。从5月到8月,政府信息的可信度下降了(62%对45%)。焦虑感从5月到6月下降,之后保持稳定。从2009年6月到8月,感知到的脆弱性增加了,更多的受访者采取了预防措施(14%对38%)。采取预防措施与家庭无子女、高焦虑、高自我效能感、更认同回避陈述以及对媒体有关甲型H1N1流感信息的关注相关。有强烈意愿在未来遵守政府建议的预防措施与更高的年龄、高感知严重性、高焦虑、高感知措施效能、高自我效能以及认为政府信息可靠相关。随着时间的推移,感知到的严重程度和焦虑程度呈下降趋势,这与现实相符:随着时间的推移,流感的临床表现被证明是温和的。虽然(国际)国家卫生当局最初高估了病死率,但公众保持冷静,仍然有相对较高的意愿遵守预防措施。
Research into risk perception and behavioural responses in case of emerging infectious diseases is still relatively new. The aim of this study was to examine perceptions and behaviours of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands. Two cross-sectional and one follow-up online survey (survey 1, 30 April-4 May; survey 2, 15-19 June; survey 3, 11-20 August 2009). Adults aged 18 years and above participating in a representative Internet panel were invited (survey 1, n = 456; survey 2, n = 478; follow-up survey 3, n = 934). Main outcome measures were 1) time trends in risk perception, feelings of anxiety, and behavioural responses (survey 1-3) and 2) factors associated with taking preventive measures and strong intention to comply with government-advised preventive measures in the future (survey 3). Between May and August 2009, the level of knowledge regarding Influenza A (H1N1) increased, while perceived severity of the new flu, perceived self-efficacy, and intention to comply with preventive measures decreased. The perceived reliability of information from the government decreased from May to August (62% versus 45%). Feelings of anxiety decreased from May to June, and remained stable afterwards. From June to August 2009, perceived vulnerability increased and more respondents took preventive measures (14% versus 38%). Taking preventive measures was associated with no children in the household, high anxiety, high self-efficacy, more agreement with statements on avoidance, and paying much attention to media information regarding Influenza A (H1N1). Having a strong intention to comply with government-advised preventive measures in the future was associated with higher age, high perceived severity, high anxiety, high perceived efficacy of measures, high self-efficacy, and finding governmental information to be reliable. Decreasing trends over time in perceived severity and anxiety are consistent with the reality: the clinical picture of influenza turned out to be mild in course of time. Although (inter)national health authorities initially overestimated the case fatality rate, the public stayed calm and remained to have a relatively high intention to comply with preventive measures.
DOI: 10.1371/journal.pone.0008032
发表时间: 2009-12-03
期刊: PloS one
影响因子: 3.7
作者:
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通讯作者: Salathé M
DOI: 10.1086/429923
发表时间: 2005-06-15
影响因子: 11.8
作者:
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DOI: 10.1207/s15324796abm2702_7
发表时间: 2004-04-01
影响因子: 3.8
作者:
Brewer, NT;Weinstein, ND;Herrington, JE
通讯作者: Herrington, JE
DOI: 10.1186/1471-2458-10-174
发表时间: 2010-03-30
期刊: BMC public health
影响因子: 4.5
作者:
Kok G;Jonkers R;Gelissen R;Meertens R;Schaalma H;de Zwart O
通讯作者: de Zwart O
DOI: 10.3201/eid1302.060303
发表时间: 2007-02
影响因子: 11.8
作者:
de Zwart O;Veldhuijzen IK;Elam G;Aro AR;Abraham T;Bishop GD;Richardus JH;Brug J
通讯作者: Brug J