Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62

Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62
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DOI:
10.1136/jech.57.11.864
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发表时间:
2003-11-01
影响因子:
6.3
通讯作者:
Kim, JH
Kim, JH
中科院分区:
医学2区
文献类型:
--
作者:
Lau, JTF;Yang, X;Kim, JH

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研究目的:报告香港市民对严重急性呼吸系统综合症(SARS)疫情的看法和行为的演变。设计:在SARS爆发期间,进行了10次类似的连续电话调查,这些调查被归类为疫情的第一和第二阶段。地点:中国香港。参与者:调查对象为1397名18 - 60岁香港居民,主要观察指标:对SARS及其预防的认知和行为。约一半的受访者认为SARS是可以治愈的,这一比例在最初阶段有所上升,在第二阶段有所下降。认为感染的机会很低(9%),但对在公共场所感染的恐惧很高(48%)。卫生措施(戴口罩:82%,洗手:93%,和家庭消毒:75%)的感知效果在两个阶段都保持较高水平,避免拥挤的地方,使用公共交通工具等的感知效果,最初增加,在第二阶段下降。与此同时,三项卫生措施的使用在第一阶段显著增加,戴口罩和洗手在第二阶段仍然很高。结论:SARS流行期间,香港居民对SARS的认知和行为发生了迅速变化,并迅速采取了相应的预防措施。信息的及时传播在公共卫生危机管理中是有效的。
Study Objective: To report the evolution in perceptions and behaviours of the general public in response to the severe acute respiratory syndrome (SARS) epidemic in Hong Kong.Design: Ten similar and sequential telephone surveys were conducted during outbreak of SARS, which are classified as belonging to the first and second phases of the epidemic.Setting: Hong Kong, China.Participants: 1397 Hong Kong residents between 18 and 60 years of age.Main outcome measures: Perceptions and behaviours to SARS and its prevention.Results: Most of the respondents believed that SARS could be transmitted via direct body contact and droplets. About half of respondents believed that SARS was curable, which increased in the initial phase and decreased in the second phase. Perceived chance of infection was low (9%) but fear of infection in public places was high (48%). Perceived efficacy of hygiene measures (wearing a mask: 82%, hand washing: 93%, and home disinfection: 75%) remained high in both phases and the perceived efficacy of avoiding crowded place, and using public transportation, etc, increased initially and decreased in the second phase. In parallel, use of the three hygiene measures increased significantly in the first phase and remained high for wearing a mask and washing hands in the second phase. Percentages of people avoiding crowded place and public transportation significantly increased initially and decreased in the second phase.Conclusion: SARS related perceptions and behaviours evolved rapidly during the epidemic and Hong Kong residents quickly adopted appropriate SARS prevention measures. Timely dissemination of information seems effective in public health crises management.