Public information needs after the poisoning of Alexander Litvinenko with polonium-210 in London: cross sectional telephone survey and qualitative analysis
Public information needs after the poisoning of Alexander Litvinenko with polonium-210 in London: cross sectional telephone survey and qualitative analysis
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DOI：
10.1136/bmj.39367.455243.be
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发表时间：
2007-12-01
影响因子：
105.7
通讯作者：
Wessely, Simon
中科院分区：
文献类型：
--
作者：
Rubin, G. James;Page, Lisa;Wessely, Simon
目的了解伦敦亚历山大利特维年科中毒后公众对健康风险的看法，评估公共卫生传播的影响。设计横断面电话调查和定性访谈。设置伦敦，参与者：1000人完成了横断面调查，86名潜在接触者完成了定性访谈。结果测量Po-210事件后对个人健康风险的感知。定性访谈进行了分析，重点是信息需求。结果11.7%的调查样本（n=117）认为自己的健康面临风险。除了个人变量外，健康风险的主要预测因素是认为该事件与恐怖主义有关（比值比2.7，95%置信区间1.5至4.6），而不是间谍活动，它是针对更广泛的公众，而不是一个人（5.9、3.2至10.9），并可能影响到未进入过受污染地区的人（3.2、2.1至5.1）。定性访谈的参与者普遍对他们收到的信息感到满意，尽管他们更希望获得更多关于他们个人暴露风险、尿检结果以及事件对健康的影响。结论公众认为，2006年伦敦发生的与间谍活动有关的210事件有助于让他们放心，对个人健康的风险很低。在未来发生事故时，重要的是要确保提供有关任何暴露风险的详细、可理解的信息。
Objectives To identify public perceptions of the risk to health after the poisoning of Alexander Litvinenko with polonium-210 (Po-210) in London and to assess the impact of public health communications.Design Cross sectional telephone survey and qualitative interviews.Setting London, United Kingdom.Participants 1000 people completed the cross sectional survey and 86 potentially exposed people completed the qualitative interviews.Main outcome measures Perception of risk to personal health after the Po-210 incident. Qualitative interviews were analysed with an emphasis on information needs.Results 11.7% of the survey sample (n=117) perceived their health to be at risk. Aside from personal variables the main predictors of perceived risk to health were believing that the incident was related to terrorism (odds ratio 2.7, 95% confidence interval 1.5 to 4.6) rather than to espionage, that it was targeted at the wider public rather than one person (5.9, 3.2 to 10.9), and that it could affect people who had not been in the contaminated area (3.2, 2.1 to 5.1). Participants in the qualitative interviews were generally satisfied with the information they had received, although they would have preferred more information about their individual risk of exposure, the results of their urine tests, and the health implications of the incident.Conclusions Perceptions of the public that the Po-210 incident in London 2006 was related to espionage helped to reassure them that the risks to personal health were low. In the event of future incidents it is important to ensure that detailed, comprehensible information about the risks of any exposure is available.