Prevalence of preventive behaviors and associated factors during early phase of the H1N1 influenza epidemic.

Prevalence of preventive behaviors and associated factors during early phase of the H1N1 influenza epidemic.
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DOI:
10.1016/j.ajic.2010.03.002
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发表时间:
2010-06
影响因子:
4.9
通讯作者:
Lin C
Lin C
中科院分区:
医学3区
文献类型:
--
作者:
Lau JT;Griffiths S;Choi KC;Lin C

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社区在控制甲型H1N1流感方面发挥着重要作用。在甲型H1N1流感大流行的初始阶段,缺乏调查采取预防行为的数据。在香港爆发甲型H1N1流感大流行的社区爆发前阶段(2009年5月7日至6月6日),在香港进行了三轮随机、以人群为基础的匿名电话调查(n = 999)。46.65%、88.75%和21.5%的人每天洗手10次以上,流感样病例时戴口罩,公共场所经常戴口罩。与身体损害、频繁洗手的功效、有效疫苗的不可用性、大规模局部爆发的高机会以及因甲型H1N1流感而导致的精神痛苦相关的感知与频繁洗手相关(比值比[OR],1.46至2.15)。当患有ILI时,疫苗可用性与口罩使用相关(OR,1.60)。认为死亡率、戴口罩的有效性和甲型H1N1流感引起的精神痛苦与公共场所戴口罩有关(OR,1.53至2.52)。预防行为被公众普遍采用,并与认知和情感因素有关。预防工作应考虑到公众的看法,新出现的传染病为促进卫生提供了良好的机会。
The community plays an important role in controlling influenza A/H1N1. There is a dearth of data investigating adoption of preventive behaviors in the initial phase of the A/H1N1 pandemic. Three round of random, population-based, anonymous telephone survey were conducted in Hong Kong during the pre-community outbreak phase (May 7 to June 6, 2009) of the influenza A/H1N1 pandemic in Hong Kong (n = 999). Respectively, 46.65%, 88.75%, and 21.5% washed hands more than 10 times/day, wore face masks when having influenza-like illness (ILI), and wore face masks regularly in public areas. Perceptions related to bodily damages, efficacy of frequent handwashing, nonavailability of effective vaccines, high chance of having a large scale local outbreak, and mental distress because of influenza A/H1N1 were associated with frequent handwashing (odds ratio [OR], 1.46 to 2.15). Perceived vaccine availability was associated with face mask use when having ILI (OR, 1.60). Perceived fatality, efficacy of wearing face masks, and mental distress because of influenza A/H1N1 were associated with face mask use in public areas (OR, 1.53 to 2.52). Preventive behaviors were prevalently adopted by the public and were associated with cognitive and affective factors. Prevention efforts should take public perceptions into account, and emerging infectious diseases provide good chances for promoting hygiene.
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