What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature.
What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature.
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DOI：
10.1186/1471-2458-14-484
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发表时间：
2014-05-21
影响因子：
4.5
通讯作者：
Viswanath K
中科院分区：
文献类型：
--
作者：
Lin L;Savoia E;Agboola F;Viswanath K
在突发公共卫生事件期间，政府官员忙碌制定宣传战略，以保护民众免受现有或潜在威胁的影响。然而，人口的社会和个人决定因素（即教育、收入、种族/族裔）可能导致个人或群体在接触公共卫生传播信息方面的不平等，以及在获取、处理和根据特定亚群体收到的信息采取行动的能力方面的不平等----这一概念被定义为传播不平等。本文献综述的目的是：1）描述H1N1大流行期间与公众沟通相关问题的科学文献，2）总结我们在了解社会决定因素及其与流感大流行准备和应对中沟通不平等的关系方面获得的知识。在8个主要的通信、社会科学、健康和医学科学文献数据库中检索文章，并由两名独立评审员按照PRISMA指南进行评审。按照公共卫生应急准备传播的结构影响模型对所选文献进行分类分析。共纳入118项实证研究进行最后审查。其中，78%是基于人群的研究，22%是采用信息环境分析技术的文章。关于通信不平等的社会决定因素与应急准备结果之间的关联，报告了一致的结果。对政府官员和信息来源的信任、对疾病的担忧和知识水平、常规媒体曝光以及寻求信息的行为与采用推荐的感染预防措施的可能性更大有关。如果在传播干预措施中加以处理，这些因素可以提高大流行病应对措施的效力。一致的跨研究，在流行病期间的行为遵守预防建议的一些潜在的预测因素被确定。我们的研究结果表明，有必要将此类证据纳入未来宣传活动的制定中，以确保建议的保护措施得到最高的遵守率，并减少未来紧急情况下的沟通不平等现象。
During public health emergencies, public officials are busy in developing communication strategies to protect the population from existing or potential threats. However, a population’s social and individual determinants (i.e. education, income, race/ethnicity) may lead to inequalities in individual or group-specific exposure to public health communication messages, and in the capacity to access, process, and act upon the information received by specific sub-groups- a concept defined as communication inequalities. The aims of this literature review are to: 1) characterize the scientific literature that examined issues related to communication to the public during the H1N1 pandemic, and 2) summarize the knowledge gained in our understanding of social determinants and their association with communication inequalities in the preparedness and response to an influenza pandemic. Articles were searched in eight major communication, social sciences, and health and medical databases of scientific literature and reviewed by two independent reviewers by following the PRISMA guidelines. The selected articles were classified and analyzed in accordance with the Structural Influence Model of Public Health Emergency Preparedness Communications. A total of 118 empirical studies were included for final review. Among them, 78% were population-based studies and 22% were articles that employed information environment analyses techniques. Consistent results were reported on the association between social determinants of communication inequalities and emergency preparedness outcomes. Trust in public officials and source of information, worry and levels of knowledge about the disease, and routine media exposure as well as information-seeking behaviors, were related to greater likelihood of adoption of recommended infection prevention practices. When addressed in communication interventions, these factors can increase the effectiveness of the response to pandemics. Consistently across studies, a number of potential predictors of behavioral compliance to preventive recommendations during a pandemic were identified. Our findings show the need to include such evidence found in the development of future communication campaigns to ensure the highest rates of compliance with recommended protection measures and reduce communication inequalities during future emergencies.
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影响因子：
3.7
作者：
Chew C;Eysenbach G
通讯作者：
Eysenbach G
影响因子：
4.5
作者：
Gray L;MacDonald C;Mackie B;Paton D;Johnston D;Baker MG
通讯作者：
Baker MG
影响因子：
5.5
作者：
Frew, Paula M.;Painter, Julia E.;Omer, Saad B.
通讯作者：
Omer, Saad B.
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影响因子：
3.7
作者：
Balkhy HH;Abolfotouh MA;Al-Hathlool RH;Al-Jumah MA
通讯作者：
Al-Jumah MA
影响因子：
3.7
作者：
Henrich N;Holmes B
通讯作者：
Holmes B