Article: Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong
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- Publisher Website: 10.1086/655811
- Scopus: eid_2-s2.0-77955956691
- PMID: 20677945
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| Title | Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Authors | Cowling, BJ1 Ng, DMW1 Ip, DKM1 Liao, Q1 Lam, WWT1 Wu, JT1 Lau, JTF2 Griffiths, SM2 Fielding, R1 | ||||||||||
| Issue Date | 2010 | ||||||||||
| Publisher | Oxford University Press. The Journal's web site is located at http://jid.oxfordjournals.org | ||||||||||
| Citation | Journal Of Infectious Diseases, 2010, v. 202 n. 6, p. 867-876 [How to Cite?] DOI: http://dx.doi.org/10.1086/655811 | ||||||||||
| Abstract | Background: Little is known about the community psychological and behavioral responses to influenza pandemics. Methods: Using random digit dialing, we sampled 12,965 Hong Kong residents in 13 cross-sectional telephone surveys between April and November 2009, covering the entire first wave of the 2009 influenza A(H1N1) pandemic. We examined trends in anxiety, risk perception, knowledge on modes of transmission, and preventive behaviors. Results: Respondents reported low anxiety levels throughout the epidemic. Perceived susceptibility to infection and perceived severity of H1N1 were initially high but declined early in the epidemic and remained stable thereafter. As the epidemic grew, knowledge on modes of transmission did not improve, the adoption of hygiene measures and use of face masks did not change, and social distancing declined. Greater anxiety was associated with lower reported use of hygiene measures but greater social distancing. Knowledge that H1N1 could be spread by indirect contact was associated with greater use of hygiene measures and social distancing. Conclusions: The lack of substantial change in preventive measures or knowledge about the modes of H1N1 transmission in the general population suggests that community mitigation measures played little role in mitigating the impact of the first wave of 2009 influenza A(H1N1) pandemic in Hong Kong. © 2010 by the Infectious Diseases Society of America. All rights reserved. | ||||||||||
| ISSN | 0022-1899 2011 Impact Factor: 6.41 2011 SCImago Journal Rankings: 0.831 | ||||||||||
| DOI | http://dx.doi.org/10.1086/655811 | ||||||||||
| ISI Accession Number ID | WOS:000281091200007
Funding Information: B.J.C. received funding from MedImmune Inc., a manufacturer of influenza vaccines. All other authors declare no conflict of interest. | ||||||||||
| References | References in Scopus | ||||||||||
| Grants | Control of Pandemic and Inter-pandemic Influenza |
| dc.contributor.author | Cowling, BJ | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| dc.contributor.author | Ng, DMW | ||||||||||
| dc.contributor.author | Ip, DKM | ||||||||||
| dc.contributor.author | Liao, Q | ||||||||||
| dc.contributor.author | Lam, WWT | ||||||||||
| dc.contributor.author | Wu, JT | ||||||||||
| dc.contributor.author | Lau, JTF | ||||||||||
| dc.contributor.author | Griffiths, SM | ||||||||||
| dc.contributor.author | Fielding, R | ||||||||||
| dc.date.accessioned | 2010-12-23T08:37:35Z | ||||||||||
| dc.date.available | 2010-12-23T08:37:35Z | ||||||||||
| dc.date.issued | 2010 | ||||||||||
| dc.description.abstract | Background: Little is known about the community psychological and behavioral responses to influenza pandemics. Methods: Using random digit dialing, we sampled 12,965 Hong Kong residents in 13 cross-sectional telephone surveys between April and November 2009, covering the entire first wave of the 2009 influenza A(H1N1) pandemic. We examined trends in anxiety, risk perception, knowledge on modes of transmission, and preventive behaviors. Results: Respondents reported low anxiety levels throughout the epidemic. Perceived susceptibility to infection and perceived severity of H1N1 were initially high but declined early in the epidemic and remained stable thereafter. As the epidemic grew, knowledge on modes of transmission did not improve, the adoption of hygiene measures and use of face masks did not change, and social distancing declined. Greater anxiety was associated with lower reported use of hygiene measures but greater social distancing. Knowledge that H1N1 could be spread by indirect contact was associated with greater use of hygiene measures and social distancing. Conclusions: The lack of substantial change in preventive measures or knowledge about the modes of H1N1 transmission in the general population suggests that community mitigation measures played little role in mitigating the impact of the first wave of 2009 influenza A(H1N1) pandemic in Hong Kong. © 2010 by the Infectious Diseases Society of America. All rights reserved. | ||||||||||
| dc.description.grant | Control of Pandemic and Inter-pandemic Influenza | ||||||||||
| dc.description.grantcode | 97655 | ||||||||||
| dc.description.nature | published_or_final_version | ||||||||||
| dc.identifier.citation | Journal Of Infectious Diseases, 2010, v. 202 n. 6, p. 867-876 [How to Cite?] DOI: http://dx.doi.org/10.1086/655811 | ||||||||||
| dc.identifier.citeulike | 7611634 | ||||||||||
| dc.identifier.doi | http://dx.doi.org/10.1086/655811 | ||||||||||
| dc.identifier.epage | 876 | ||||||||||
| dc.identifier.hkuros | 177649 | ||||||||||
| dc.identifier.isi | WOS:000281091200007
Funding Information: B.J.C. received funding from MedImmune Inc., a manufacturer of influenza vaccines. All other authors declare no conflict of interest. | ||||||||||
| dc.identifier.issn | 0022-1899 2011 Impact Factor: 6.41 2011 SCImago Journal Rankings: 0.831 | ||||||||||
| dc.identifier.issue | 6 | ||||||||||
| dc.identifier.openurl | | ||||||||||
| dc.identifier.pmid | 20677945 | ||||||||||
| dc.identifier.scopus | eid_2-s2.0-77955956691 | ||||||||||
| dc.identifier.spage | 867 | ||||||||||
| dc.identifier.uri | http://hdl.handle.net/10722/129455 | ||||||||||
| dc.identifier.volume | 202 | ||||||||||
| dc.language | eng | ||||||||||
| dc.publisher | Oxford University Press. The Journal's web site is located at http://jid.oxfordjournals.org | ||||||||||
| dc.publisher.place | United States | ||||||||||
| dc.relation.ispartof | Journal of Infectious Diseases | ||||||||||
| dc.relation.references | References in Scopus | ||||||||||
| dc.rights | Creative Commons: Attribution 3.0 Hong Kong License | ||||||||||
| dc.subject.mesh | Behavior | ||||||||||
| dc.subject.mesh | Disease Outbreaks | ||||||||||
| dc.subject.mesh | Health Knowledge, Attitudes, Practice | ||||||||||
| dc.subject.mesh | Influenza A Virus, H1N1 Subtype - isolation and purification | ||||||||||
| dc.subject.mesh | Influenza, Human - epidemiology - prevention and control - psychology - virology | ||||||||||
| dc.title | Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong | ||||||||||
| dc.type | Article |
Author Affiliations
- The University of Hong Kong Li Ka Shing Faculty of Medicine
- Prince of Wales Hospital Hong Kong