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Article: Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong

TitleCommunity psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong
Authors
Issue Date2010
PublisherOxford 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?
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.
Persistent Identifierhttp://hdl.handle.net/10722/129455
ISSN
2013 Impact Factor: 5.778
ISI Accession Number ID
Funding AgencyGrant Number
MedImmune Inc.
Control of Infectious Disease, Food and Health Bureau
Government of the Hong Kong Special Administrative RegionPHE-01
Area of Excellence Scheme of the Hong Kong University Grants CommitteeAoE/M-12/06
Funding Information:

B.J.C. received funding from MedImmune Inc., a manufacturer of influenza vaccines. All other authors declare no conflict of interest.

References
Grants

 

Author Affiliations
  1. The University of Hong Kong Li Ka Shing Faculty of Medicine
  2. Prince of Wales Hospital Hong Kong
DC FieldValueLanguage
dc.contributor.authorCowling, BJen_HK
dc.contributor.authorNg, DMWen_HK
dc.contributor.authorIp, DKMen_HK
dc.contributor.authorLiao, Qen_HK
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorWu, JTen_HK
dc.contributor.authorLau, JTFen_HK
dc.contributor.authorGriffiths, SMen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-12-23T08:37:35Z-
dc.date.available2010-12-23T08:37:35Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Infectious Diseases, 2010, v. 202 n. 6, p. 867-876en_HK
dc.identifier.issn0022-1899en_HK
dc.identifier.urihttp://hdl.handle.net/10722/129455-
dc.description.abstractBackground: 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.en_HK
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://jid.oxfordjournals.org en_HK
dc.relation.ispartofJournal of Infectious Diseasesen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshBehavior-
dc.subject.meshDisease Outbreaks-
dc.subject.meshHealth Knowledge, Attitudes, Practice-
dc.subject.meshInfluenza A Virus, H1N1 Subtype - isolation and purification-
dc.subject.meshInfluenza, Human - epidemiology - prevention and control - psychology - virology-
dc.titleCommunity psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kongen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0022-1899&volume=202&issue=6&spage=867&epage=876&date=2010&atitle=Community+psychological+and+behavioral+responses+through+the+first+wave+of+the+2009+influenza+A(H1N1)+pandemic+in+Hong+Kong-
dc.identifier.emailCowling, BJ:bcowling@hku.hken_HK
dc.identifier.emailIp, DKM:dkmip@hku.hken_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailWu, JT:joewu@hkucc.hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityCowling, BJ=rp01326en_HK
dc.identifier.authorityIp, DKM=rp00256en_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityWu, JT=rp00517en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1086/655811en_HK
dc.identifier.pmid20677945en_HK
dc.identifier.scopuseid_2-s2.0-77955956691en_HK
dc.identifier.hkuros177649en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77955956691&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume202en_HK
dc.identifier.issue6en_HK
dc.identifier.spage867en_HK
dc.identifier.epage876en_HK
dc.identifier.eissn1537-6613-
dc.identifier.isiWOS:000281091200007-
dc.publisher.placeUnited Statesen_HK
dc.relation.projectControl of Pandemic and Inter-pandemic Influenza-
dc.identifier.scopusauthoridCowling, BJ=8644765500en_HK
dc.identifier.scopusauthoridNg, DMW=36497437400en_HK
dc.identifier.scopusauthoridIp, DKM=35117701600en_HK
dc.identifier.scopusauthoridLiao, Q=36497115000en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridWu, JT=7409256423en_HK
dc.identifier.scopusauthoridLau, JTF=26643560600en_HK
dc.identifier.scopusauthoridGriffiths, SM=35233240400en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK
dc.identifier.citeulike7611634-

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