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Article: What causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia

TitleWhat causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia
Authors
Issue Date2009
PublisherOxford University Press. The Journal's web site is located at http://jpubhealth.oxfordjournals.org/
Citation
Journal Of Public Health, 2009, v. 31 n. 4, p. 573-581 How to Cite?
AbstractBackground Health education to reduce population poultry exposures has limited effect. Lay beliefs about H5N1 highly pathogenic avian influenza (HPAI) causes could provide insights helpful for improving public health interventions. Methods Qualitative interviews of poultry farmers, retailers, market stall holders and consumers in Hong Kong (n = 20), Guangzhou (n = 25), Vietnam (n = 38) and Thailand (n = 40) were conducted using purposive sampling and analysed using ethnographic principles. Results Each location produced three comparable themes: 'viruses': HPAI exemplified a periodic, natural, disease process therefore, deserving little concern. For some, science had 'discovered' something long known to farmers and lived with for generations. Others believe the virus to be new. Viral ecology was reasonably well understood among farmers, but less so by retailers and consumers; 'husbandry practices' included poor hygiene, overcrowding and industrial farming, modern commercial feed and veterinary drugs; 'vulnerability factors' included uncontrollable 'external' explanations involving the weather, seasonal changes, bird migrations and pollution. Conclusions Lay explanations were generally ecologically consistent. Nonetheless, beliefs that HPAI is a normal, recurrent process, external factors and roles of industrialized poultry rearing countered health worker claims of H5N1 seriousness for smallholders. These causal beliefs incorporate contemporary models of H5N1 ecology, but in a manner that contradicts public health efforts at control.
Persistent Identifierhttp://hdl.handle.net/10722/86898
ISSN
2015 Impact Factor: 2.019
2015 SCImago Journal Rankings: 0.933
ISI Accession Number ID
Funding AgencyGrant Number
Hong Kong Government Research Fund for the Control of Infectious DiseasesRFCID 03040072
Funding Information:

This work was funded by a grant from the Hong Kong Government Research Fund for the Control of Infectious Diseases (grant no. RFCID 03040072).

References

 

DC FieldValueLanguage
dc.contributor.authorLiao, QYen_HK
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorDang, VTen_HK
dc.contributor.authorJiang, CQen_HK
dc.contributor.authorUdomprasertgul, Ven_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-09-06T09:22:41Z-
dc.date.available2010-09-06T09:22:41Z-
dc.date.issued2009en_HK
dc.identifier.citationJournal Of Public Health, 2009, v. 31 n. 4, p. 573-581en_HK
dc.identifier.issn1741-3842en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86898-
dc.description.abstractBackground Health education to reduce population poultry exposures has limited effect. Lay beliefs about H5N1 highly pathogenic avian influenza (HPAI) causes could provide insights helpful for improving public health interventions. Methods Qualitative interviews of poultry farmers, retailers, market stall holders and consumers in Hong Kong (n = 20), Guangzhou (n = 25), Vietnam (n = 38) and Thailand (n = 40) were conducted using purposive sampling and analysed using ethnographic principles. Results Each location produced three comparable themes: 'viruses': HPAI exemplified a periodic, natural, disease process therefore, deserving little concern. For some, science had 'discovered' something long known to farmers and lived with for generations. Others believe the virus to be new. Viral ecology was reasonably well understood among farmers, but less so by retailers and consumers; 'husbandry practices' included poor hygiene, overcrowding and industrial farming, modern commercial feed and veterinary drugs; 'vulnerability factors' included uncontrollable 'external' explanations involving the weather, seasonal changes, bird migrations and pollution. Conclusions Lay explanations were generally ecologically consistent. Nonetheless, beliefs that HPAI is a normal, recurrent process, external factors and roles of industrialized poultry rearing countered health worker claims of H5N1 seriousness for smallholders. These causal beliefs incorporate contemporary models of H5N1 ecology, but in a manner that contradicts public health efforts at control.en_HK
dc.languageengen_HK
dc.publisherOxford University Press. The Journal's web site is located at http://jpubhealth.oxfordjournals.org/en_HK
dc.relation.ispartofJournal of Public Healthen_HK
dc.rightsJournal of Public Health. Copyright © Oxford University Press.en_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshAnimalsen_HK
dc.subject.meshAsia, Southeasternen_HK
dc.subject.meshFar Easten_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHealth Knowledge, Attitudes, Practiceen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInfluenza A Virus, H5N1 Subtypeen_HK
dc.subject.meshInfluenza in Birdsen_HK
dc.subject.meshInfluenza, Human - etiologyen_HK
dc.subject.meshInterviews as Topicen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPoultryen_HK
dc.subject.meshPublic Healthen_HK
dc.subject.meshYoung Adulten_HK
dc.titleWhat causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1741-3842&volume=31&issue=4&spage=573&epage=581&date=2009&atitle=What+causes+H5N1+avian+influenza?+Lay+perceptions+of+H5N1+aetiology+in+South+East+and+East+Asiaen_HK
dc.identifier.emailLam, WWT:wwtlam@hku.hken_HK
dc.identifier.emailFielding, R:fielding@hku.hken_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1093/pubmed/fdp043en_HK
dc.identifier.pmid19423546en_HK
dc.identifier.scopuseid_2-s2.0-77649192005en_HK
dc.identifier.hkuros168643en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77649192005&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue4en_HK
dc.identifier.spage573en_HK
dc.identifier.epage581en_HK
dc.identifier.isiWOS:000272184900019-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLiao, QY=26029481600en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridDang, VT=35726498700en_HK
dc.identifier.scopusauthoridJiang, CQ=10639500500en_HK
dc.identifier.scopusauthoridUdomprasertgul, V=6507735460en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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