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- Publisher Website: 10.1093/pubmed/fdp043
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- PMID: 19423546
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Article: What causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia
Title | What causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia | ||||
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Authors | |||||
Keywords | Communicable Diseases Individual behaviour Public health | ||||
Issue Date | 2009 | ||||
Publisher | Oxford 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? | ||||
Abstract | Background 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 Identifier | http://hdl.handle.net/10722/86898 | ||||
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 0.981 | ||||
ISI Accession Number ID |
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 Field | Value | Language |
---|---|---|
dc.contributor.author | Liao, QY | en_HK |
dc.contributor.author | Lam, WWT | en_HK |
dc.contributor.author | Dang, VT | en_HK |
dc.contributor.author | Jiang, CQ | en_HK |
dc.contributor.author | Udomprasertgul, V | en_HK |
dc.contributor.author | Fielding, R | en_HK |
dc.date.accessioned | 2010-09-06T09:22:41Z | - |
dc.date.available | 2010-09-06T09:22:41Z | - |
dc.date.issued | 2009 | en_HK |
dc.identifier.citation | Journal Of Public Health, 2009, v. 31 n. 4, p. 573-581 | en_HK |
dc.identifier.issn | 1741-3842 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/86898 | - |
dc.description.abstract | Background 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.language | eng | en_HK |
dc.publisher | Oxford University Press. The Journal's web site is located at http://jpubhealth.oxfordjournals.org/ | en_HK |
dc.relation.ispartof | Journal of Public Health | en_HK |
dc.rights | Journal of Public Health. Copyright © Oxford University Press. | en_HK |
dc.subject | Communicable | - |
dc.subject | Diseases | - |
dc.subject | Individual behaviour | - |
dc.subject | Public health | - |
dc.subject.mesh | Adolescent | en_HK |
dc.subject.mesh | Adult | en_HK |
dc.subject.mesh | Aged | en_HK |
dc.subject.mesh | Animals | en_HK |
dc.subject.mesh | Asia, Southeastern | en_HK |
dc.subject.mesh | Far East | en_HK |
dc.subject.mesh | Female | en_HK |
dc.subject.mesh | Health Knowledge, Attitudes, Practice | en_HK |
dc.subject.mesh | Humans | en_HK |
dc.subject.mesh | Influenza A Virus, H5N1 Subtype | en_HK |
dc.subject.mesh | Influenza in Birds | en_HK |
dc.subject.mesh | Influenza, Human - etiology | en_HK |
dc.subject.mesh | Interviews as Topic | en_HK |
dc.subject.mesh | Male | en_HK |
dc.subject.mesh | Middle Aged | en_HK |
dc.subject.mesh | Poultry | en_HK |
dc.subject.mesh | Public Health | en_HK |
dc.subject.mesh | Young Adult | en_HK |
dc.title | What causes H5N1 avian influenza? Lay perceptions of H5N1 aetiology in South East and East Asia | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://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+Asia | en_HK |
dc.identifier.email | Lam, WWT:wwtlam@hku.hk | en_HK |
dc.identifier.email | Fielding, R:fielding@hku.hk | en_HK |
dc.identifier.authority | Lam, WWT=rp00443 | en_HK |
dc.identifier.authority | Fielding, R=rp00339 | en_HK |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1093/pubmed/fdp043 | en_HK |
dc.identifier.pmid | 19423546 | en_HK |
dc.identifier.scopus | eid_2-s2.0-77649192005 | en_HK |
dc.identifier.hkuros | 168643 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-77649192005&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 31 | en_HK |
dc.identifier.issue | 4 | en_HK |
dc.identifier.spage | 573 | en_HK |
dc.identifier.epage | 581 | en_HK |
dc.identifier.isi | WOS:000272184900019 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Liao, QY=26029481600 | en_HK |
dc.identifier.scopusauthorid | Lam, WWT=7203022022 | en_HK |
dc.identifier.scopusauthorid | Dang, VT=35726498700 | en_HK |
dc.identifier.scopusauthorid | Jiang, CQ=10639500500 | en_HK |
dc.identifier.scopusauthorid | Udomprasertgul, V=6507735460 | en_HK |
dc.identifier.scopusauthorid | Fielding, R=7102200484 | en_HK |
dc.identifier.issnl | 1741-3842 | - |