Adoption of Preventive Measures and Attitudes Toward the H1N1 Influenza Pandemic in Schools.
Identifieur interne : 000159 ( Main/Exploration ); précédent : 000158; suivant : 000160Adoption of Preventive Measures and Attitudes Toward the H1N1 Influenza Pandemic in Schools.
Auteurs : Anna Pérez [Espagne] ; Tània Rodríguez [Espagne] ; Maria José L Pez [Espagne] ; Xavier Continente [Espagne] ; Manel Nebot [Espagne]Source :
- The Journal of school health [ 1746-1561 ] ; 2016.
Descripteurs français
- KwdFr :
- Absentéisme (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Espagne (MeSH), Facteurs socioéconomiques (MeSH), Grippe humaine (prévention et contrôle), Humains (MeSH), Modèles logistiques (MeSH), Pandémies (MeSH), Prévention des infections (organisation et administration), Sous-type H1N1 du virus de la grippe A (MeSH), Établissements scolaires (organisation et administration), Études transversales (MeSH).
- MESH :
- organisation et administration : Prévention des infections, Établissements scolaires.
- prévention et contrôle : Grippe humaine.
- Absentéisme, Connaissances, attitudes et pratiques en santé, Espagne, Facteurs socioéconomiques, Humains, Modèles logistiques, Pandémies, Sous-type H1N1 du virus de la grippe A, Études transversales.
English descriptors
- KwdEn :
- Absenteeism (MeSH), Cross-Sectional Studies (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Infection Control (organization & administration), Influenza A Virus, H1N1 Subtype (MeSH), Influenza, Human (prevention & control), Logistic Models (MeSH), Pandemics (MeSH), Schools (organization & administration), Socioeconomic Factors (MeSH), Spain (MeSH).
- MESH :
- organization & administration : Infection Control, Schools.
- prevention & control : Influenza, Human.
- Absenteeism, Cross-Sectional Studies, Health Knowledge, Attitudes, Practice, Humans, Influenza A Virus, H1N1 Subtype, Logistic Models, Pandemics, Socioeconomic Factors, Spain.
Abstract
BACKGROUND
This study describes the perceived impact of H1N1 influenza and the adoption of the recommended measures to address the pandemic in schools.
METHODS
A cross-sectional self-reported survey was conducted in 433 schools in Barcelona addressed to the school principal or the H1N1 influenza designated person. A descriptive analysis was performed, stratifying by educational level and type of school. A logistic regression analysis also was conducted.
RESULTS
Around 70% of the respondents reported that there had been H1N1 influenza cases among students, being this percentage significantly higher among those schools offering primary education (74.4%) (p < .05). The main measures (single-use paper towels, availability of sanitizer solutions and 15 minutes ventilation per day of enclosed spaces) were implemented in most of the centers. However, the correct adoption of the main measures took place in around 30% of the schools, being the percentage lower in those offering only secondary education (Odds ratio [OR]: 0.518; 95% confidence interval [CI]:0.272-0.986) and those located in medium (OR: 0.438, 95% CI: 0.234-0.811) or low socioeconomic status (SES) districts (OR: 0.321, 95% CI: 0.159-0.649).
CONCLUSIONS
Despite the climate of social alarm, the perceived impact of H1N1 influenza in most schools was moderate. In future potential threats, the educational level and the SES of the school should be considered, especially when measures requiring purchasing any product are recommended but not provided.
DOI: 10.1111/josh.12406
PubMed: 27246678
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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mjlopez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Continente, Xavier" sort="Continente, Xavier" uniqKey="Continente X" first="Xavier" last="Continente">Xavier Continente</name><affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). xgarcia@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, 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type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). aperez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). aperez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research</wicri:regionArea></affiliation></author><author><name sortKey="Rodriguez, Tania" sort="Rodriguez, Tania" uniqKey="Rodriguez T" first="Tània" last="Rodríguez">Tània Rodríguez</name><affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). trodriguezp@catsalut.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="L Pez, Maria Jose" sort="L Pez, Maria Jose" uniqKey="L Pez M" first="Maria José" last="L Pez">Maria José L Pez</name><affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). mjlopez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). mjlopez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). mjlopez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research</wicri:regionArea></affiliation><affiliation wicri:level="4"><nlm:affiliation>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona, Spain). mjlopez@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author><author><name sortKey="Continente, Xavier" sort="Continente, Xavier" uniqKey="Continente X" first="Xavier" last="Continente">Xavier Continente</name><affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). xgarcia@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). xgarcia@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research</wicri:regionArea></affiliation></author><author><name sortKey="Nebot, Manel" sort="Nebot, Manel" uniqKey="Nebot M" first="Manel" last="Nebot">Manel Nebot</name><affiliation wicri:level="3"><nlm:affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). mnebot@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). mnebot@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). mnebot@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research</wicri:regionArea></affiliation><affiliation wicri:level="4"><nlm:affiliation>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona, Spain). mnebot@aspb.cat.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Espagne</country><wicri:regionArea>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><orgName type="university">Université Pompeu Fabra</orgName></affiliation></author></analytic><series><title level="j">The Journal of school health</title><idno type="eISSN">1746-1561</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Absenteeism (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Humans (MeSH)</term><term>Infection Control (organization & administration)</term><term>Influenza A Virus, H1N1 Subtype (MeSH)</term><term>Influenza, Human (prevention & control)</term><term>Logistic Models (MeSH)</term><term>Pandemics (MeSH)</term><term>Schools (organization & administration)</term><term>Socioeconomic Factors (MeSH)</term><term>Spain (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Absentéisme (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Espagne (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Pandémies (MeSH)</term><term>Prévention des infections (organisation et administration)</term><term>Sous-type H1N1 du virus de la grippe A (MeSH)</term><term>Établissements scolaires (organisation et administration)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Prévention des infections</term><term>Établissements scolaires</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Infection Control</term><term>Schools</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Absenteeism</term><term>Cross-Sectional Studies</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Influenza A Virus, H1N1 Subtype</term><term>Logistic Models</term><term>Pandemics</term><term>Socioeconomic Factors</term><term>Spain</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Absentéisme</term><term>Connaissances, attitudes et pratiques en santé</term><term>Espagne</term><term>Facteurs socioéconomiques</term><term>Humains</term><term>Modèles logistiques</term><term>Pandémies</term><term>Sous-type H1N1 du virus de la grippe A</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>This study describes the perceived impact of H1N1 influenza and the adoption of the recommended measures to address the pandemic in schools.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A cross-sectional self-reported survey was conducted in 433 schools in Barcelona addressed to the school principal or the H1N1 influenza designated person. A descriptive analysis was performed, stratifying by educational level and type of school. A logistic regression analysis also was conducted.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Around 70% of the respondents reported that there had been H1N1 influenza cases among students, being this percentage significantly higher among those schools offering primary education (74.4%) (p < .05). The main measures (single-use paper towels, availability of sanitizer solutions and 15 minutes ventilation per day of enclosed spaces) were implemented in most of the centers. However, the correct adoption of the main measures took place in around 30% of the schools, being the percentage lower in those offering only secondary education (Odds ratio [OR]: 0.518; 95% confidence interval [CI]:0.272-0.986) and those located in medium (OR: 0.438, 95% CI: 0.234-0.811) or low socioeconomic status (SES) districts (OR: 0.321, 95% CI: 0.159-0.649).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite the climate of social alarm, the perceived impact of H1N1 influenza in most schools was moderate. In future potential threats, the educational level and the SES of the school should be considered, especially when measures requiring purchasing any product are recommended but not provided.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27246678</PMID><DateCompleted><Year>2017</Year><Month>11</Month><Day>01</Day></DateCompleted><DateRevised><Year>2018</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1746-1561</ISSN><JournalIssue CitedMedium="Internet"><Volume>86</Volume><Issue>7</Issue><PubDate><Year>2016</Year><Month>07</Month></PubDate></JournalIssue><Title>The Journal of school health</Title><ISOAbbreviation>J Sch Health</ISOAbbreviation></Journal><ArticleTitle>Adoption of Preventive Measures and Attitudes Toward the H1N1 Influenza Pandemic in Schools.</ArticleTitle><Pagination><MedlinePgn>534-42</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/josh.12406</ELocationID><Abstract><AbstractText Label="BACKGROUND">This study describes the perceived impact of H1N1 influenza and the adoption of the recommended measures to address the pandemic in schools.</AbstractText><AbstractText Label="METHODS">A cross-sectional self-reported survey was conducted in 433 schools in Barcelona addressed to the school principal or the H1N1 influenza designated person. A descriptive analysis was performed, stratifying by educational level and type of school. A logistic regression analysis also was conducted.</AbstractText><AbstractText Label="RESULTS">Around 70% of the respondents reported that there had been H1N1 influenza cases among students, being this percentage significantly higher among those schools offering primary education (74.4%) (p < .05). The main measures (single-use paper towels, availability of sanitizer solutions and 15 minutes ventilation per day of enclosed spaces) were implemented in most of the centers. However, the correct adoption of the main measures took place in around 30% of the schools, being the percentage lower in those offering only secondary education (Odds ratio [OR]: 0.518; 95% confidence interval [CI]:0.272-0.986) and those located in medium (OR: 0.438, 95% CI: 0.234-0.811) or low socioeconomic status (SES) districts (OR: 0.321, 95% CI: 0.159-0.649).</AbstractText><AbstractText Label="CONCLUSIONS">Despite the climate of social alarm, the perceived impact of H1N1 influenza in most schools was moderate. In future potential threats, the educational level and the SES of the school should be considered, especially when measures requiring purchasing any product are recommended but not provided.</AbstractText><CopyrightInformation>© 2016, American School Health Association.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pérez</LastName><ForeName>Anna</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). aperez@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). aperez@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). aperez@aspb.cat.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rodríguez</LastName><ForeName>Tània</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). trodriguezp@catsalut.cat.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>López</LastName><ForeName>Maria José</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). mjlopez@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). mjlopez@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). mjlopez@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona, Spain). mjlopez@aspb.cat.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Continente</LastName><ForeName>Xavier</ForeName><Initials>X</Initials><AffiliationInfo><Affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). xgarcia@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). xgarcia@aspb.cat.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nebot</LastName><ForeName>Manel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Agència de Salut Pública de Barcelona, Spain (Public Health Agency, Barcelona, Spain). mnebot@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>CIBER en Epidemiología y Salud Pública (CIBERESP) (Biomedical Research Centre Network for Epidemiology and Public Health, Spain). mnebot@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Institut d'Investigació Biomèdica de Sant Pau (IIB Sant Pau) (Institute of Biomedical Research, Spain). mnebot@aspb.cat.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra (UPF) (Experimental and Health Sciences Department, Pompeu Fabra University, Barcelona, Spain). mnebot@aspb.cat.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Sch Health</MedlineTA><NlmUniqueID>0376370</NlmUniqueID><ISSNLinking>0022-4391</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000041" MajorTopicYN="N">Absenteeism</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053118" MajorTopicYN="Y">Influenza A Virus, H1N1 Subtype</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012574" MajorTopicYN="N">Schools</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">H1N1 influenza</Keyword><Keyword MajorTopicYN="Y">infectious disease control</Keyword><Keyword MajorTopicYN="Y">pandemic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>05</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>11</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>11</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27246678</ArticleId><ArticleId IdType="doi">10.1111/josh.12406</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement><orgName><li>Université Pompeu Fabra</li></orgName></list><tree><country name="Espagne"><region name="Catalogne"><name sortKey="Perez, Anna" sort="Perez, Anna" uniqKey="Perez A" first="Anna" last="Pérez">Anna Pérez</name></region><name sortKey="Continente, Xavier" sort="Continente, Xavier" uniqKey="Continente X" first="Xavier" last="Continente">Xavier Continente</name><name sortKey="Continente, Xavier" sort="Continente, Xavier" uniqKey="Continente X" first="Xavier" last="Continente">Xavier Continente</name><name sortKey="L Pez, Maria Jose" sort="L Pez, Maria Jose" uniqKey="L Pez M" first="Maria José" last="L Pez">Maria José L Pez</name><name sortKey="L Pez, Maria Jose" sort="L Pez, Maria Jose" uniqKey="L Pez M" first="Maria José" last="L Pez">Maria José L Pez</name><name sortKey="L Pez, Maria Jose" sort="L Pez, Maria Jose" uniqKey="L Pez M" first="Maria José" last="L Pez">Maria José L Pez</name><name sortKey="L Pez, Maria Jose" sort="L Pez, Maria Jose" uniqKey="L Pez M" first="Maria José" last="L Pez">Maria José L Pez</name><name sortKey="Nebot, Manel" sort="Nebot, Manel" uniqKey="Nebot M" first="Manel" last="Nebot">Manel Nebot</name><name sortKey="Nebot, Manel" sort="Nebot, Manel" uniqKey="Nebot M" first="Manel" last="Nebot">Manel Nebot</name><name sortKey="Nebot, Manel" sort="Nebot, Manel" uniqKey="Nebot M" first="Manel" last="Nebot">Manel Nebot</name><name sortKey="Nebot, Manel" sort="Nebot, Manel" uniqKey="Nebot M" first="Manel" last="Nebot">Manel Nebot</name><name sortKey="Perez, Anna" sort="Perez, Anna" uniqKey="Perez A" first="Anna" last="Pérez">Anna Pérez</name><name sortKey="Perez, Anna" sort="Perez, Anna" uniqKey="Perez A" first="Anna" last="Pérez">Anna Pérez</name><name sortKey="Rodriguez, Tania" sort="Rodriguez, Tania" uniqKey="Rodriguez T" 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