Adequacy of public health communications on H7N9 and MERS in Singapore: insights from a community based cross-sectional study
Identifieur interne : 000332 ( Pmc/Curation ); précédent : 000331; suivant : 000333Adequacy of public health communications on H7N9 and MERS in Singapore: insights from a community based cross-sectional study
Auteurs : Yan N Hou [Singapour] ; Yi-Roe Tan [Singapour] ; Wei Yen Lim [Singapour] ; Vernon Lee [Singapour] ; Linda Wei Lin Tan [Singapour] ; Mark I-Cheng Chen [Singapour] ; Peiling Yap [Singapour]Source :
- BMC Public Health [ 1471-2458 ] ; 2018.
Abstract
Singapore remains vulnerable to worldwide epidemics due to high air traffic with other countries This study aims to measure the public’s awareness of the Middle East Respiratory Syndrome (MERS) and Avian Influenza A (H7N9), identify population groups who are uninformed or misinformed about the diseases, understand their choice of outbreak information source, and assess the effectiveness of communication channels in Singapore.
A cross-sectional study, comprising of face-to-face interviews, was conducted between June and December 2013 to assess the public’s awareness and knowledge of MERS and H7N9, including their choice of information source. Respondents were randomly selected and recruited from 3 existing cohort studies. An opportunistic sampling approach was also used to recruit new participants or members in the same household through referrals from existing participants.
Out of 2969 participants, 53.2% and 79.4% were not aware of H7N9 and MERS respectively. Participants who were older and better educated were most likely to hear about the diseases. The mean total knowledge score was 9.2 (S.D ± 2.3) out of 20, and 5.9 (S.D ± 1.2) out of 10 for H7N9 and MERS respectively. Participants who were Chinese, more educated and older had better knowledge of the diseases. Television and radio were the primary sources of outbreak information regardless of socio-demographic factors.
Heightening education of infectious outbreaks through appropriate media to the young and less educated could increase awareness.
Url:
DOI: 10.1186/s12889-018-5340-x
PubMed: 29609573
PubMed Central: 5879609
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institution-id-type="ISNI">0000 0001 2180 6431</institution-id><institution-id institution-id-type="GRID">grid.4280.e</institution-id><institution>Saw Swee Hock School of Public Health,</institution><institution>National University of Singapore,</institution></institution-wrap>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore, 117549 Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0621 9599</institution-id><institution-id institution-id-type="GRID">grid.412106.0</institution-id><institution>Epidemiology Unit, Division of Infectious Diseases, Department of Medicine,</institution><institution>National University Hospital Singapore,</institution></institution-wrap>Singapore, Singapore</nlm:aff><country 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Singapore</wicri:regionArea></affiliation></author><author><name sortKey="Tan, Linda Wei Lin" sort="Tan, Linda Wei Lin" uniqKey="Tan L" first="Linda Wei Lin" last="Tan">Linda Wei Lin Tan</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2180 6431</institution-id><institution-id institution-id-type="GRID">grid.4280.e</institution-id><institution>Saw Swee Hock School of Public Health,</institution><institution>National University of Singapore,</institution></institution-wrap>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore, 117549 Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Mark I Cheng" sort="Chen, Mark I Cheng" uniqKey="Chen M" first="Mark I-Cheng" last="Chen">Mark I-Cheng Chen</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2180 6431</institution-id><institution-id institution-id-type="GRID">grid.4280.e</institution-id><institution>Saw Swee Hock School of Public Health,</institution><institution>National University of Singapore,</institution></institution-wrap>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore, 117549 Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.240988.f</institution-id><institution>Institute of Infectious Diseases and Epidemiology,</institution><institution>Tan Tock Seng Hospital,</institution></institution-wrap>Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Singapore</wicri:regionArea></affiliation></author><author><name sortKey="Yap, Peiling" sort="Yap, Peiling" uniqKey="Yap P" first="Peiling" last="Yap">Peiling Yap</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.240988.f</institution-id><institution>Institute of Infectious Diseases and Epidemiology,</institution><institution>Tan Tock Seng Hospital,</institution></institution-wrap>Singapore, Singapore</nlm:aff><country xml:lang="fr">Singapour</country><wicri:regionArea>Singapore</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2018">2018</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Singapore remains vulnerable to worldwide epidemics due to high air traffic with other countries This study aims to measure the public’s awareness of the Middle East Respiratory Syndrome (MERS) and Avian Influenza A (H7N9), identify population groups who are uninformed or misinformed about the diseases, understand their choice of outbreak information source, and assess the effectiveness of communication channels in Singapore.</p></sec><sec><title>Methods</title><p id="Par2">A cross-sectional study, comprising of face-to-face interviews, was conducted between June and December 2013 to assess the public’s awareness and knowledge of MERS and H7N9, including their choice of information source. Respondents were randomly selected and recruited from 3 existing cohort studies. An opportunistic sampling approach was also used to recruit new participants or members in the same household through referrals from existing participants.</p></sec><sec><title>Results</title><p id="Par3">Out of 2969 participants, 53.2% and 79.4% were not aware of H7N9 and MERS respectively. Participants who were older and better educated were most likely to hear about the diseases. The mean total knowledge score was 9.2 (S.D ± 2.3) out of 20, and 5.9 (S.D ± 1.2) out of 10 for H7N9 and MERS respectively. Participants who were Chinese, more educated and older had better knowledge of the diseases. Television and radio were the primary sources of outbreak information regardless of socio-demographic factors.</p></sec><sec><title>Conclusion</title><p id="Par4">Heightening education of infectious outbreaks through appropriate media to the young and less educated could increase awareness.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hui, Ds" uniqKey="Hui D">DS Hui</name></author><author><name sortKey="Zumla, A" uniqKey="Zumla A">A Zumla</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Alsolamy, S" uniqKey="Alsolamy S">S Alsolamy</name></author><author><name sortKey="Arabi, Ym" uniqKey="Arabi Y">YM Arabi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ke, Y" uniqKey="Ke Y">Y Ke</name></author><author><name sortKey="Wang, Y" uniqKey="Wang Y">Y Wang</name></author><author><name sortKey="Zhang, W" uniqKey="Zhang W">W 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">29609573</article-id><article-id pub-id-type="pmc">5879609</article-id><article-id pub-id-type="publisher-id">5340</article-id><article-id pub-id-type="doi">10.1186/s12889-018-5340-x</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Adequacy of public health communications on H7N9 and MERS in Singapore: insights from a community based cross-sectional study</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hou</surname><given-names>Yan’an</given-names></name><address><email>houyanan@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Tan</surname><given-names>Yi-roe</given-names></name><address><email>yiroe_tan@ttsh.com.sg</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Wei Yen</given-names></name><address><email>weiyen_lim@ttsh.com.sg</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Vernon</given-names></name><address><email>vernonljm@hotmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Tan</surname><given-names>Linda Wei Lin</given-names></name><address><email>linda_tan@nuhs.edu.sg</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0001-9369-5830</contrib-id><name><surname>Chen</surname><given-names>Mark I-Cheng</given-names></name><address><email>ephcicm@nus.edu.sg</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Yap</surname><given-names>Peiling</given-names></name><address><email>peiling_yap@ttsh.com.sg</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2180 6431</institution-id><institution-id institution-id-type="GRID">grid.4280.e</institution-id><institution>Saw Swee Hock School of Public Health,</institution><institution>National University of Singapore,</institution></institution-wrap>Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore, 117549 Singapore</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0621 9599</institution-id><institution-id institution-id-type="GRID">grid.412106.0</institution-id><institution>Epidemiology Unit, Division of Infectious Diseases, Department of Medicine,</institution><institution>National University Hospital Singapore,</institution></institution-wrap>Singapore, Singapore</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.240988.f</institution-id><institution>Institute of Infectious Diseases and Epidemiology,</institution><institution>Tan Tock Seng Hospital,</institution></institution-wrap>Singapore, Singapore</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.490624.d</institution-id><institution-id institution-id-type="ISNI">Agency for Integrated Care</institution-id><institution>Research and Development Office,</institution><institution>Agency for Integrated Care,</institution></institution-wrap>Singapore, Singapore</aff></contrib-group><pub-date pub-type="epub"><day>2</day><month>4</month><year>2018</year></pub-date><pub-date pub-type="pmc-release"><day>2</day><month>4</month><year>2018</year></pub-date><pub-date pub-type="collection"><year>2018</year></pub-date><volume>18</volume><elocation-id>436</elocation-id><history><date date-type="received"><day>26</day><month>7</month><year>2017</year></date><date date-type="accepted"><day>20</day><month>3</month><year>2018</year></date></history><permissions><copyright-statement>© The Author(s). 2018</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p id="Par1">Singapore remains vulnerable to worldwide epidemics due to high air traffic with other countries This study aims to measure the public’s awareness of the Middle East Respiratory Syndrome (MERS) and Avian Influenza A (H7N9), identify population groups who are uninformed or misinformed about the diseases, understand their choice of outbreak information source, and assess the effectiveness of communication channels in Singapore.</p></sec><sec><title>Methods</title><p id="Par2">A cross-sectional study, comprising of face-to-face interviews, was conducted between June and December 2013 to assess the public’s awareness and knowledge of MERS and H7N9, including their choice of information source. Respondents were randomly selected and recruited from 3 existing cohort studies. An opportunistic sampling approach was also used to recruit new participants or members in the same household through referrals from existing participants.</p></sec><sec><title>Results</title><p id="Par3">Out of 2969 participants, 53.2% and 79.4% were not aware of H7N9 and MERS respectively. Participants who were older and better educated were most likely to hear about the diseases. The mean total knowledge score was 9.2 (S.D ± 2.3) out of 20, and 5.9 (S.D ± 1.2) out of 10 for H7N9 and MERS respectively. Participants who were Chinese, more educated and older had better knowledge of the diseases. Television and radio were the primary sources of outbreak information regardless of socio-demographic factors.</p></sec><sec><title>Conclusion</title><p id="Par4">Heightening education of infectious outbreaks through appropriate media to the young and less educated could increase awareness.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Outbreaks</kwd><kwd>Emerging infections</kwd><kwd>Public communication</kwd><kwd>H7N9</kwd><kwd>MERS</kwd></kwd-group><funding-group><award-group><funding-source><institution>National University Hospital Singapore (Research Office)</institution></funding-source><award-id>NUHSRO/2013/143/H7N9/05</award-id><principal-award-recipient><name><surname>Lim</surname><given-names>Wei Yen</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2018</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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