PandemieGrippaleV1, Main, Exploration, bibRecord, 001077

Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009-2010

Identifieur interne : 001077 ( Main/Exploration ); précédent : 001076; suivant : 001078

Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009-2010

Auteurs : M. Biggerstaff [États-Unis] ; M. A. Jhung [États-Unis] ; C. Reed [États-Unis] ; S. Garg [États-Unis] ; L. Balluz [États-Unis] ; A. M. Fry [États-Unis] ; L. Finelli [États-Unis]

Source :

Epidemiology and infection [ 0950-2688 ] ; 2014.

RBID : Pascal:14-0201568

Descripteurs français

Pascal (Inist)
- Antiviral, Traitement, Epidémiologie, Syndrome pseudogrippal, Virus grippal A(H1N1).

English descriptors

KwdEn :
- Antiviral, Epidemiology, Flulike syndrome, Influenzavirus A(H1N1), Treatment.

Abstract

We analysed a cross-sectional telephone survey of U.S. adults to assess the impact of selected characteristics on healthcare-seeking behaviours and treatment practices of people with influenza-like illness (ILI) from September 2009 to March 2010. Of 216431 respondents, 8.1% reported ILI. After adjusting for selected characteristics, respondents aged 18-64 years with the following factors were more likely to report ILI: a diagnosis of asthma [adjusted odds ratio (aOR) 1.88, 95% CI 1.67-2.13] or heart disease (aOR 1.41, 95% CI 1.17-1.70), being disabled (aOR 1.75, 95% CI 1.57-1.96), and reporting financial barriers to healthcare access (aOR 1.63, 95% CI 1.45-1.82). Similar associations were seen in respondents aged ≥ 65 years. Forty percent of respondents with ILI sought healthcare, and 14% who sought healthcare reported receiving influenza antiviral treatment. Treatment was not more frequent in patients with high-risk conditions, except those aged 18-64 years with heart disease (aOR 1.90, 95% CI 1.03-3.51). Of patients at high risk for influenza complications, self-reported ILI was greater but receipt of antiviral treatment was not, despite guidelines recommending their use in this population.

Affiliations:

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Le document en format XML

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<series><title level="j" type="main">Epidemiology and infection</title>
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<front><div type="abstract" xml:lang="en">We analysed a cross-sectional telephone survey of U.S. adults to assess the impact of selected characteristics on healthcare-seeking behaviours and treatment practices of people with influenza-like illness (ILI) from September 2009 to March 2010. Of 216431 respondents, 8.1% reported ILI. After adjusting for selected characteristics, respondents aged 18-64 years with the following factors were more likely to report ILI: a diagnosis of asthma [adjusted odds ratio (aOR) 1.88, 95% CI 1.67-2.13] or heart disease (aOR 1.41, 95% CI 1.17-1.70), being disabled (aOR 1.75, 95% CI 1.57-1.96), and reporting financial barriers to healthcare access (aOR 1.63, 95% CI 1.45-1.82). Similar associations were seen in respondents aged ≥ 65 years. Forty percent of respondents with ILI sought healthcare, and 14% who sought healthcare reported receiving influenza antiviral treatment. Treatment was not more frequent in patients with high-risk conditions, except those aged 18-64 years with heart disease (aOR 1.90, 95% CI 1.03-3.51). Of patients at high risk for influenza complications, self-reported ILI was greater but receipt of antiviral treatment was not, despite guidelines recommending their use in this population.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Géorgie (États-Unis)</li>
</region>
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<tree><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Biggerstaff, M" sort="Biggerstaff, M" uniqKey="Biggerstaff M" first="M." last="Biggerstaff">M. Biggerstaff</name>
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<name sortKey="Balluz, L" sort="Balluz, L" uniqKey="Balluz L" first="L." last="Balluz">L. Balluz</name>
<name sortKey="Finelli, L" sort="Finelli, L" uniqKey="Finelli L" first="L." last="Finelli">L. Finelli</name>
<name sortKey="Fry, A M" sort="Fry, A M" uniqKey="Fry A" first="A. M." last="Fry">A. M. Fry</name>
<name sortKey="Garg, S" sort="Garg, S" uniqKey="Garg S" first="S." last="Garg">S. Garg</name>
<name sortKey="Garg, S" sort="Garg, S" uniqKey="Garg S" first="S." last="Garg">S. Garg</name>
<name sortKey="Jhung, M A" sort="Jhung, M A" uniqKey="Jhung M" first="M. A." last="Jhung">M. A. Jhung</name>
<name sortKey="Reed, C" sort="Reed, C" uniqKey="Reed C" first="C." last="Reed">C. Reed</name>
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</record>

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Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009-2010

Impact of medical and behavioural factors on influenza-like illness, healthcare-seeking, and antiviral treatment during the 2009 H1N1 pandemic: USA, 2009-2010

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri