What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature
Identifieur interne : 000625 ( Pmc/Corpus ); précédent : 000624; suivant : 000626What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature
Auteurs : Leesa Lin ; Elena Savoia ; Foluso Agboola ; Kasisomayajula ViswanathSource :
- BMC Public Health [ 1471-2458 ] ; 2014.
Abstract
During public health emergencies, public officials are busy in developing communication strategies to protect the population from existing or potential threats. However, a population’s social and individual determinants (i.e. education, income, race/ethnicity) may lead to inequalities in individual or group-specific exposure to public health communication messages, and in the capacity to access, process, and act upon the information received by specific sub-groups- a concept defined as communication inequalities.
The aims of this literature review are to: 1) characterize the scientific literature that examined issues related to communication to the public during the H1N1 pandemic, and 2) summarize the knowledge gained in our understanding of social determinants and their association with communication inequalities in the preparedness and response to an influenza pandemic.
Articles were searched in eight major communication, social sciences, and health and medical databases of scientific literature and reviewed by two independent reviewers by following the PRISMA guidelines. The selected articles were classified and analyzed in accordance with the Structural Influence Model of Public Health Emergency Preparedness Communications.
A total of 118 empirical studies were included for final review. Among them, 78% were population-based studies and 22% were articles that employed information environment analyses techniques. Consistent results were reported on the association between social determinants of communication inequalities and emergency preparedness outcomes. Trust in public officials and source of information, worry and levels of knowledge about the disease, and routine media exposure as well as information-seeking behaviors, were related to greater likelihood of adoption of recommended infection prevention practices. When addressed in communication interventions, these factors can increase the effectiveness of the response to pandemics.
Consistently across studies, a number of potential predictors of behavioral compliance to preventive recommendations during a pandemic were identified. Our findings show the need to include such evidence found in the development of future communication campaigns to ensure the highest rates of compliance with recommended protection measures and reduce communication inequalities during future emergencies.
Url:
DOI: 10.1186/1471-2458-14-484
PubMed: 24884634
PubMed Central: 4048599
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PMC:4048599Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature</title><author><name sortKey="Lin, Leesa" sort="Lin, Leesa" uniqKey="Lin L" first="Leesa" last="Lin">Leesa Lin</name><affiliation><nlm:aff id="I1">Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Landmark Center, 3rd Floor East, Boston MA 02115, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I2">Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Savoia, Elena" sort="Savoia, Elena" uniqKey="Savoia E" first="Elena" last="Savoia">Elena Savoia</name><affiliation><nlm:aff id="I3">Department of Biostatistics, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Agboola, Foluso" sort="Agboola, Foluso" uniqKey="Agboola F" first="Foluso" last="Agboola">Foluso Agboola</name><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Viswanath, Kasisomayajula" sort="Viswanath, Kasisomayajula" uniqKey="Viswanath K" first="Kasisomayajula" last="Viswanath">Kasisomayajula Viswanath</name><affiliation><nlm:aff id="I1">Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Landmark Center, 3rd Floor East, Boston MA 02115, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I2">Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston MA, USA</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24884634</idno><idno type="pmc">4048599</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048599</idno><idno type="RBID">PMC:4048599</idno><idno type="doi">10.1186/1471-2458-14-484</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000625</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000625</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature</title><author><name sortKey="Lin, Leesa" sort="Lin, Leesa" uniqKey="Lin L" first="Leesa" last="Lin">Leesa Lin</name><affiliation><nlm:aff id="I1">Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Landmark Center, 3rd Floor East, Boston MA 02115, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I2">Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Savoia, Elena" sort="Savoia, Elena" uniqKey="Savoia E" first="Elena" last="Savoia">Elena Savoia</name><affiliation><nlm:aff id="I3">Department of Biostatistics, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Agboola, Foluso" sort="Agboola, Foluso" uniqKey="Agboola F" first="Foluso" last="Agboola">Foluso Agboola</name><affiliation><nlm:aff id="I4">Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</nlm:aff></affiliation></author><author><name sortKey="Viswanath, Kasisomayajula" sort="Viswanath, Kasisomayajula" uniqKey="Viswanath K" first="Kasisomayajula" last="Viswanath">Kasisomayajula Viswanath</name><affiliation><nlm:aff id="I1">Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Landmark Center, 3rd Floor East, Boston MA 02115, USA</nlm:aff></affiliation><affiliation><nlm:aff id="I2">Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston MA, USA</nlm:aff></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>During public health emergencies, public officials are busy in developing communication strategies to protect the population from existing or potential threats. However, a population’s social and individual determinants (i.e. education, income, race/ethnicity) may lead to inequalities in individual or group-specific exposure to public health communication messages, and in the capacity to access, process, and act upon the information received by specific sub-groups- a concept defined as communication inequalities.</p><p>The aims of this literature review are to: 1) characterize the scientific literature that examined issues related to communication to the public during the H1N1 pandemic, and 2) summarize the knowledge gained in our understanding of social determinants and their association with communication inequalities in the preparedness and response to an influenza pandemic.</p></sec><sec><title>Methods</title><p>Articles were searched in eight major communication, social sciences, and health and medical databases of scientific literature and reviewed by two independent reviewers by following the PRISMA guidelines. The selected articles were classified and analyzed in accordance with the Structural Influence Model of Public Health Emergency Preparedness Communications.</p></sec><sec><title>Results</title><p>A total of 118 empirical studies were included for final review. Among them, 78% were population-based studies and 22% were articles that employed information environment analyses techniques. Consistent results were reported on the association between social determinants of communication inequalities and emergency preparedness outcomes. Trust in public officials and source of information, worry and levels of knowledge about the disease, and routine media exposure as well as information-seeking behaviors, were related to greater likelihood of adoption of recommended infection prevention practices. When addressed in communication interventions, these factors can increase the effectiveness of the response to pandemics.</p></sec><sec><title>Conclusions</title><p>Consistently across studies, a number of potential predictors of behavioral compliance to preventive recommendations during a pandemic were identified. Our findings show the need to include such evidence found in the development of future communication campaigns to ensure the highest rates of compliance with recommended protection measures and reduce communication inequalities during future emergencies.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Blendon, Rj" uniqKey="Blendon R">RJ Blendon</name></author><author><name sortKey="Benson, Jm" uniqKey="Benson J">JM Benson</name></author><author><name sortKey="Desroches, Cm" uniqKey="Desroches C">CM Desroches</name></author><author><name sortKey="Weldon, Kj" uniqKey="Weldon K">KJ Weldon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Taylor Clark, K" uniqKey="Taylor Clark K">K Taylor-Clark</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author><author><name sortKey="Blendon, R" uniqKey="Blendon R">R Blendon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author><author><name sortKey="Ackerson, Lk" uniqKey="Ackerson L">LK Ackerson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Savoia, E" uniqKey="Savoia E">E Savoia</name></author><author><name sortKey="Testa, Ma" uniqKey="Testa M">MA Testa</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Savoia, E" uniqKey="Savoia E">E Savoia</name></author><author><name sortKey="Lin, L" uniqKey="Lin L">L Lin</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Galarce, Em" uniqKey="Galarce E">EM Galarce</name></author><author><name sortKey="Minsky, S" uniqKey="Minsky S">S Minsky</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blake, Kd" uniqKey="Blake K">KD Blake</name></author><author><name sortKey="Blendon, Rj" uniqKey="Blendon R">RJ Blendon</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Galarce, Em" uniqKey="Galarce E">EM Galarce</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author><author><name sortKey="Minsky, S" uniqKey="Minsky S">S Minsky</name></author><author><name sortKey="Ramamurthi, D" uniqKey="Ramamurthi D">D Ramamurthi</name></author><author><name sortKey="Kontos, Ez" uniqKey="Kontos E">EZ Kontos</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Chan, M" uniqKey="Chan M">M Chan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liberati, A" uniqKey="Liberati A">A Liberati</name></author><author><name sortKey="Altman, Dg" uniqKey="Altman D">DG Altman</name></author><author><name sortKey="Tetzlaff, J" uniqKey="Tetzlaff J">J Tetzlaff</name></author><author><name sortKey="Mulrow, C" uniqKey="Mulrow C">C Mulrow</name></author><author><name sortKey="Gotzsche, Pc" uniqKey="Gotzsche P">PC Gotzsche</name></author><author><name sortKey="Ioannidis, Jp" uniqKey="Ioannidis J">JP Ioannidis</name></author><author><name sortKey="Clarke, M" uniqKey="Clarke M">M Clarke</name></author><author><name sortKey="Devereaux, Pj" uniqKey="Devereaux P">PJ Devereaux</name></author><author><name sortKey="Kleijnen, J" uniqKey="Kleijnen J">J Kleijnen</name></author><author><name sortKey="Moher, D" uniqKey="Moher D">D Moher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author><author><name sortKey="Ramanadhan, Sr" uniqKey="Ramanadhan S">SR Ramanadhan</name></author><author><name sortKey="Kontos, Ez" uniqKey="Kontos E">EZ Kontos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, S" uniqKey="Kumar S">S Kumar</name></author><author><name sortKey="Quinn, Sc" uniqKey="Quinn S">SC Quinn</name></author><author><name sortKey="Kim, Kh" uniqKey="Kim K">KH Kim</name></author><author><name sortKey="Musa, D" uniqKey="Musa D">D Musa</name></author><author><name sortKey="Hilyard, Km" uniqKey="Hilyard K">KM Hilyard</name></author><author><name sortKey="Freimuth, Vs" uniqKey="Freimuth V">VS Freimuth</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, Q" uniqKey="Liao Q">Q Liao</name></author><author><name sortKey="Cowling, B" uniqKey="Cowling B">B Cowling</name></author><author><name sortKey="Lam, Wt" uniqKey="Lam W">WT Lam</name></author><author><name sortKey="Ng, Mw" uniqKey="Ng M">MW Ng</name></author><author><name sortKey="Fielding, R" uniqKey="Fielding R">R Fielding</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Prati, G" uniqKey="Prati G">G Prati</name></author><author><name sortKey="Pietrantoni, L" uniqKey="Pietrantoni L">L Pietrantoni</name></author><author><name sortKey="Zani, B" uniqKey="Zani B">B Zani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Myers, Lb" uniqKey="Myers L">LB Myers</name></author><author><name sortKey="Goodwin, R" uniqKey="Goodwin R">R Goodwin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frew, Pm" uniqKey="Frew P">PM Frew</name></author><author><name sortKey="Painter, Je" uniqKey="Painter J">JE Painter</name></author><author><name sortKey="Hixson, B" uniqKey="Hixson B">B Hixson</name></author><author><name sortKey="Kulb, C" uniqKey="Kulb C">C Kulb</name></author><author><name sortKey="Moore, K" uniqKey="Moore K">K Moore</name></author><author><name sortKey="Del Rio, C" uniqKey="Del Rio C">C del Rio</name></author><author><name sortKey="Esteves Jaramillo, A" uniqKey="Esteves Jaramillo A">A Esteves-Jaramillo</name></author><author><name sortKey="Omer, Sb" uniqKey="Omer S">SB Omer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, M" uniqKey="Li M">M Li</name></author><author><name sortKey="Chapman, Gb" uniqKey="Chapman G">GB Chapman</name></author><author><name sortKey="Ibuka, Y" uniqKey="Ibuka Y">Y Ibuka</name></author><author><name sortKey="Meyers, La" uniqKey="Meyers L">LA Meyers</name></author><author><name sortKey="Galvani, A" uniqKey="Galvani A">A Galvani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kamate, Sk" uniqKey="Kamate S">SK Kamate</name></author><author><name sortKey="Agrawal, A" uniqKey="Agrawal A">A Agrawal</name></author><author><name sortKey="Chaudhary, H" uniqKey="Chaudhary H">H Chaudhary</name></author><author><name sortKey="Singh, K" uniqKey="Singh K">K Singh</name></author><author><name sortKey="Mishra, P" uniqKey="Mishra P">P Mishra</name></author><author><name sortKey="Asawa, K" uniqKey="Asawa K">K Asawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rubin, Gj" uniqKey="Rubin G">GJ Rubin</name></author><author><name sortKey="Potts, Hw" uniqKey="Potts H">HW Potts</name></author><author><name sortKey="Michie, S" uniqKey="Michie S">S Michie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rubin, Gj" uniqKey="Rubin G">GJ Rubin</name></author><author><name sortKey="Potts, Hw" uniqKey="Potts H">HW Potts</name></author><author><name sortKey="Michie, S" uniqKey="Michie S">S Michie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rubin, Gj" uniqKey="Rubin G">GJ Rubin</name></author><author><name sortKey="Potts, Hw" uniqKey="Potts H">HW Potts</name></author><author><name sortKey="Michie, S" uniqKey="Michie S">S Michie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zairina, Ar" uniqKey="Zairina A">AR Zairina</name></author><author><name sortKey="Nooriah, Ms" uniqKey="Nooriah M">MS Nooriah</name></author><author><name sortKey="Yunus, Am" uniqKey="Yunus A">AM Yunus</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sarmiento, Mp" uniqKey="Sarmiento M">MP Sarmiento</name></author><author><name sortKey="Suarez, O" uniqKey="Suarez O">O Suarez</name></author><author><name sortKey="Sanabria, Ja" uniqKey="Sanabria J">JA Sanabria</name></author><author><name sortKey="Perez, Ce" uniqKey="Perez C">CE Perez</name></author><author><name sortKey="Cadena Ldel, P" uniqKey="Cadena Ldel P">P Cadena Ldel</name></author><author><name sortKey="Nino, Me" uniqKey="Nino M">ME Nino</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jhummon Mahadnac, Nd" uniqKey="Jhummon Mahadnac N">ND Jhummon-Mahadnac</name></author><author><name sortKey="Knott, J" uniqKey="Knott J">J Knott</name></author><author><name sortKey="Marshall, C" uniqKey="Marshall C">C Marshall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferrante, G" uniqKey="Ferrante G">G Ferrante</name></author><author><name sortKey="Baldissera, S" uniqKey="Baldissera S">S Baldissera</name></author><author><name sortKey="Moghadam, Pf" uniqKey="Moghadam P">PF Moghadam</name></author><author><name sortKey="Carrozzi, G" uniqKey="Carrozzi G">G Carrozzi</name></author><author><name sortKey="Trinito, Mo" uniqKey="Trinito M">MO Trinito</name></author><author><name sortKey="Salmaso, S" uniqKey="Salmaso S">S Salmaso</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keramarou, M" uniqKey="Keramarou M">M Keramarou</name></author><author><name sortKey="Cottrell, S" uniqKey="Cottrell S">S Cottrell</name></author><author><name sortKey="Evans, Mr" uniqKey="Evans M">MR Evans</name></author><author><name sortKey="Moore, C" uniqKey="Moore C">C Moore</name></author><author><name sortKey="Stiff, Re" uniqKey="Stiff R">RE Stiff</name></author><author><name sortKey="Elliott, C" uniqKey="Elliott C">C Elliott</name></author><author><name sortKey="Thomas, Dr" uniqKey="Thomas D">DR Thomas</name></author><author><name sortKey="Lyons, M" uniqKey="Lyons M">M Lyons</name></author><author><name sortKey="Salmon, Rl" uniqKey="Salmon R">RL Salmon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Olowokure, B" uniqKey="Olowokure B">B Olowokure</name></author><author><name sortKey="Odedere, O" uniqKey="Odedere O">O Odedere</name></author><author><name sortKey="Elliot, Aj" uniqKey="Elliot A">AJ Elliot</name></author><author><name sortKey="Awofisayo, A" uniqKey="Awofisayo A">A Awofisayo</name></author><author><name sortKey="Smit, E" uniqKey="Smit E">E Smit</name></author><author><name sortKey="Fleming, A" uniqKey="Fleming A">A Fleming</name></author><author><name sortKey="Osman, H" uniqKey="Osman H">H Osman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Keramarou, M" uniqKey="Keramarou M">M Keramarou</name></author><author><name sortKey="Cottrell, S" uniqKey="Cottrell S">S Cottrell</name></author><author><name sortKey="Evans, Mr" uniqKey="Evans M">MR Evans</name></author><author><name sortKey="Moore, C" uniqKey="Moore C">C Moore</name></author><author><name sortKey="Stiff, Re" uniqKey="Stiff R">RE Stiff</name></author><author><name sortKey="Elliott, C" uniqKey="Elliott C">C Elliott</name></author><author><name sortKey="Thomas, Dr" uniqKey="Thomas D">DR Thomas</name></author><author><name sortKey="Lyons, M" uniqKey="Lyons M">M Lyons</name></author><author><name sortKey="Salmon, Rl" uniqKey="Salmon R">RL Salmon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pfefferbaum, B" uniqKey="Pfefferbaum B">B Pfefferbaum</name></author><author><name sortKey="Schonfeld, D" uniqKey="Schonfeld D">D Schonfeld</name></author><author><name sortKey="Flynn, Bw" uniqKey="Flynn B">BW Flynn</name></author><author><name sortKey="Norwood, Ae" uniqKey="Norwood A">AE Norwood</name></author><author><name sortKey="Dodgen, D" uniqKey="Dodgen D">D Dodgen</name></author><author><name sortKey="Kaul, Re" uniqKey="Kaul R">RE Kaul</name></author><author><name sortKey="Donato, D" uniqKey="Donato D">D Donato</name></author><author><name sortKey="Stone, B" uniqKey="Stone B">B Stone</name></author><author><name sortKey="Brown, Lm" uniqKey="Brown L">LM Brown</name></author><author><name sortKey="Reissman, Db" uniqKey="Reissman D">DB Reissman</name></author><author><name sortKey="Jacobs, Ga" uniqKey="Jacobs G">GA Jacobs</name></author><author><name sortKey="Hobfoll, Se" uniqKey="Hobfoll S">SE Hobfoll</name></author><author><name sortKey="Jones, Rt" uniqKey="Jones R">RT Jones</name></author><author><name sortKey="Herrmann, J" uniqKey="Herrmann J">J Herrmann</name></author><author><name sortKey="Ursano, Rj" uniqKey="Ursano R">RJ Ursano</name></author><author><name sortKey="Ruzek, Ji" uniqKey="Ruzek J">JI Ruzek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Y" uniqKey="Lin Y">Y Lin</name></author><author><name sortKey="Huang, L" uniqKey="Huang L">L Huang</name></author><author><name sortKey="Nie, S" uniqKey="Nie S">S Nie</name></author><author><name sortKey="Liu, Z" uniqKey="Liu Z">Z Liu</name></author><author><name sortKey="Yu, H" uniqKey="Yu H">H Yu</name></author><author><name sortKey="Yan, W" uniqKey="Yan W">W Yan</name></author><author><name sortKey="Xu, Y" uniqKey="Xu Y">Y Xu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Yeung, Nc" uniqKey="Yeung N">NC Yeung</name></author><author><name sortKey="Choi, Kc" uniqKey="Choi K">KC Choi</name></author><author><name sortKey="Cheng, My" uniqKey="Cheng M">MY Cheng</name></author><author><name sortKey="Tsui, Hy" uniqKey="Tsui H">HY Tsui</name></author><author><name sortKey="Griffiths, S" uniqKey="Griffiths S">S Griffiths</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyd, Ca" uniqKey="Boyd C">CA Boyd</name></author><author><name sortKey="Gazmararian, Ja" uniqKey="Gazmararian J">JA Gazmararian</name></author><author><name sortKey="Thompson, Ww" uniqKey="Thompson W">WW Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cowling, Bj" uniqKey="Cowling B">BJ Cowling</name></author><author><name sortKey="Ng, Dm" uniqKey="Ng D">DM Ng</name></author><author><name sortKey="Ip, Dk" uniqKey="Ip D">DK Ip</name></author><author><name sortKey="Liao, Q" uniqKey="Liao Q">Q Liao</name></author><author><name sortKey="Lam, Ww" uniqKey="Lam W">WW Lam</name></author><author><name sortKey="Wu, Jt" uniqKey="Wu J">JT Wu</name></author><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Griffiths, Sm" uniqKey="Griffiths S">SM Griffiths</name></author><author><name sortKey="Fielding, R" uniqKey="Fielding R">R Fielding</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaygisiz, U" uniqKey="Gaygisiz U">U Gaygisiz</name></author><author><name sortKey="Gaygisiz, E" uniqKey="Gaygisiz E">E Gaygisiz</name></author><author><name sortKey="Ozkan, T" uniqKey="Ozkan T">T Ozkan</name></author><author><name sortKey="Lajunen, T" uniqKey="Lajunen T">T Lajunen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balkhy, Hh" uniqKey="Balkhy H">HH Balkhy</name></author><author><name sortKey="Abolfotouh, Ma" uniqKey="Abolfotouh M">MA Abolfotouh</name></author><author><name sortKey="Al Hathlool, Rh" uniqKey="Al Hathlool R">RH Al-Hathlool</name></author><author><name sortKey="Al Jumah, Ma" uniqKey="Al Jumah M">MA Al-Jumah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Lp" uniqKey="Wong L">LP Wong</name></author><author><name sortKey="Sam, Ic" uniqKey="Sam I">IC Sam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mak, Kk" uniqKey="Mak K">KK Mak</name></author><author><name sortKey="Lai, Cm" uniqKey="Lai C">CM Lai</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Lp" uniqKey="Wong L">LP Wong</name></author><author><name sortKey="Sam, Ic" uniqKey="Sam I">IC Sam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gray, L" uniqKey="Gray L">L Gray</name></author><author><name sortKey="Macdonald, C" uniqKey="Macdonald C">C MacDonald</name></author><author><name sortKey="Mackie, B" uniqKey="Mackie B">B Mackie</name></author><author><name sortKey="Paton, D" uniqKey="Paton D">D Paton</name></author><author><name sortKey="Johnston, D" uniqKey="Johnston D">D Johnston</name></author><author><name sortKey="Baker, Mg" uniqKey="Baker M">MG Baker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kiviniemi, Mt" uniqKey="Kiviniemi M">MT Kiviniemi</name></author><author><name sortKey="Ram, Pk" uniqKey="Ram P">PK Ram</name></author><author><name sortKey="Kozlowski, Lt" uniqKey="Kozlowski L">LT Kozlowski</name></author><author><name sortKey="Smith, Km" uniqKey="Smith K">KM Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miao, Yy" uniqKey="Miao Y">YY Miao</name></author><author><name sortKey="Huang, Jh" uniqKey="Huang J">JH Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Jh" uniqKey="Park J">JH Park</name></author><author><name sortKey="Cheong, Hk" uniqKey="Cheong H">HK Cheong</name></author><author><name sortKey="Son, Dy" uniqKey="Son D">DY Son</name></author><author><name sortKey="Kim, Su" uniqKey="Kim S">SU Kim</name></author><author><name sortKey="Ha, Cm" uniqKey="Ha C">CM Ha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Lp" uniqKey="Wong L">LP Wong</name></author><author><name sortKey="Sam, Ic" uniqKey="Sam I">IC Sam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reynolds, Bj" uniqKey="Reynolds B">BJ Reynolds</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Larson, Hj" uniqKey="Larson H">HJ Larson</name></author><author><name sortKey="Heymann, Dl" uniqKey="Heymann D">DL Heymann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maurer, J" uniqKey="Maurer J">J Maurer</name></author><author><name sortKey="Uscher Pines, L" uniqKey="Uscher Pines L">L Uscher-Pines</name></author><author><name sortKey="Harris, Km" uniqKey="Harris K">KM Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maurer, J" uniqKey="Maurer J">J Maurer</name></author><author><name sortKey="Harris, Km" uniqKey="Harris K">KM Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jung, M" uniqKey="Jung M">M Jung</name></author><author><name sortKey="Lin, L" uniqKey="Lin L">L Lin</name></author><author><name sortKey="Viswanath, K" uniqKey="Viswanath K">K Viswanath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eastwood, K" uniqKey="Eastwood K">K Eastwood</name></author><author><name sortKey="Durrheim, Dn" uniqKey="Durrheim D">DN Durrheim</name></author><author><name sortKey="Jones, A" uniqKey="Jones A">A Jones</name></author><author><name sortKey="Butler, M" uniqKey="Butler M">M Butler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Setbon, M" uniqKey="Setbon M">M Setbon</name></author><author><name sortKey="Le Pape, Mc" uniqKey="Le Pape M">MC Le Pape</name></author><author><name sortKey="Letroublon, C" uniqKey="Letroublon C">C Letroublon</name></author><author><name sortKey="Caille Brillet, Al" uniqKey="Caille Brillet A">AL Caille-Brillet</name></author><author><name sortKey="Raude, J" uniqKey="Raude J">J Raude</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Soto Mas, F" uniqKey="Soto Mas F">F Soto Mas</name></author><author><name sortKey="Olivarez, A" uniqKey="Olivarez A">A Olivarez</name></author><author><name sortKey="Jacobson, He" uniqKey="Jacobson H">HE Jacobson</name></author><author><name sortKey="Hsu, Ce" uniqKey="Hsu C">CE Hsu</name></author><author><name sortKey="Miller, J" uniqKey="Miller J">J Miller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walter, D" uniqKey="Walter D">D Walter</name></author><author><name sortKey="Bohmer, M" uniqKey="Bohmer M">M Bohmer</name></author><author><name sortKey="Reiter, S" uniqKey="Reiter S">S Reiter</name></author><author><name sortKey="Krause, G" uniqKey="Krause G">G Krause</name></author><author><name sortKey="Wichmann, O" uniqKey="Wichmann O">O Wichmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Plough, A" uniqKey="Plough A">A Plough</name></author><author><name sortKey="Bristow, B" uniqKey="Bristow B">B Bristow</name></author><author><name sortKey="Fielding, J" uniqKey="Fielding J">J Fielding</name></author><author><name sortKey="Caldwell, S" uniqKey="Caldwell S">S Caldwell</name></author><author><name sortKey="Khan, S" uniqKey="Khan S">S Khan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramsey, Ma" uniqKey="Ramsey M">MA Ramsey</name></author><author><name sortKey="Marczinski, Ca" uniqKey="Marczinski C">CA Marczinski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, S" uniqKey="Kim S">S Kim</name></author><author><name sortKey="Pinkerton, T" uniqKey="Pinkerton T">T Pinkerton</name></author><author><name sortKey="Ganesh, N" uniqKey="Ganesh N">N Ganesh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Griffiths, Sm" uniqKey="Griffiths S">SM Griffiths</name></author><author><name sortKey="Wong, Ah" uniqKey="Wong A">AH Wong</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author><author><name sortKey="Yung, Tk" uniqKey="Yung T">TK Yung</name></author><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schwarzinger, M" uniqKey="Schwarzinger M">M Schwarzinger</name></author><author><name sortKey="Flicoteaux, R" uniqKey="Flicoteaux R">R Flicoteaux</name></author><author><name sortKey="Cortarenoda, S" uniqKey="Cortarenoda S">S Cortarenoda</name></author><author><name sortKey="Obadia, Y" uniqKey="Obadia Y">Y Obadia</name></author><author><name sortKey="Moatti, Jp" uniqKey="Moatti J">JP Moatti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Yeung, Nc" uniqKey="Yeung N">NC Yeung</name></author><author><name sortKey="Choi, Kc" uniqKey="Choi K">KC Choi</name></author><author><name sortKey="Cheng, My" uniqKey="Cheng M">MY Cheng</name></author><author><name sortKey="Tsui, Hy" uniqKey="Tsui H">HY Tsui</name></author><author><name sortKey="Griffiths, S" uniqKey="Griffiths S">S Griffiths</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naing, C" uniqKey="Naing C">C Naing</name></author><author><name sortKey="Tan, Ryp" uniqKey="Tan R">RYP Tan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caress, Al" uniqKey="Caress A">AL Caress</name></author><author><name sortKey="Duxbury, P" uniqKey="Duxbury P">P Duxbury</name></author><author><name sortKey="Woodcock, A" uniqKey="Woodcock A">A Woodcock</name></author><author><name sortKey="Luker, Ka" uniqKey="Luker K">KA Luker</name></author><author><name sortKey="Ward, D" uniqKey="Ward D">D Ward</name></author><author><name sortKey="Campbell, M" uniqKey="Campbell M">M Campbell</name></author><author><name sortKey="Austin, L" uniqKey="Austin L">L Austin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uscher Pines, L" uniqKey="Uscher Pines L">L Uscher-Pines</name></author><author><name sortKey="Maurer, J" uniqKey="Maurer J">J Maurer</name></author><author><name sortKey="Harris, Km" uniqKey="Harris K">KM Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lu, Pj" uniqKey="Lu P">PJ Lu</name></author><author><name sortKey="Gonzalez Feliciano, A" uniqKey="Gonzalez Feliciano A">A Gonzalez-Feliciano</name></author><author><name sortKey="Ding, H" uniqKey="Ding H">H Ding</name></author><author><name sortKey="Bryan, Ln" uniqKey="Bryan L">LN Bryan</name></author><author><name sortKey="Yankey, D" uniqKey="Yankey D">D Yankey</name></author><author><name sortKey="Monsell, Ea" uniqKey="Monsell E">EA Monsell</name></author><author><name sortKey="Greby, Sm" uniqKey="Greby S">SM Greby</name></author><author><name sortKey="Euler, Gl" uniqKey="Euler G">GL Euler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schoch Spana, M" uniqKey="Schoch Spana M">M Schoch-Spana</name></author><author><name sortKey="Bouri, N" uniqKey="Bouri N">N Bouri</name></author><author><name sortKey="Rambhia, Kj" uniqKey="Rambhia K">KJ Rambhia</name></author><author><name sortKey="Norwood, A" uniqKey="Norwood A">A Norwood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sparke, M" uniqKey="Sparke M">M Sparke</name></author><author><name sortKey="Anguelov, D" uniqKey="Anguelov D">D Anguelov</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Henrich, N" uniqKey="Henrich N">N Henrich</name></author><author><name sortKey="Holmes, B" uniqKey="Holmes B">B Holmes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tausczik, Y" uniqKey="Tausczik Y">Y Tausczik</name></author><author><name sortKey="Faasse, K" uniqKey="Faasse K">K Faasse</name></author><author><name sortKey="Pennebaker, Jw" uniqKey="Pennebaker J">JW Pennebaker</name></author><author><name sortKey="Petrie, Kj" uniqKey="Petrie K">KJ Petrie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chew, C" uniqKey="Chew C">C Chew</name></author><author><name sortKey="Eysenbach, G" uniqKey="Eysenbach G">G Eysenbach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Salathe, M" uniqKey="Salathe M">M Salathe</name></author><author><name sortKey="Khandelwal, S" uniqKey="Khandelwal S">S Khandelwal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huiling, D" uniqKey="Huiling D">D Huiling</name></author><author><name sortKey="Jingwen, Z" uniqKey="Jingwen Z">Z Jingwen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Bf" uniqKey="Liu B">BF Liu</name></author><author><name sortKey="Kim, S" uniqKey="Kim S">S Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sarmiento, Mp" uniqKey="Sarmiento M">MP Sarmiento</name></author><author><name sortKey="Suarez, O" uniqKey="Suarez O">O Suarez</name></author><author><name sortKey="Sanabria, Ja" uniqKey="Sanabria J">JA Sanabria</name></author><author><name sortKey="Perez, Ce" uniqKey="Perez C">CE Perez</name></author><author><name sortKey="Cadena Ldel, P" uniqKey="Cadena Ldel P">P Cadena Ldel</name></author><author><name sortKey="Nino, Me" uniqKey="Nino M">ME Nino</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<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></journal-meta><article-meta><article-id pub-id-type="pmid">24884634</article-id><article-id pub-id-type="pmc">4048599</article-id><article-id pub-id-type="publisher-id">1471-2458-14-484</article-id><article-id pub-id-type="doi">10.1186/1471-2458-14-484</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Lin</surname><given-names>Leesa</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><xref ref-type="aff" rid="I4">4</xref><email>llin@hsph.harvard.edu</email></contrib><contrib contrib-type="author" id="A2"><name><surname>Savoia</surname><given-names>Elena</given-names></name><xref ref-type="aff" rid="I3">3</xref><xref ref-type="aff" rid="I4">4</xref><email>esavoia@hsph.harvard.edu</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Agboola</surname><given-names>Foluso</given-names></name><xref ref-type="aff" rid="I4">4</xref><email>fagboola@hsph.harvard.edu</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Viswanath</surname><given-names>Kasisomayajula</given-names></name><xref ref-type="aff" rid="I1">1</xref><xref ref-type="aff" rid="I2">2</xref><email>vish_viswanath@dfci.harvard.edu</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Avenue, Landmark Center, 3rd Floor East, Boston MA 02115, USA</aff><aff id="I2"><label>2</label>Dana-Farber Cancer Institute, 450 Brookline Avenue, Boston MA, USA</aff><aff id="I3"><label>3</label>Department of Biostatistics, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</aff><aff id="I4"><label>4</label>Division of Policy Translation and Leadership Development, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, USA</aff><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>21</day><month>5</month><year>2014</year></pub-date><volume>14</volume><fpage>484</fpage><lpage>484</lpage><history><date date-type="received"><day>22</day><month>10</month><year>2013</year></date><date date-type="accepted"><day>7</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Lin et al.; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2014</copyright-year><copyright-holder>Lin et al.; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. 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><self-uri xlink:href="http://www.biomedcentral.com/1471-2458/14/484"></self-uri><abstract><sec><title>Background</title><p>During public health emergencies, public officials are busy in developing communication strategies to protect the population from existing or potential threats. However, a population’s social and individual determinants (i.e. education, income, race/ethnicity) may lead to inequalities in individual or group-specific exposure to public health communication messages, and in the capacity to access, process, and act upon the information received by specific sub-groups- a concept defined as communication inequalities.</p><p>The aims of this literature review are to: 1) characterize the scientific literature that examined issues related to communication to the public during the H1N1 pandemic, and 2) summarize the knowledge gained in our understanding of social determinants and their association with communication inequalities in the preparedness and response to an influenza pandemic.</p></sec><sec><title>Methods</title><p>Articles were searched in eight major communication, social sciences, and health and medical databases of scientific literature and reviewed by two independent reviewers by following the PRISMA guidelines. The selected articles were classified and analyzed in accordance with the Structural Influence Model of Public Health Emergency Preparedness Communications.</p></sec><sec><title>Results</title><p>A total of 118 empirical studies were included for final review. Among them, 78% were population-based studies and 22% were articles that employed information environment analyses techniques. Consistent results were reported on the association between social determinants of communication inequalities and emergency preparedness outcomes. Trust in public officials and source of information, worry and levels of knowledge about the disease, and routine media exposure as well as information-seeking behaviors, were related to greater likelihood of adoption of recommended infection prevention practices. When addressed in communication interventions, these factors can increase the effectiveness of the response to pandemics.</p></sec><sec><title>Conclusions</title><p>Consistently across studies, a number of potential predictors of behavioral compliance to preventive recommendations during a pandemic were identified. Our findings show the need to include such evidence found in the development of future communication campaigns to ensure the highest rates of compliance with recommended protection measures and reduce communication inequalities during future emergencies.</p></sec></abstract><kwd-group><kwd>Communication</kwd><kwd>Communication inequalities</kwd><kwd>Risk communication H1N1</kwd><kwd>Pandemic</kwd><kwd>Public health emergency preparedness</kwd></kwd-group></article-meta></front><body><sec><title>Background</title><p>During public health emergencies, public officials are busy in developing communication strategies to protect the population from existing or potential threats. In many situations, such as the early stages of a pandemic, their capability to effectively communicate risk and recommend preventive behaviors may be the only public health strategy to reduce morbidity and mortality
[<xref ref-type="bibr" rid="B1">1</xref>]. However, a population’s social and individual determinants (i.e. education, income, race/ethnicity) may lead to inequalities in individual or group-specific exposure to public health communication messages, and in the capacity to access, process, and act upon the information received by specific population sub-groups- a concept defined as communication inequalities
[<xref ref-type="bibr" rid="B2">2</xref>-<xref ref-type="bibr" rid="B6">6</xref>]. Such inequalities may lead to disparities across segments of the population in the ability to comply with recommended preventive behaviors
[<xref ref-type="bibr" rid="B3">3</xref>,<xref ref-type="bibr" rid="B7">7</xref>-<xref ref-type="bibr" rid="B11">11</xref>]. In 2009, a new strain of H1N1 influenza virus spread around the world causing a new pandemic. The initial outbreak began in the state of Veracruz, Mexico, the Mexican government closed most of Mexico City's public and private facilities in an attempt to contain the spread of the virus
[<xref ref-type="bibr" rid="B12">12</xref>,<xref ref-type="bibr" rid="B13">13</xref>]. However, it continued to spread globally, and in June of the same year the World Health Organization (WHO) declared the outbreak a pandemic
[<xref ref-type="bibr" rid="B14">14</xref>]. Historically, there has been a paucity of empirical literature in the investigation of social determinants of communication inequalities in emergency preparedness
[<xref ref-type="bibr" rid="B7">7</xref>]. The H1N1 pandemic offered a unique opportunity to researchers to assess the impact of communication efforts in response to an influenza outbreak of uncertain evolution leading to a robust research program in the field of communications in public health emergency preparedness and risk communication
[<xref ref-type="bibr" rid="B7">7</xref>].</p><p>What scientists have learned about communication inequalities from this experience could help public health officials in identifying what communication strategies work better to prepare the public to respond to future emergencies. The aims of this literature review are to: 1) characterize the scientific literature that examined issues related to communication to the public during the H1N1 pandemic, and 2) summarize the knowledge gained in our understanding of social determinants and their association with communication inequalities in the preparedness and response to an influenza pandemic.</p></sec><sec sec-type="methods"><title>Methods</title><sec><title>Literature search sources and strategies</title><p>Eight databases were systematically searched: PubMed, EMBASE, PsycINFO, Education Resources Information Center (ERIC), Communication Abstracts, Sociological Abstracts, Applied Social Sciences Index and Abstracts (ASSIA), and Web of Science. Literature relevant to the topic of interest, "Public Health Emergency Preparedness (PHEP) Communications during the 2009 H1N1” reported from January 1, 2009 to August 1, 2012 were identified. A list of search strategies and key words used for the databases along with numbers of articles found from each database are reported in Table
<xref ref-type="table" rid="T1">1</xref>. Articles were considered for inclusion if they addressed issues regarding communications with the public during the H1N1 pandemic and were derived from empirical data. Articles were included if written in in any of the following 6 languages: English, French, Italian, Spanish, Chinese and Portuguese. Two reviewers independently screened articles identified from the initial search by title and/or abstract.</p><table-wrap position="float" id="T1"><label>Table 1</label><caption><p>Search strategies and key words used</p></caption><table frame="hsides" rules="groups" border="1"><colgroup><col align="center"></col><col align="left"></col><col align="center"></col><col align="center"></col><col align="center"></col><col align="center"></col></colgroup><thead valign="top"><tr><th align="center"><bold>Databases</bold></th><th align="left"><bold>Search strategy</bold></th><th align="center"><bold>Results</bold></th><th align="center"><bold>Title screening</bold></th><th align="center"><bold>Duplicate</bold></th><th align="center"><bold>Full review</bold></th></tr></thead><tbody valign="top"><tr><td rowspan="2" align="center" valign="bottom"><bold>PubMed</bold><hr></hr></td><td align="left" valign="bottom">("Public Health"[All] OR "World Health"[All] OR “Health” [tiab]) AND ("Influenza A Virus, H1N1 Subtype"[Mesh] OR h1n1[tiab] OR swine flu[tiab] OR swine influenza[tiab]) AND ("communication"[Mesh] OR "Health Knowledge, Attitudes, Practice"[Mesh] OR "Access to Information"[Mesh] OR "Communications Media"[Mesh] OR "Internet"[Mesh] OR "J Health Commun" [Journal] OR "Health Commun"[Journal] OR communication*[tiab] OR media[tiab] OR knowledge[tiab] OR information[tiab] OR awareness[tiab]) NOT “therapeutic use*”[All] NOT “reproductive”[All] NOT “records as topic”[Mesh] NOT “exercise*”[ti] NOT “modeling”[All] NOT “modelling”[All] NOT “tobacco”[All] NOT “ethic*”[tiab] NOT “veterinary medicine”[Mesh] NOT “insurance”[ti] NOT “disorders”[tiab] NOT "contracept*"[tiab] NOT "emergency medicine"[Mesh] NOT clinical*[ti] NOT “dental”[All] NOT “stroke”[All] NOT “law”[title] NOT “legal”[ti] NOT “pharmacist*”[tiab] NOT “pharmaceutical*”[tiab] NOT “HIV”[ti] NOT “surveillance” [ti] NOT "emergency department" [tiab] NOT “AIDS”[ti] NOT “provider*”[ti] NOT “worker*”[ti] NOT "departments"[ti] NOT "personnel"[tiab] NOT "nurses"[tiab] NOT "nursing"[tiab] NOT “nurse*”[tiab] NOT "hospital*" [ti] NOT "sales" [ti]<hr></hr></td><td rowspan="2" align="center" valign="bottom">355<hr></hr></td><td rowspan="2" align="center" valign="bottom">148<hr></hr></td><td rowspan="2" align="center" valign="bottom">3<hr></hr></td><td rowspan="2" align="center" valign="bottom">204<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Filters: Journal Article; Full text available; Publication date from 2009/01/01 to 2012/08/01; Humans; Chinese; Spanish; English; Portuguese; French; Italian</italic><hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>EMBASE</bold><hr></hr></td><td align="left" valign="bottom">public health'/exp OR 'public health' OR 'public health':ab,ti OR 'world health':ab,ti AND ('h1n1':ab,ti OR 'swine flu':ab,ti OR 'influenza a(h1n1)':ab,ti OR 'swine influenza':ab,ti) AND ('attitude'/exp OR 'access to information'/exp OR 'awareness' OR 'access to information' OR 'risk perception' OR 'perceived risk' OR 'efficacy' OR 'mass communication'/exp OR 'mass communication' OR 'mass medium'/exp OR 'mass medium' OR 'mass media':ab,ti OR communicat*:ab,ti OR 'information':ti OR 'knowledge':ti) NOT ('therapeutic uses':ab,ti OR 'simulation'/exp OR 'hospital'/exp OR 'hospitalization'/exp OR 'laboratory test'/exp OR 'disease registry'/exp OR 'reproductive':ab,ti OR 'records':ti OR 'tobacco':ab,ti OR ethic*:ab,ti OR 'veterinary medicine'/exp OR 'mental disease'/exp OR 'dental':ab,ti OR 'stroke':ab,ti OR 'law':ti OR 'legal':ti OR 'hiv':ti OR 'aids':ab,ti OR 'diabetes':ab,ti OR 'surveillance':ti OR 'randomized trials':ab,ti OR 'asthma':ti OR 'drug':ti OR 'regulations':ti OR pharma*:ti OR zoonosis*:ti OR [medline]/lim) AND ([chinese]/lim OR [english]/lim OR [french]/lim OR [italian]/lim OR [portuguese]/lim OR [spanish]/lim) AND [1-1-2009]/sd NOT [2-8-2012]/sd AND [humans]/lim AND [embase]/lim AND [2009–2012]/py<hr></hr></td><td rowspan="2" align="center" valign="bottom">15<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td><td rowspan="2" align="center" valign="bottom">3<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Filters: Publication date from 2009/01/01 to 2012/08/01; Humans; English; French; Chinese; Italian; Spanish; Portuguese</italic><hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>PsycINFO</bold><hr></hr></td><td align="left" valign="bottom">('((DE "Swine Influenza" OR h1n1 OR "swine flu" OR "swine influenza") AND (DE ("Communication" OR "Communication Theory" OR "Communications Media" OR "Audiovisual Communications Media" OR "Mass Media" OR "Multimedia" OR "Social Media" OR "Telecommunications Media" OR "Information" OR "Health Promotion" OR "Health Knowledge" OR "Knowledge Level") OR communication* OR media OR Knowledge OR information OR awareness))) NOT AB workers NOT AB hospital* NOT clinic*<hr></hr></td><td rowspan="2" align="center" valign="bottom">79<hr></hr></td><td rowspan="2" align="center" valign="bottom">58<hr></hr></td><td rowspan="2" align="center" valign="bottom">4<hr></hr></td><td rowspan="2" align="center" valign="bottom">17<hr></hr></td></tr><tr><td align="left" valign="bottom">Limiters - Published Date: 20090101–20120831; Publication Status: fully published; Publication Type: All Journals, Peer Reviewed Journal, Peer-Reviewed Status-Unknown; Language: Chinese, English, French, Italian, Portuguese, Spanish; Document Type: Journal Article; Exclude Dissertations<hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>Education Resources Information Center (ERIC)</bold><hr></hr></td><td align="left" valign="bottom">((DE "Swine Influenza" OR h1n1 OR "swine flu" OR "swine influenza") AND (DE ("Communication" OR "Communication Theory" OR "Communications Media" OR "Audiovisual Communications Media" OR "Mass Media" OR "Multimedia" OR "Social Media" OR "Telecommunications Media" OR "Information" OR "Health Promotion" OR "Health Knowledge" OR "Knowledge Level") OR communication* OR media OR Knowledge OR information OR awareness)) NOT databases NOT clinic<hr></hr></td><td rowspan="2" align="center" valign="bottom">7<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td><td rowspan="2" align="center" valign="bottom">1<hr></hr></td><td rowspan="2" align="center" valign="bottom">0<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Limiters - Peer Reviewed; Journal or Document: Journal Articles (EJ); Language: (English OR Chinese OR French OR Italian OR Portuguese OR Spanish)</italic><hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>Communication Abstracts</bold><hr></hr></td><td align="left" valign="bottom">((DE "Swine Influenza" OR h1n1 OR "swine flu" OR "swine influenza") AND (DE ("Communication" OR "Communication Theory" OR "Communications Media" OR "Audiovisual Communications Media" OR "Mass Media" OR "Multimedia" OR "Social Media" OR "Telecommunications Media" OR "Information" OR "Health Promotion" OR "Health Knowledge" OR "Knowledge Level") OR communication* OR media OR Knowledge OR information OR awareness))<hr></hr></td><td rowspan="2" align="center" valign="bottom">16<hr></hr></td><td rowspan="2" align="center" valign="bottom">7<hr></hr></td><td rowspan="2" align="center" valign="bottom">3<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Limiters - Scholarly (Peer Reviewed) Journals; Publication Date: 20090101–20120831; Publication Type: Academic Journal, Review; Document Type: Article</italic><hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>Sociological abstracts</bold><hr></hr></td><td align="left" valign="bottom">((DE "Swine Influenza" OR h1n1 OR "swine flu" OR "swine influenza") AND (DE ("Communication" OR "Communication Theory" OR "Communications Media" OR "Audiovisual Communications Media" OR "Mass Media" OR "Multimedia" OR "Social Media" OR "Telecommunications Media" OR "Information" OR "Health Promotion" OR "Health Knowledge" OR "Knowledge Level") OR communication* OR media OR Knowledge OR information OR awareness))<hr></hr></td><td rowspan="2" align="center" valign="bottom">10<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td><td rowspan="2" align="center" valign="bottom">3<hr></hr></td><td rowspan="2" align="center" valign="bottom">1<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Limiters - Peer reviewed; Source type: Scholarly Journals Additional limits - Date: From January 01 2009 to August 01 2012;</italic><hr></hr></td></tr><tr><td rowspan="2" align="center" valign="bottom"><bold>Applied Social Sciences Index and Abstracts (ASSIA)</bold><hr></hr></td><td align="left" valign="bottom">ab(("Swine Influenza" OR h1n1 OR "swine flu" OR "swine influenza")) AND ab((DE ("Communication" OR "Communication Theory" OR "Communications Media" OR "Audiovisual Communications Media" OR "Mass Media" OR "Multimedia" OR "Social Media" OR "Telecommunications Media" OR "Information" OR "Health Promotion" OR "Health Knowledge" OR "Knowledge Level") OR communication* OR media OR Knowledge OR information OR awareness)) NOT pub((test* OR reporting OR surveillance OR nurses OR nursing))<hr></hr></td><td rowspan="2" align="center" valign="bottom">40<hr></hr></td><td rowspan="2" align="center" valign="bottom">25<hr></hr></td><td rowspan="2" align="center" valign="bottom">6<hr></hr></td><td rowspan="2" align="center" valign="bottom">9<hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Date: From January 01 2009 to August 01 2012; Language: All; Source type: Scholarly Journals</italic><hr></hr></td></tr><tr><td rowspan="11" align="center" valign="bottom"><bold>Web of science</bold><hr></hr></td><td align="left" valign="bottom">TS = (h1n1 OR "swine flu" OR "swine influenza")<hr></hr></td><td rowspan="11" align="center" valign="bottom">248<hr></hr></td><td rowspan="11" align="center" valign="bottom">219<hr></hr></td><td rowspan="11" align="center" valign="bottom">9<hr></hr></td><td rowspan="11" align="center" valign="bottom">20<hr></hr></td></tr><tr><td align="left" valign="bottom">AND<hr></hr></td></tr><tr><td align="left" valign="bottom">TS = ("communication*" OR "media" OR "knowledge" OR "information" OR "awareness")<hr></hr></td></tr><tr><td align="left" valign="bottom">NOT<hr></hr></td></tr><tr><td align="left" valign="bottom">TI = (“therapeutic use*” OR “reproductive” OR “records as topic” OR “exercise*” OR “modeling” OR “modelling” OR “tobacco” OR “ethic*” OR “veterinary medicine” OR “insurance” OR “disorders” OR "contracept*" OR "emergency medicine" OR clinical* OR “dental” OR “stroke” OR “law” OR “legal” OR “pharmacist*” OR “pharmaceutical*” OR “HIV” OR “surveillance” OR "emergency department" OR “nurse*” OR “AIDS” OR “provider*” OR “worker*” OR "departments" OR "sales")<hr></hr></td></tr><tr><td align="left" valign="bottom">NOT<hr></hr></td></tr><tr><td align="left" valign="bottom">TS = (“reproductive” OR “records as topic” OR “exercise*” OR “modeling” OR “modelling” OR “tobacco” OR “ethic*” OR “veterinary medicine” OR “insurance” OR "contracept*" OR "emergency medicine" OR “dental” OR “stroke” OR “law” OR “legal” OR “pharmacist*” OR “HIV” OR “surveillance” OR "emergency department" OR “AIDS” OR "sales")<hr></hr></td></tr><tr><td align="left" valign="bottom">Filters:<hr></hr></td></tr><tr><td align="left" valign="bottom"><bold>LANGUAGE:</bold><italic>(English OR Chinese OR French OR Italian OR Portuguese OR Spanish) AND</italic><hr></hr></td></tr><tr><td align="left" valign="bottom"><bold>Timespan</bold> <italic>= 2009-2012</italic><hr></hr></td></tr><tr><td align="left" valign="bottom"><italic>Refined by: DOCUMENT TYPES = (ARTICLE) AND WEB OF SCIENCE CATEGORIES = (INFECTIOUS DISEASES OR EMERGENCY MEDICINE OR SOCIAL SCIENCES BIOMEDICAL OR SOCIAL SCIENCES INTERDISCIPLINARY OR HEALTH CARE SCIENCES SERVICES OR EDUCATION EDUCATIONAL RESEARCH OR NURSING OR PSYCHOLOGY MULTIDISCIPLINARY OR HEALTH POLICY SERVICES OR PSYCHOLOGY SOCIAL OR COMMUNICATION OR SOCIAL ISSUES OR NURSING SCI OR SOCIOLOGY)</italic><hr></hr></td></tr><tr><td align="center"><bold>Total</bold></td><td align="left"> </td><td align="center"><bold>770</bold></td><td align="center"><bold>475</bold></td><td align="center"><bold>32</bold></td><td align="center"><bold>263</bold></td></tr></tbody></table></table-wrap><p>Articles were excluded if: 1) published in any other language other than the six stated above; 2) focusing solely on inter-agency communication or communication among health professionals; 3) focusing on development on telecommunication strategy such as telecommunication technology; 4) not pertaining specifically to the 2009 H1N1 pandemic; or 5) focusing on public health surveillance and epidemiologic investigations. The PRISMA guidelines were followed to conduct the review when appropriate given the non-clinical nature of the subject matter
[<xref ref-type="bibr" rid="B15">15</xref>].</p></sec><sec><title>Data extraction and analysis</title><p>Two reviewers independently read and coded the articles included for final review.</p><p>To characterize the articles the following criteria were used: country of origin of the first author, methodological approach (i.e. empirical studies and information environment analysis – a systematic analysis of news content on H1N1 on different information channels), study design (e.g. case study, cross sectional, experimental), data gathering methods (e.g. survey, interview, focus group) and when focused on a population study: sampling methodology (e.g., cluster, convenience, census-based). Subsequently, data were extracted from the articles using the Structural Influence Model (SIM) of PHEP Communications (Figure
<xref ref-type="fig" rid="F1">1</xref>)
[<xref ref-type="bibr" rid="B11">11</xref>,<xref ref-type="bibr" rid="B16">16</xref>] developed by Viswanath K. et al. This model is a heuristic framework developed to link social determinants with PHEP outcomes through PHEP communications. The articles were reviewed and coded searching for evidence of the potential association between <italic>social determinants, attitudes and beliefs, and communication and PHEP outcomes</italic> as outlined in the model<italic>.</italic> Coding agreement between the two reviewers was 90%. Disagreements were resolved through discussion between the reviewers. Descriptive statistics were performed using STATA College Station, Texas, release 12 to identify how frequently specific variables proposed in the SIM had been investigated in the empirical studies.</p><fig id="F1" position="float"><label>Figure 1</label><caption><p>Structural Influence Model (SIM) of communication inequalities.</p></caption><graphic xlink:href="1471-2458-14-484-1"></graphic></fig></sec></sec><sec sec-type="results"><title>Results</title><sec><title>Characterization of the literature</title><p>We started the review with a comprehensive search of all major health and social science databases, followed by initial title scanning for duplicates and topic relevancy, which yielded a total of 263 articles eligible for full-text review. Then, we conducted a full-text review of articles screening for non-empirical studies such as working papers, editorials or letters to editors, and literature reviews, which did not meet the inclusion criteria for this review. As a result, a total of 145 articles were excluded, leaving 118 empirical studies for final review. (See Figure
<xref ref-type="fig" rid="F2">2</xref> for distribution of articles by study characteristics and Additional file
<xref ref-type="supplementary-material" rid="S1">1</xref> for full reference list).</p><fig id="F2" position="float"><label>Figure 2</label><caption><p>Distribution of articles by study characteristics.</p></caption><graphic xlink:href="1471-2458-14-484-2"></graphic></fig><p>The manuscripts were written by authors from twenty-five different countries. The country most represented in the literature was the United States (37% of the articles), followed by China (11%, mostly based in Hong Kong) and the United Kingdom (10%). Population–based studies made up 78% (N = 92) of the identified empirical studies; among them, 86% (N = 79) used a quantitative approach, 9% (N = 8) a qualitative approach and 5% (N = 5) mixed methods. The remainder of the selected papers (22%, N = 26) employed methods focused on the analysis of the “information environment”, consisting of content analysis of news coverage and examination of the style and volume of news reporting. Almost all population-based studies used cross-sectional design (91%, N = 84) and two used longitudinal design (2%). Five studies employed experimental designs. In terms of data gathering methods, surveys were used in 82% of the population–based studies, 12% used in-depth interviews and 7% used focus groups. Sometimes interviews and focus groups were conducted as complementary research methods to cross-sectional surveys. More than half of the population–based studies (55%) derived their data from a random sample of the population and 40% from a convenience sample. Few studies (<5%) solely relied on cluster sampling or sampling from an entire segment of the population.</p></sec><sec><title>Communication theories</title><p>Only six of the empirical studies based their investigations of population behaviors on existing theoretical frameworks. For example, Kumar et al. used the <italic>Social Ecological Model</italic> as a framework while identifying determinants of 2009 H1N1 influenza vaccination acceptance among American adults
[<xref ref-type="bibr" rid="B17">17</xref>]. Liao interviewed Hong Kong residents and used the <italic>Structural Equation Modelling</italic> to examine associations between the theoretical determinants (e.g. trust in information, self-efficacy, and perceived susceptibility, as well as worry) and prevention behaviors such as hand hygiene and social distancing
[<xref ref-type="bibr" rid="B18">18</xref>]. Furthermore, Prati et al. worked to further develop an existing model, <italic>Social-Cognitive Model,</italic> and examined the risk perception and individual response to pandemic influenza H1N1 among the Italian population
[<xref ref-type="bibr" rid="B19">19</xref>]. Understanding human behaviors, and/or at least behavior intentions during a pandemic influenza, has been the focus of many studies. Some drew upon existing psychology theories about behavior intentions such as <italic>Theory of Reasoned Action</italic>, <italic>Theory of Planned Behavior</italic> and the extended <italic>Theory of Planned Behavior,</italic> and <italic>Integrated Behavioral Model</italic>, to understand their study populations’ decisions about H1N1 vaccine uptake
[<xref ref-type="bibr" rid="B20">20</xref>,<xref ref-type="bibr" rid="B21">21</xref>]. Furthermore, others like Li et al., in contrast to theories on the traditional perspectives of planned behavior and the maximizing and satisfying strategies, claimed that human behaviors, especially preventive health behaviors, are not only purely motivated by careful analysis of perceived costs and benefits of actions, but also by individual factors as well as social and situational constraints such as emotions, habits, and social influences
[<xref ref-type="bibr" rid="B22">22</xref>].</p><sec><title>Population-based studies</title><sec><title>Sociodemographic variables</title><p>Our analytical approach started by listing the socio-demographic variables gathered by scientists when describing the study populations exposed to public H1N1 messages. Age and gender were used in 86% of the studies, and race and ethnicity were taken into consideration in 36% of the studies. Information on socioeconomic position (SEP) was reported in 73% of the empirical studies by the use of variables such as education, income and employment, either solely or in combination. Education and income/wealth were the most commonly used variables used as indicators of SEP
[<xref ref-type="bibr" rid="B7">7</xref>]. Number(s) of children in the household was one of the most studied household characteristics (37%) frequently looked at during the 2009/2010 H1N1 pandemic. About one-third of the researchers were also interested in the area of residence of the population being investigated (i.e., urban versus rural, 27%).</p></sec><sec><title>Interpersonal and psychosocial factors</title><p>During the response to the H1N1 pandemic, population’s attitudes were extensively researched (by 46% of the studies) as an important predictor of people’s preventive and health behaviors. These attitudes were measured by pre-existing beliefs about pandemic influenza such as social stigma and discrimination against one or more particular social sub-group (s), trust in government’s handling of the emergency, and/or fairness of treatment of all social groups. Other interpersonal and psychosocial factors that played a major role in the public’s response to the pandemic were: experience with pandemic or seasonal influenza prior to H1N1 (33%), self-efficacy (32%) - defined as the level of confidence in one’s ability to undertake a recommended preventive behavior, and general health status (25%).</p></sec><sec><title>Communications and preparedness outcomes</title><p>Scientists have studied populations’ sources of information regarding the H1N1 pandemic (50%), and the perceived trust and credibility in the information received (32%). Other commonly researched public health preparedness communication behaviors were information utilization (12%) and information-seeking (11%). One thing worth noting is that communication behaviors were frequently examined as important mediating factors of population’s preparedness outcomes. The most frequently researched preparedness outcomes were: preventive behaviors such as hygiene and social distancing practices in 70% of the studies (N = 64), risk perceptions such as likelihood of getting infected, severity of the disease, and perceived susceptibility and/or vulnerability to the disease (70%, N = 64), levels of knowledge and awareness about the pandemic (53%, N = 49), and emotional responses such as fear and worry (47%, N = 43). Factors influencing the H1N1 vaccination acceptance rate (26%, N = 24) were also frequently investigated. Other communication and preparedness outcomes examined by the literature are described in Table
<xref ref-type="table" rid="T2">2</xref>.</p><table-wrap position="float" id="T2"><label>Table 2</label><caption><p>Frequency of studies addressing communication and preparedness outcomes</p></caption><table frame="hsides" rules="groups" border="1"><colgroup><col align="left"></col><col align="left"></col><col align="left"></col><col align="left"></col></colgroup><thead valign="top"><tr><th align="left"><bold>Communication outcomes</bold></th><th align="left"><bold>Definition</bold></th><th align="left"><bold>Frequency (%)</bold></th><th align="left"><bold>Examples</bold></th></tr></thead><tbody valign="top"><tr><td align="left" valign="bottom">Information sources and exposure<hr></hr></td><td align="left" valign="bottom">The incidental exposure of information of a public health threat, which is not actively looked for by the audience, but obtained through daily routine or from the surrounding.<hr></hr></td><td align="left" valign="bottom">(46) 50%<hr></hr></td><td align="left" valign="bottom">Information about government’s social distancing recommendations learned from routine television watching.<hr></hr></td></tr><tr><td align="left" valign="bottom">Information seeking behaviors<hr></hr></td><td align="left" valign="bottom">The actions people take proactively to search for information about public health threats for self-protection and survival.<hr></hr></td><td align="left" valign="bottom">(10) 11%<hr></hr></td><td align="left" valign="bottom">Browsed website and/or call doctors to get info about vaccine against H1N1.<hr></hr></td></tr><tr><td align="left" valign="bottom">Trust and credibility<hr></hr></td><td align="left" valign="bottom">Trust and credibility in the information sources, quality of the information received, fairness of treatment, or government’s ability to respond to a public health emergency.<hr></hr></td><td align="left" valign="bottom">(29) 32%<hr></hr></td><td align="left" valign="bottom">Trust in commercial television or health department as information source about H1N1 vaccines.<hr></hr></td></tr><tr><td align="left" valign="bottom">Information processing<hr></hr></td><td align="left" valign="bottom">Ability to understand information about public health threats for self-protection and survival.<hr></hr></td><td align="left" valign="bottom">(3) 3%<hr></hr></td><td align="left" valign="bottom">Some subgroups in society were more vulnerable during pandemics because they had difficulty in understanding preventive measures.<hr></hr></td></tr><tr><td align="left" valign="bottom">Information utilization<hr></hr></td><td align="left" valign="bottom">Ability and/or willingness to use information obtained to prepare for and respond to public health threats.<hr></hr></td><td align="left" valign="bottom">(11) 12%<hr></hr></td><td align="left" valign="bottom">Compliance with hygienic practices during pandemics.<hr></hr></td></tr><tr><td align="left" valign="bottom"><bold>Preparedness outcomes</bold><hr></hr></td><td align="left" valign="bottom"><bold>Definition</bold><hr></hr></td><td align="left" valign="bottom"><bold>Frequency (%)</bold><hr></hr></td><td align="left" valign="bottom"><bold>Examples</bold><hr></hr></td></tr><tr><td align="left" valign="bottom">Knowledge/awareness<hr></hr></td><td align="left" valign="bottom">Knowledge about specific threats and preventive behaviors.<hr></hr></td><td align="left" valign="bottom">49 (53%)<hr></hr></td><td align="left" valign="bottom">Individuals with knowledge of a particular mode of transmission for H1N1.<hr></hr></td></tr><tr><td align="left" valign="bottom">Risk perception<hr></hr></td><td align="left" valign="bottom">Subjective judgment about the characteristics and severity of personal or societal risk.<hr></hr></td><td align="left" valign="bottom">64 (70%)<hr></hr></td><td align="left" valign="bottom">The risk of being infected with the H1N1 virus.<hr></hr></td></tr><tr><td align="left" valign="bottom">Preventive behaviors<hr></hr></td><td align="left" valign="bottom">Any activity undertaken by individuals to prevent a disease or limit contagion to other people.<hr></hr></td><td align="left" valign="bottom">64 (70%)<hr></hr></td><td align="left" valign="bottom">Compliance with the hygienic practices, immunization practices.<hr></hr></td></tr><tr><td align="left" valign="bottom">Healthcare behaviors<hr></hr></td><td align="left" valign="bottom">Any activity undertaken by individuals to seek medical attention after they encounter the threat.<hr></hr></td><td align="left" valign="bottom">24 (26%)<hr></hr></td><td align="left" valign="bottom">Seeking health care, compliance with recommended medications (i.e. antivirals).<hr></hr></td></tr><tr><td align="left">Emotional response</td><td align="left">Emotional reactions that occur as a response to a real risk or potential threat to health or environment.</td><td align="left">43 (47%)</td><td align="left">Fear, worry, anxiety, hopelessness or anger.</td></tr></tbody></table></table-wrap></sec></sec></sec><sec><title>Social determinants of communication inequalities during H1N1</title><sec><title>Determinants of knowledge, attitude and beliefs</title><p>Most population-based studies (82%, N = 75) looked at the association between specific population characteristics (i.e. sociodemographic as well as interpersonal and psychosocial factors) and H1N1-related communication and/or preparedness outcomes. See Figure
<xref ref-type="fig" rid="F3">3</xref>. Our data show that older age, household income, level of education, and homeownership were positively associated with greater knowledge about H1N1. Studies have shown exposure to media or public health-focused advertising campaigns had a positive impact on not only increasing people’s levels of H1N1-related knowledge, but also their adoption of health behaviors
[<xref ref-type="bibr" rid="B6">6</xref>,<xref ref-type="bibr" rid="B23">23</xref>-<xref ref-type="bibr" rid="B29">29</xref>]. A successful example of advertising campaigns was the official public health advertising campaign launched in the U.K., which was accompanied by commercial advertisements of tissues, hand sanitizers, and other related products that regularly repeated the official hygiene messages (i.e. “Catch it, Bin it, Kill it”), that successfully increased the perceived efficacy and adoption of recommended behaviors
[<xref ref-type="bibr" rid="B26">26</xref>]. Being worried about the disease was identified as an important predictor of compliance with recommended preventive behaviors, and to be associated with the volume of media attention and media reporting on the number of H1N1 cases
[<xref ref-type="bibr" rid="B18">18</xref>,<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B24">24</xref>,<xref ref-type="bibr" rid="B26">26</xref>,<xref ref-type="bibr" rid="B30">30</xref>-<xref ref-type="bibr" rid="B34">34</xref>]. Furthermore, many studies have presented evidence linking H1N1-related knowledge to people’s attitudes (which could be either positive or negative evaluations of particular behaviors or events) such as approval of the governments’ response to the pandemic
[<xref ref-type="bibr" rid="B20">20</xref>,<xref ref-type="bibr" rid="B35">35</xref>-<xref ref-type="bibr" rid="B37">37</xref>]. Knowledge and attitudes about the H1N1 pandemic had an impact on people’s adoption of preventive measures
[<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B24">24</xref>,<xref ref-type="bibr" rid="B26">26</xref>,<xref ref-type="bibr" rid="B27">27</xref>,<xref ref-type="bibr" rid="B29">29</xref>,<xref ref-type="bibr" rid="B35">35</xref>,<xref ref-type="bibr" rid="B38">38</xref>-<xref ref-type="bibr" rid="B43">43</xref>]. Knowing how the H1N1 virus was transmitted and having a good understanding of the symptoms of infection were positively associated with perceived risk and perceived susceptibility to infection, and belief in the effectiveness of recommended behaviors, which affected response efficacy
[<xref ref-type="bibr" rid="B26">26</xref>,<xref ref-type="bibr" rid="B27">27</xref>,<xref ref-type="bibr" rid="B35">35</xref>,<xref ref-type="bibr" rid="B38">38</xref>-<xref ref-type="bibr" rid="B44">44</xref>]. Compliance with social distancing and hygiene measures (i.e. hand washing), was found to be greater in those of older age, in parents of children aged 18 or less, in women compared to men, and in people with higher SEP
[<xref ref-type="bibr" rid="B18">18</xref>,<xref ref-type="bibr" rid="B35">35</xref>,<xref ref-type="bibr" rid="B38">38</xref>,<xref ref-type="bibr" rid="B39">39</xref>,<xref ref-type="bibr" rid="B41">41</xref>,<xref ref-type="bibr" rid="B42">42</xref>,<xref ref-type="bibr" rid="B45">45</xref>-<xref ref-type="bibr" rid="B48">48</xref>].</p><fig id="F3" position="float"><label>Figure 3</label><caption><p>Proportions of studied determinants of communication inequalities during the H1N1 pandemic in population-based studies.</p></caption><graphic xlink:href="1471-2458-14-484-3"></graphic></fig><p>Attitudinal determinants leading to greater compliance with recommended behaviors included levels of worry about self or family members at risk of catching the flu, perceiving the disease as potentially severe and belief of being susceptible to the infection
[<xref ref-type="bibr" rid="B18">18</xref>,<xref ref-type="bibr" rid="B35">35</xref>,<xref ref-type="bibr" rid="B38">38</xref>]. Trust in the source of recommendation was associated with compliance with non-pharmaceutical measures
[<xref ref-type="bibr" rid="B18">18</xref>,<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B49">49</xref>-<xref ref-type="bibr" rid="B52">52</xref>]. Indeed, studies show that trust and credibility are the essential elements in all risk communication strategies and significantly affect people’s choice of information sources and attitudes towards the message received
[<xref ref-type="bibr" rid="B18">18</xref>,<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B44">44</xref>,<xref ref-type="bibr" rid="B49">49</xref>]. People perceived their social networks including friends, family, and physicians, as well as communities (e.g. work place and church) and health agencies, as trustworthy sources of information
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B29">29</xref>,<xref ref-type="bibr" rid="B30">30</xref>,<xref ref-type="bibr" rid="B44">44</xref>,<xref ref-type="bibr" rid="B53">53</xref>].</p></sec></sec><sec><title>Determinants of vaccine uptake</title><p>Vaccine uptake was positively associated with many of the same factors as knowledge and attitudes, namely older age, social capital, worry, media exposure, and information-seeking behaviors, as well as perceived severity and susceptibility to infection
[<xref ref-type="bibr" rid="B17">17</xref>,<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B24">24</xref>-<xref ref-type="bibr" rid="B26">26</xref>,<xref ref-type="bibr" rid="B30">30</xref>,<xref ref-type="bibr" rid="B53">53</xref>-<xref ref-type="bibr" rid="B56">56</xref>]. Those who felt official authorities had openly provided the public with clear and honest information about pandemic influenza vaccination believed to be sufficiently informed and were more likely to get immunized
[<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B22">22</xref>,<xref ref-type="bibr" rid="B25">25</xref>,<xref ref-type="bibr" rid="B44">44</xref>,<xref ref-type="bibr" rid="B51">51</xref>,<xref ref-type="bibr" rid="B52">52</xref>,<xref ref-type="bibr" rid="B55">55</xref>,<xref ref-type="bibr" rid="B57">57</xref>]. It is also worth noting that people with different educational levels rely on different sources of information with television being the most popular source for people with lower education and the internet for those with higher education
[<xref ref-type="bibr" rid="B57">57</xref>]. Trust in public officials and having a doctor recommending the vaccine have been reported to have a positive impact on people’s acceptance of vaccination
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B25">25</xref>,<xref ref-type="bibr" rid="B26">26</xref>,<xref ref-type="bibr" rid="B51">51</xref>,<xref ref-type="bibr" rid="B52">52</xref>,<xref ref-type="bibr" rid="B55">55</xref>,<xref ref-type="bibr" rid="B57">57</xref>-<xref ref-type="bibr" rid="B60">60</xref>]. Having a history of acceptance of the seasonal flu vaccine played an important role in vaccine uptake
[<xref ref-type="bibr" rid="B8">8</xref>,<xref ref-type="bibr" rid="B36">36</xref>,<xref ref-type="bibr" rid="B48">48</xref>,<xref ref-type="bibr" rid="B51">51</xref>,<xref ref-type="bibr" rid="B52">52</xref>,<xref ref-type="bibr" rid="B54">54</xref>,<xref ref-type="bibr" rid="B59">59</xref>-<xref ref-type="bibr" rid="B61">61</xref>]. Perceiving the vaccination as safe and effective was shown to be positively associated with vaccine uptake, while being concerned about potential side effects was negatively associated with such behavior
[<xref ref-type="bibr" rid="B8">8</xref>,<xref ref-type="bibr" rid="B22">22</xref>,<xref ref-type="bibr" rid="B51">51</xref>,<xref ref-type="bibr" rid="B56">56</xref>,<xref ref-type="bibr" rid="B58">58</xref>-<xref ref-type="bibr" rid="B60">60</xref>]. Knowing someone affected by the H1N1 flu also motivated people to accept the vaccine; however, the cost of the vaccines did discourage some from getting it
[<xref ref-type="bibr" rid="B25">25</xref>,<xref ref-type="bibr" rid="B62">62</xref>-<xref ref-type="bibr" rid="B64">64</xref>]. Race and ethnicity also played a role in vaccine uptake with being African American as a potential predictor of lower compliance with this immunization practice
[<xref ref-type="bibr" rid="B20">20</xref>,<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B58">58</xref>,<xref ref-type="bibr" rid="B65">65</xref>]. In particular, studies found spread of rumors of vaccine unsafety in the African American communities that countered the health departments’ recommendations and decreased vaccine demand; collaboration with community based organizations such as churches in the dissemination of the messages has been recommended as a way to overcome issues of trust from such communities
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B58">58</xref>]. On the other hand, in contrast to the usually low acceptance rate of seasonal flu vaccine, the Hispanic population in the United States was found to be more likely to get the H1N1 vaccine
[<xref ref-type="bibr" rid="B17">17</xref>,<xref ref-type="bibr" rid="B58">58</xref>,<xref ref-type="bibr" rid="B66">66</xref>,<xref ref-type="bibr" rid="B67">67</xref>]. The fact that the original H1N1 cases were first identified in Mexico likely caused this segment of the population to be aware of the risk of infection and have a different pandemic experience compared to other ethnic groups. Unfortunately this group also experienced social stigmatization because of the origin of the pandemic
[<xref ref-type="bibr" rid="B68">68</xref>,<xref ref-type="bibr" rid="B69">69</xref>].</p><sec><title>Information environment analysis</title><p>In recent years, there has been increasing attention to the analysis of the information environment during large-scale emergencies. In our review, 22% of empirical studies employed information environment analysis techniques during the recent H1N1 pandemic. Researchers assessed the content, timeliness, or volume of information available used to study the quality (such as accuracy, accessibility, and language style) and/or quantity of news media, press releases, online comments in response to news articles or social media, and H1N1-related information available on government or school websites. Some results were then compared to existing H1N1-related behavioral data, such as access to healthcare or vaccine uptake, in order to estimate the impact of media coverage on people’s attitudes and behaviors
[<xref ref-type="bibr" rid="B31">31</xref>,<xref ref-type="bibr" rid="B32">32</xref>,<xref ref-type="bibr" rid="B70">70</xref>,<xref ref-type="bibr" rid="B71">71</xref>]. <italic>Blogs</italic> and <italic>wiki visits</italic> were examined to understand public attitudes and information-seeking behaviors. Somewhat surprisingly, popular social media tools such as <italic>Twitter</italic> and <italic>Facebook</italic> and their impact on PHEP communication outcomes were relatively rarely evaluated
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B29">29</xref>,<xref ref-type="bibr" rid="B49">49</xref>,<xref ref-type="bibr" rid="B72">72</xref>-<xref ref-type="bibr" rid="B75">75</xref>]. Furthermore, it is also important to emphasize that, although <italic>Facebook</italic> and <italic>Twitter</italic> have been recognized as useful tools to raise awareness and promote intervention measures
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B49">49</xref>,<xref ref-type="bibr" rid="B72">72</xref>-<xref ref-type="bibr" rid="B75">75</xref>], the traditional forms of mass media, as well as communications through pre-established social networks, remained the primary source of information
[<xref ref-type="bibr" rid="B21">21</xref>,<xref ref-type="bibr" rid="B29">29</xref>,<xref ref-type="bibr" rid="B30">30</xref>,<xref ref-type="bibr" rid="B44">44</xref>,<xref ref-type="bibr" rid="B53">53</xref>].</p></sec></sec></sec><sec sec-type="discussion"><title>Discussion</title><p>The H1N1 pandemic has challenged public health officials around the globe in developing effective communication strategies in absence of clear information on the severity and transmissibility of the virus. Media “hype” and uncertainty of information have caused panic at the beginning of the pandemic. However, a few months into the pandemic when vaccine became ready for distribution, the severity of the disease was deemed to be mild and a lack of compliance with recommended preventive behaviors prevailed. Given the complexity of the scenario, the H1N1 pandemic has prompted researchers around the globe to study populations’ reactions to such events. This literature review provides an analysis and synthesis of data derived from 118 empirical studies focused on the H1N1 pandemic, investigating differences across various segments of the population in communication and preparedness outcomes. This review is important for the public health practitioner because communication strategies can be designed to address the impact of social factors, as well as people’s attitudes and beliefs on communication outcomes and preparedness behaviors only when evidence on the role of specific factors exists. The literature being examined demonstrates the existence of differences across various segments of the population on information exposure during the H1N1 pandemic as well as their reactions and behaviors. The literature does not examine the effectiveness of specific communication strategies, but few recommendations may be derived and suggested for public health practitioners engaged in the development of communication strategies. This review suggests that to reduce communication inequalities during a large scale emergency, such as a pandemic, public health officials should focus their communication efforts on the young, the less educated and the indigent because there is evidence that these are the people at risk of not knowing about the threat, perceiving the threat to be of low risk and ultimately being less likely to follow recommended behaviors. Exposure to various communication channels varies by educational level with the less educated being exposed to television rather than newspapers or other means of communication
[<xref ref-type="bibr" rid="B57">57</xref>]. This result suggests the need to build and sustain, over the course of an emergency, collaboration between public health agencies and media in order to disseminate information in a timely and accurate manner, thereby avoiding hypes and lows in the flow of information and developing a strategy that counterbalances the inevitable spread of rumors on the safety of recommended practices (i.e. immunization) and on the overall impact of the threat. An honest reporting of what the threat looks like, through a presentation of known and unknown factors, seems to have a better impact on people’s knowledge, attitudes and beliefs, including trust in the way the government is handling the emergency. Consequently, there is some evidence that better knowledge and trust are likely to be associated with the adoption of recommended behaviors (i.e. immunization practices). Social networks and ties to the community are also drivers of better knowledge and compliance with preventive measures; these results suggest that non-traditional channels of communication (i.e. partnership with community leaders or organizations) should be used to reach out to the most vulnerable and those in need of a better understanding of the risks and actions needed to be able to protect themselves. The fact that during the H1N1 pandemic, people with a higher educational level were better informed about the risks is not a surprise but suggests that public health communication messages are still delivered at a literacy level that does not meet the needs of the less educated
[<xref ref-type="bibr" rid="B19">19</xref>,<xref ref-type="bibr" rid="B76">76</xref>]. Some limitations are to be highlighted when interpreting these results. Most empirical studies included in the review had a cross-sectional study design and, therefore, conclusions cannot be drawn on the causal relationship between some determinants and specific communication and preparedness outcomes. Longitudinal studies or experiments are required to provide stronger evidence for such relationships. The selected studies were conducted at different points in time during the H1N1 pandemic and across various countries making the interpretation of aggregated results difficult. For example, differences in the H1N1 vaccination policies imposed across the globe in terms of decisions about the target populations and timing of influenza vaccination, prioritization of vaccine distribution, and policy of non-compliance might explain some of the variations in the findings among the studies. Also, racial disparities bear different interpretations among different countries such as the United States, Malaysia, and China. However, the recommendations provided above seem to be valid across the globe with a need for public health practitioners to develop messages targeted to specific groups to reduce disparities in the adoption of preventive behaviors.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>Consistently across studies, a list of potential predictors of behavioral compliance to preventive recommendations during a pandemic were identified, including socio-demographic characteristics (e.g. age and race and ethnicity), attitudinal factors (e.g. perceived severity) and communication determinants (e.g. media exposure, information seeking behaviors and levels of knowledge about the threat). Understanding these factors can help us tailor public health communication messages to the target audience according to their social-demographic characteristics by calibrating the messaging format and optimizing channels of communication. When addressed in interventions, it can close the gap of communication inequality and increase the effectiveness of the preparedness and response to influenza pandemics. Most importantly, data showed it will be critical to work with community leaders, physicians, and communication specialists, as well as mass media, to improve the reach, accuracy, and timeliness of public health messages. This will ensure the highest rates of compliance with recommended protection measures and reduce communication inequalities during future emergencies.</p></sec><sec><title>Abbreviations</title><p>PHEP: Public health emergency preparedness; SIM: Structural influence model of PHEP communications; SEP: Socioeconomic positions.</p></sec><sec><title>Competing interests</title><p>The authors declare that they have no competing interests.</p></sec><sec><title>Authors’ contributions</title><p>LL collected the data, coded and analyzed, and interpreted the data. LL drafted the manuscript and helped complete the PRISMA checklist. ES designed the study and helped code, analyze and interpret the data. ES helped draft, revise and review the manuscript. FA helped code, analyze and interpret the data. FA helped draft, revise and review the manuscript as well as completed the PRISMA checklist. KV designed the study, helped draft the manuscript, and reviewed all drafts of the manuscript. All authors agree with the manuscript results and conclusions. All authors read and approved the final manuscript.</p></sec><sec><title>Pre-publication history</title><p>The pre-publication history for this paper can be accessed here:</p><p><ext-link ext-link-type="uri" xlink:href="http://www.biomedcentral.com/1471-2458/14/484/prepub">http://www.biomedcentral.com/1471-2458/14/484/prepub</ext-link></p></sec><sec sec-type="supplementary-material"><title>Supplementary Material</title><supplementary-material content-type="local-data" id="S1"><caption><title>Additional file 1</title><p><bold>Population-based studies.</bold> Information environment analysis.</p></caption><media xlink:href="1471-2458-14-484-S1.doc"><caption><p>Click here for file</p></caption></media></supplementary-material></sec></body><back><sec><title>Acknowledgements</title><p>We acknowledge funding support from the U.S. Centers for Disease Control and Prevention (CDC) grant number 5PO1TP000307-05 Supplement. The content of this publication as well as the views and discussions expressed in this paper are solely those of the authors and do not necessarily represent the views of any partner organizations, the CDC or the U.S. Department of Health and Human Services nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. We thank John Mazza for his editing and for critically reviewing the final manuscript.</p></sec><ref-list><ref id="B1"><mixed-citation publication-type="other"><collab>U.S. Centers for Disease Control and Prevention (CDC)</collab><article-title>Public Health Preparedness Capabilities: National Standards for State and Local Planning</article-title><year>2011</year><comment><ext-link ext-link-type="uri" xlink:href="http://www.cdc.gov/phpr/capabilities/Capabilities_March_2011.pdf">http://www.cdc.gov/phpr/capabilities/Capabilities_March_2011.pdf</ext-link> (accessed August 2012)</comment></mixed-citation></ref><ref id="B2"><mixed-citation publication-type="journal"><name><surname>Blendon</surname><given-names>RJ</given-names></name><name><surname>Benson</surname><given-names>JM</given-names></name><name><surname>Desroches</surname><given-names>CM</given-names></name><name><surname>Weldon</surname><given-names>KJ</given-names></name><article-title>Using opinion surveys to track the public's response to a bioterrorist attack</article-title><source>J Health Commun</source><year>2003</year><volume>8</volume><issue>Suppl 1</issue><fpage>83</fpage><lpage>92</lpage><comment>discussion 148–151</comment><pub-id pub-id-type="pmid">14692573</pub-id></mixed-citation></ref><ref id="B3"><mixed-citation publication-type="journal"><name><surname>Taylor-Clark</surname><given-names>K</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><name><surname>Blendon</surname><given-names>R</given-names></name><article-title>Communication inequalities during Public Health disasters: Katrina's wake</article-title><source>Health Commun</source><year>2010</year><volume>25</volume><issue>3</issue><fpage>221</fpage><lpage>229</lpage><pub-id pub-id-type="doi">10.1080/10410231003698895</pub-id><pub-id pub-id-type="pmid">20461607</pub-id></mixed-citation></ref><ref id="B4"><mixed-citation publication-type="book"><name><surname>Viswanath</surname><given-names>K</given-names></name><person-group person-group-type="editor">Thomson GE, Mitchell F, Williams MB</person-group><article-title>Public communications and its role in reducing and eliminating health disparities</article-title><source>Examining the Health Disparities Research Plan of the National Institutes of Health: Unfinished Business</source><year>2006</year><publisher-name>Washington, D.C: Institute of Medicine</publisher-name><fpage>215</fpage><lpage>253</lpage></mixed-citation></ref><ref id="B5"><mixed-citation publication-type="journal"><name><surname>Viswanath</surname><given-names>K</given-names></name><name><surname>Ackerson</surname><given-names>LK</given-names></name><article-title>Race, ethnicity, language, social class, and health communication inequalities: a nationally-representative cross-sectional study</article-title><source>PLoS One</source><year>2011</year><volume>6</volume><issue>1</issue><fpage>e14550</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0014550</pub-id><pub-id pub-id-type="pmid">21267450</pub-id></mixed-citation></ref><ref id="B6"><mixed-citation publication-type="journal"><name><surname>Savoia</surname><given-names>E</given-names></name><name><surname>Testa</surname><given-names>MA</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Predictors of knowledge of H1N1 infection and transmission in the U.S. population</article-title><source>BMC Public Health</source><year>2012</year><volume>12</volume><fpage>328</fpage><pub-id pub-id-type="doi">10.1186/1471-2458-12-328</pub-id><pub-id pub-id-type="pmid">22554124</pub-id></mixed-citation></ref><ref id="B7"><mixed-citation publication-type="journal"><name><surname>Savoia</surname><given-names>E</given-names></name><name><surname>Lin</surname><given-names>L</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Communications in public health emergency preparedness: a systematic review of the literature</article-title><source>Biosecur Bioterror</source><year>2013</year><volume>11</volume><issue>3</issue><fpage>170</fpage><lpage>184</lpage><pub-id pub-id-type="doi">10.1089/bsp.2013.0038</pub-id><pub-id pub-id-type="pmid">24041193</pub-id></mixed-citation></ref><ref id="B8"><mixed-citation publication-type="journal"><name><surname>Galarce</surname><given-names>EM</given-names></name><name><surname>Minsky</surname><given-names>S</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Socioeconomic status, demographics, beliefs and A(H1N1) vaccine uptake in the United States</article-title><source>Vaccine</source><year>2011</year><volume>29</volume><issue>32</issue><fpage>5284</fpage><lpage>5289</lpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2011.05.014</pub-id><pub-id pub-id-type="pmid">21621577</pub-id></mixed-citation></ref><ref id="B9"><mixed-citation publication-type="journal"><name><surname>Blake</surname><given-names>KD</given-names></name><name><surname>Blendon</surname><given-names>RJ</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Employment and compliance with pandemic influenza mitigation recommendations</article-title><source>Emerg Infect Dis</source><year>2010</year><volume>16</volume><issue>2</issue><fpage>212</fpage><lpage>218</lpage><pub-id pub-id-type="doi">10.3201/eid1602.090638</pub-id><pub-id pub-id-type="pmid">20113549</pub-id></mixed-citation></ref><ref id="B10"><mixed-citation publication-type="journal"><name><surname>Galarce</surname><given-names>EM</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Crisis communication: an inequalities perspective on the 2010 Boston water crisis</article-title><source>Disaster Med Public Health Prep</source><year>2012</year><volume>6</volume><issue>4</issue><fpage>349</fpage><lpage>356</lpage><pub-id pub-id-type="doi">10.1001/dmp.2012.62</pub-id><pub-id pub-id-type="pmid">23241465</pub-id></mixed-citation></ref><ref id="B11"><mixed-citation publication-type="other"><name><surname>Viswanath</surname><given-names>K</given-names></name><name><surname>Minsky</surname><given-names>S</given-names></name><name><surname>Ramamurthi</surname><given-names>D</given-names></name><name><surname>Kontos</surname><given-names>EZ</given-names></name><source>Communication under uncertainty. Communication behaviors of diverse audiences during the A (H1N1) incidence of Spring and Summer 2009</source><year>2009</year><comment><ext-link ext-link-type="uri" xlink:href="http://lamps.sph.harvard.edu/index.php/resources">http://lamps.sph.harvard.edu/index.php/resources</ext-link> (accessed August 2012)</comment></mixed-citation></ref><ref id="B12"><mixed-citation publication-type="book"><article-title>Update: Novel Influenza A (H1N1) Virus Infection --- Mexico, March--May, 2009</article-title><source>Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention, Volume 58</source><year>2009</year><publisher-name>Department of Health and Human Services</publisher-name><fpage>585</fpage><lpage>589</lpage><comment><ext-link ext-link-type="uri" xlink:href="http://lamps.sph.harvard.edu/index.php/resources">http://lamps.sph.harvard.edu/index.php/resources</ext-link> (accessed August 2012)</comment></mixed-citation></ref><ref id="B13"><mixed-citation publication-type="book"><article-title>Outbreak of Swine-Origin Influenza A (H1N1) Virus Infection --- Mexico, March--April 2009</article-title><source>In Morbidity and Mortality Weekly Report</source><year>2009</year><publisher-name>Department of Health and Human Services</publisher-name><fpage>467</fpage><lpage>470</lpage><comment><ext-link ext-link-type="uri" xlink:href="http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5817a5.htm">http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5817a5.htm</ext-link> (accessed August 2012)</comment></mixed-citation></ref><ref id="B14"><mixed-citation publication-type="book"><name><surname>Chan</surname><given-names>M</given-names></name><source>Statement to the Press: World now at the start of 2009 influenza pandemic</source><year>2009</year><publisher-name>World Health Organization</publisher-name><comment><ext-link ext-link-type="uri" xlink:href="http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/">http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/</ext-link> (accessed August 2012)</comment></mixed-citation></ref><ref id="B15"><mixed-citation publication-type="journal"><name><surname>Liberati</surname><given-names>A</given-names></name><name><surname>Altman</surname><given-names>DG</given-names></name><name><surname>Tetzlaff</surname><given-names>J</given-names></name><name><surname>Mulrow</surname><given-names>C</given-names></name><name><surname>Gotzsche</surname><given-names>PC</given-names></name><name><surname>Ioannidis</surname><given-names>JP</given-names></name><name><surname>Clarke</surname><given-names>M</given-names></name><name><surname>Devereaux</surname><given-names>PJ</given-names></name><name><surname>Kleijnen</surname><given-names>J</given-names></name><name><surname>Moher</surname><given-names>D</given-names></name><article-title>The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration</article-title><source>BMJ</source><year>2009</year><volume>339</volume><fpage>b2700</fpage><pub-id pub-id-type="doi">10.1136/bmj.b2700</pub-id><pub-id pub-id-type="pmid">19622552</pub-id></mixed-citation></ref><ref id="B16"><mixed-citation publication-type="book"><name><surname>Viswanath</surname><given-names>K</given-names></name><name><surname>Ramanadhan</surname><given-names>SR</given-names></name><name><surname>Kontos</surname><given-names>EZ</given-names></name><person-group person-group-type="editor">Galea S</person-group><article-title>Mass media and population health: a macrosocial view</article-title><source>Macrosocial determinants of population health</source><year>2007</year><publisher-name>New York: Springer</publisher-name><fpage>275</fpage><lpage>294</lpage></mixed-citation></ref><ref id="B17"><mixed-citation publication-type="journal"><name><surname>Kumar</surname><given-names>S</given-names></name><name><surname>Quinn</surname><given-names>SC</given-names></name><name><surname>Kim</surname><given-names>KH</given-names></name><name><surname>Musa</surname><given-names>D</given-names></name><name><surname>Hilyard</surname><given-names>KM</given-names></name><name><surname>Freimuth</surname><given-names>VS</given-names></name><article-title>The social ecological model as a framework for determinants of 2009 H1N1 influenza vaccine uptake in the United States</article-title><source>Health Educ Behav</source><year>2012</year><volume>39</volume><issue>2</issue><fpage>229</fpage><pub-id pub-id-type="doi">10.1177/1090198111415105</pub-id><pub-id pub-id-type="pmid">21984692</pub-id></mixed-citation></ref><ref id="B18"><mixed-citation publication-type="journal"><name><surname>Liao</surname><given-names>Q</given-names></name><name><surname>Cowling</surname><given-names>B</given-names></name><name><surname>Lam</surname><given-names>WT</given-names></name><name><surname>Ng</surname><given-names>MW</given-names></name><name><surname>Fielding</surname><given-names>R</given-names></name><article-title>Situational awareness and health protective responses to pandemic influenza A (H1N1) in Hong Kong: a cross-sectional study</article-title><source>PloS One</source><year>2010</year><volume>5</volume><issue>10</issue><fpage>e13350</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0013350</pub-id><pub-id pub-id-type="pmid">20967280</pub-id></mixed-citation></ref><ref id="B19"><mixed-citation publication-type="journal"><name><surname>Prati</surname><given-names>G</given-names></name><name><surname>Pietrantoni</surname><given-names>L</given-names></name><name><surname>Zani</surname><given-names>B</given-names></name><article-title>Compliance with recommendations for pandemic influenza H1N1 2009: the role of trust and personal beliefs</article-title><source>Health Educ Res</source><year>2011</year><volume>26</volume><issue>5</issue><fpage>761</fpage><pub-id pub-id-type="doi">10.1093/her/cyr035</pub-id><pub-id pub-id-type="pmid">21613380</pub-id></mixed-citation></ref><ref id="B20"><mixed-citation publication-type="journal"><name><surname>Myers</surname><given-names>LB</given-names></name><name><surname>Goodwin</surname><given-names>R</given-names></name><article-title>Determinants of adults' intention to vaccinate against pandemic swine flu</article-title><source>BMC Public Health</source><year>2011</year><volume>11</volume><issue>1</issue><fpage>15</fpage><pub-id pub-id-type="doi">10.1186/1471-2458-11-15</pub-id><pub-id pub-id-type="pmid">21211000</pub-id></mixed-citation></ref><ref id="B21"><mixed-citation publication-type="journal"><name><surname>Frew</surname><given-names>PM</given-names></name><name><surname>Painter</surname><given-names>JE</given-names></name><name><surname>Hixson</surname><given-names>B</given-names></name><name><surname>Kulb</surname><given-names>C</given-names></name><name><surname>Moore</surname><given-names>K</given-names></name><name><surname>del Rio</surname><given-names>C</given-names></name><name><surname>Esteves-Jaramillo</surname><given-names>A</given-names></name><name><surname>Omer</surname><given-names>SB</given-names></name><article-title>Factors mediating seasonal and influenza A (H1N1) vaccine acceptance among ethnically diverse populations in the urban south</article-title><source>Vaccine</source><year>2012</year><volume>30</volume><issue>28</issue><fpage>4200</fpage><lpage>4208</lpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2012.04.053</pub-id><pub-id pub-id-type="pmid">22537991</pub-id></mixed-citation></ref><ref id="B22"><mixed-citation publication-type="journal"><name><surname>Li</surname><given-names>M</given-names></name><name><surname>Chapman</surname><given-names>GB</given-names></name><name><surname>Ibuka</surname><given-names>Y</given-names></name><name><surname>Meyers</surname><given-names>LA</given-names></name><name><surname>Galvani</surname><given-names>A</given-names></name><article-title>Who got vaccinated against H1N1 pandemic influenza? A longitudinal study in four U.S. cities</article-title><source>Psychol Health</source><year>2012</year><volume>27</volume><issue>1</issue><fpage>101</fpage><lpage>115</lpage><pub-id pub-id-type="doi">10.1080/08870446.2011.554833</pub-id><pub-id pub-id-type="pmid">21736427</pub-id></mixed-citation></ref><ref id="B23"><mixed-citation publication-type="journal"><name><surname>Kamate</surname><given-names>SK</given-names></name><name><surname>Agrawal</surname><given-names>A</given-names></name><name><surname>Chaudhary</surname><given-names>H</given-names></name><name><surname>Singh</surname><given-names>K</given-names></name><name><surname>Mishra</surname><given-names>P</given-names></name><name><surname>Asawa</surname><given-names>K</given-names></name><article-title>Public knowledge, attitude and behavioural changes in an Indian population during the Influenza A (H1N1) outbreak</article-title><source>J Infect Dev Countr</source><year>2009</year><volume>4</volume><issue>1</issue><fpage>7</fpage></mixed-citation></ref><ref id="B24"><mixed-citation publication-type="journal"><name><surname>Rubin</surname><given-names>GJ</given-names></name><name><surname>Potts</surname><given-names>HW</given-names></name><name><surname>Michie</surname><given-names>S</given-names></name><article-title>The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK - Study 1: The influence of the media on levels of worry in the community</article-title><source>Health Technol Assess (Winchester, England)</source><year>2010</year><volume>14</volume><issue>34</issue><fpage>183</fpage><lpage>266</lpage></mixed-citation></ref><ref id="B25"><mixed-citation publication-type="journal"><name><surname>Rubin</surname><given-names>GJ</given-names></name><name><surname>Potts</surname><given-names>HW</given-names></name><name><surname>Michie</surname><given-names>S</given-names></name><article-title>The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK - Study 2: Factors predicting likely acceptance of vaccination against swine or seasonal flu</article-title><source>Health Technol Assess (Winchester, England)</source><year>2010</year><volume>14</volume><issue>34</issue><fpage>183</fpage><lpage>266</lpage></mixed-citation></ref><ref id="B26"><mixed-citation publication-type="journal"><name><surname>Rubin</surname><given-names>GJ</given-names></name><name><surname>Potts</surname><given-names>HW</given-names></name><name><surname>Michie</surname><given-names>S</given-names></name><article-title>The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK - Study 3: The effects of advertising and media coverage on behavioural change during the early stages of the swine flu</article-title><source>Health Technol Assess (Winchester, England)</source><year>2010</year><volume>14</volume><issue>34</issue><fpage>183</fpage><lpage>266</lpage></mixed-citation></ref><ref id="B27"><mixed-citation publication-type="journal"><name><surname>Zairina</surname><given-names>AR</given-names></name><name><surname>Nooriah</surname><given-names>MS</given-names></name><name><surname>Yunus</surname><given-names>AM</given-names></name><article-title>Knowledge and practices towards influenza A (H1N1) among adults in three residential areas in Tampin Negeri Sembilan: a cross sectional survey</article-title><source>Med J Malaysia</source><year>2011</year><volume>66</volume><issue>3</issue><fpage>207</fpage><pub-id pub-id-type="pmid">22111442</pub-id></mixed-citation></ref><ref id="B28"><mixed-citation publication-type="journal"><name><surname>Sarmiento</surname><given-names>MP</given-names></name><name><surname>Suarez</surname><given-names>O</given-names></name><name><surname>Sanabria</surname><given-names>JA</given-names></name><name><surname>Perez</surname><given-names>CE</given-names></name><name><surname>Cadena Ldel</surname><given-names>P</given-names></name><name><surname>Nino</surname><given-names>ME</given-names></name><article-title>Knowledge and practices about the prevention and the control of the influenza A H1N1 in the community of Floridablanca</article-title><source>Santander Biomedica</source><year>2011</year><volume>31</volume><issue>1</issue><fpage>91</fpage></mixed-citation></ref><ref id="B29"><mixed-citation publication-type="journal"><name><surname>Jhummon-Mahadnac</surname><given-names>ND</given-names></name><name><surname>Knott</surname><given-names>J</given-names></name><name><surname>Marshall</surname><given-names>C</given-names></name><article-title>A cross-sectional study of pandemic influenza health literacy and the effect of a public health campaign</article-title><source>BMC Res Notes</source><year>2012</year><volume>5</volume><fpage>377</fpage><pub-id pub-id-type="doi">10.1186/1756-0500-5-377</pub-id><pub-id pub-id-type="pmid">22830499</pub-id></mixed-citation></ref><ref id="B30"><mixed-citation publication-type="journal"><name><surname>Ferrante</surname><given-names>G</given-names></name><name><surname>Baldissera</surname><given-names>S</given-names></name><name><surname>Moghadam</surname><given-names>PF</given-names></name><name><surname>Carrozzi</surname><given-names>G</given-names></name><name><surname>Trinito</surname><given-names>MO</given-names></name><name><surname>Salmaso</surname><given-names>S</given-names></name><article-title>Surveillance of perceptions, knowledge, attitudes and behaviors of the Italian adult population (18–69 years) during the 2009–2010 A/H1N1 influenza pandemic</article-title><source>Eur J Epidemiol</source><year>2011</year><volume>26</volume><issue>3</issue><fpage>211</fpage><pub-id pub-id-type="doi">10.1007/s10654-011-9576-3</pub-id><pub-id pub-id-type="pmid">21476080</pub-id></mixed-citation></ref><ref id="B31"><mixed-citation publication-type="journal"><name><surname>Keramarou</surname><given-names>M</given-names></name><name><surname>Cottrell</surname><given-names>S</given-names></name><name><surname>Evans</surname><given-names>MR</given-names></name><name><surname>Moore</surname><given-names>C</given-names></name><name><surname>Stiff</surname><given-names>RE</given-names></name><name><surname>Elliott</surname><given-names>C</given-names></name><name><surname>Thomas</surname><given-names>DR</given-names></name><name><surname>Lyons</surname><given-names>M</given-names></name><name><surname>Salmon</surname><given-names>RL</given-names></name><article-title>Two waves of pandemic influenza A(H1N1) 2009 in Wales–the possible impact of media coverage on consultation rates, April-December 2009</article-title><source>Euro Surveill</source><year>2011</year><volume>16</volume><issue>3</issue><fpage>19772</fpage><pub-id pub-id-type="pmid">21262184</pub-id></mixed-citation></ref><ref id="B32"><mixed-citation publication-type="journal"><name><surname>Olowokure</surname><given-names>B</given-names></name><name><surname>Odedere</surname><given-names>O</given-names></name><name><surname>Elliot</surname><given-names>AJ</given-names></name><name><surname>Awofisayo</surname><given-names>A</given-names></name><name><surname>Smit</surname><given-names>E</given-names></name><name><surname>Fleming</surname><given-names>A</given-names></name><name><surname>Osman</surname><given-names>H</given-names></name><article-title>Volume of print media coverage and diagnostic testing for influenza A(H1N1)pdm09 virus during the early phase of the 2009 pandemic</article-title><source>J Clin Virol</source><year>2012</year><volume>55</volume><issue>1</issue><fpage>75</fpage><lpage>78</lpage><pub-id pub-id-type="doi">10.1016/j.jcv.2012.05.013</pub-id><pub-id pub-id-type="pmid">22710009</pub-id></mixed-citation></ref><ref id="B33"><mixed-citation publication-type="journal"><name><surname>Keramarou</surname><given-names>M</given-names></name><name><surname>Cottrell</surname><given-names>S</given-names></name><name><surname>Evans</surname><given-names>MR</given-names></name><name><surname>Moore</surname><given-names>C</given-names></name><name><surname>Stiff</surname><given-names>RE</given-names></name><name><surname>Elliott</surname><given-names>C</given-names></name><name><surname>Thomas</surname><given-names>DR</given-names></name><name><surname>Lyons</surname><given-names>M</given-names></name><name><surname>Salmon</surname><given-names>RL</given-names></name><article-title>Two waves of pandemic influenza A(H1N1) 2009 in Wales--the possible impact of media coverage on consultation rates, April-December 2009</article-title><source>Euro Surveil</source><year>2011</year><volume>16</volume><issue>3</issue></mixed-citation></ref><ref id="B34"><mixed-citation publication-type="journal"><name><surname>Pfefferbaum</surname><given-names>B</given-names></name><name><surname>Schonfeld</surname><given-names>D</given-names></name><name><surname>Flynn</surname><given-names>BW</given-names></name><name><surname>Norwood</surname><given-names>AE</given-names></name><name><surname>Dodgen</surname><given-names>D</given-names></name><name><surname>Kaul</surname><given-names>RE</given-names></name><name><surname>Donato</surname><given-names>D</given-names></name><name><surname>Stone</surname><given-names>B</given-names></name><name><surname>Brown</surname><given-names>LM</given-names></name><name><surname>Reissman</surname><given-names>DB</given-names></name><name><surname>Jacobs</surname><given-names>GA</given-names></name><name><surname>Hobfoll</surname><given-names>SE</given-names></name><name><surname>Jones</surname><given-names>RT</given-names></name><name><surname>Herrmann</surname><given-names>J</given-names></name><name><surname>Ursano</surname><given-names>RJ</given-names></name><name><surname>Ruzek</surname><given-names>JI</given-names></name><article-title>The H1N1 crisis: a case study of the integration of mental and behavioral health in public health crises</article-title><source>Disaster Med Public Health Prep</source><year>2012</year><volume>6</volume><issue>1</issue><fpage>67</fpage><lpage>71</lpage><pub-id pub-id-type="doi">10.1001/dmp.2012.2</pub-id><pub-id pub-id-type="pmid">22490939</pub-id></mixed-citation></ref><ref id="B35"><mixed-citation publication-type="journal"><name><surname>Lin</surname><given-names>Y</given-names></name><name><surname>Huang</surname><given-names>L</given-names></name><name><surname>Nie</surname><given-names>S</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Yu</surname><given-names>H</given-names></name><name><surname>Yan</surname><given-names>W</given-names></name><name><surname>Xu</surname><given-names>Y</given-names></name><article-title>Knowledge, attitudes and practices (KAP) related to the pandemic (H1N1) 2009 among Chinese general population: a telephone survey</article-title><source>BMC Infect Dis</source><year>2011</year><volume>11</volume><fpage>128</fpage><pub-id pub-id-type="doi">10.1186/1471-2334-11-128</pub-id><pub-id pub-id-type="pmid">21575222</pub-id></mixed-citation></ref><ref id="B36"><mixed-citation publication-type="journal"><name><surname>Lau</surname><given-names>JT</given-names></name><name><surname>Yeung</surname><given-names>NC</given-names></name><name><surname>Choi</surname><given-names>KC</given-names></name><name><surname>Cheng</surname><given-names>MY</given-names></name><name><surname>Tsui</surname><given-names>HY</given-names></name><name><surname>Griffiths</surname><given-names>S</given-names></name><article-title>Factors in association with acceptability of A/H1N1 vaccination during the influenza A/H1N1 pandemic phase in the Hong Kong general population</article-title><source>Vaccine</source><year>2010</year><volume>28</volume><issue>29</issue><fpage>4632</fpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2010.04.076</pub-id><pub-id pub-id-type="pmid">20457289</pub-id></mixed-citation></ref><ref id="B37"><mixed-citation publication-type="journal"><name><surname>Boyd</surname><given-names>CA</given-names></name><name><surname>Gazmararian</surname><given-names>JA</given-names></name><name><surname>Thompson</surname><given-names>WW</given-names></name><article-title>Knowledge, Attitudes, and Behaviors of Low-Income Women Considered High Priority for Receiving the Novel Influenza A (H1N1) Vaccine</article-title><source>Matern Child Health J</source><year>2012</year><volume>17</volume><issue>5</issue><fpage>852</fpage><lpage>861</lpage><pub-id pub-id-type="pmid">22729697</pub-id></mixed-citation></ref><ref id="B38"><mixed-citation publication-type="journal"><name><surname>Cowling</surname><given-names>BJ</given-names></name><name><surname>Ng</surname><given-names>DM</given-names></name><name><surname>Ip</surname><given-names>DK</given-names></name><name><surname>Liao</surname><given-names>Q</given-names></name><name><surname>Lam</surname><given-names>WW</given-names></name><name><surname>Wu</surname><given-names>JT</given-names></name><name><surname>Lau</surname><given-names>JT</given-names></name><name><surname>Griffiths</surname><given-names>SM</given-names></name><name><surname>Fielding</surname><given-names>R</given-names></name><article-title>Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong</article-title><source>J Infect Dis</source><year>2010</year><volume>202</volume><issue>6</issue><fpage>867</fpage><pub-id pub-id-type="doi">10.1086/655811</pub-id><pub-id pub-id-type="pmid">20677945</pub-id></mixed-citation></ref><ref id="B39"><mixed-citation publication-type="journal"><name><surname>Gaygisiz</surname><given-names>U</given-names></name><name><surname>Gaygisiz</surname><given-names>E</given-names></name><name><surname>Ozkan</surname><given-names>T</given-names></name><name><surname>Lajunen</surname><given-names>T</given-names></name><article-title>Individual differences in behavioral reactions to H1N1 during a later stage of the epidemic</article-title><source>J Infect Public Health</source><year>2012</year><volume>5</volume><issue>1</issue><fpage>9</fpage><pub-id pub-id-type="doi">10.1016/j.jiph.2011.09.008</pub-id><pub-id pub-id-type="pmid">22341839</pub-id></mixed-citation></ref><ref id="B40"><mixed-citation publication-type="journal"><name><surname>Balkhy</surname><given-names>HH</given-names></name><name><surname>Abolfotouh</surname><given-names>MA</given-names></name><name><surname>Al-Hathlool</surname><given-names>RH</given-names></name><name><surname>Al-Jumah</surname><given-names>MA</given-names></name><article-title>Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public</article-title><source>BMC Infect Dis</source><year>2010</year><volume>10</volume><fpage>42</fpage><pub-id pub-id-type="doi">10.1186/1471-2334-10-42</pub-id><pub-id pub-id-type="pmid">20187976</pub-id></mixed-citation></ref><ref id="B41"><mixed-citation publication-type="journal"><name><surname>Wong</surname><given-names>LP</given-names></name><name><surname>Sam</surname><given-names>IC</given-names></name><article-title>Behavioral responses to the influenza A(H1N1) outbreak in Malaysia</article-title><source>J Behav Med</source><year>2011</year><volume>34</volume><issue>1</issue><fpage>23</fpage><pub-id pub-id-type="doi">10.1007/s10865-010-9283-7</pub-id><pub-id pub-id-type="pmid">20680674</pub-id></mixed-citation></ref><ref id="B42"><mixed-citation publication-type="journal"><name><surname>Mak</surname><given-names>KK</given-names></name><name><surname>Lai</surname><given-names>CM</given-names></name><article-title>Knowledge, risk perceptions, and preventive precautions among Hong Kong students during the 2009 influenza A (H1N1) pandemic</article-title><source>Am J Infect Control</source><year>2012</year><volume>40</volume><issue>3</issue><fpage>273</fpage><pub-id pub-id-type="doi">10.1016/j.ajic.2011.10.023</pub-id><pub-id pub-id-type="pmid">22342793</pub-id></mixed-citation></ref><ref id="B43"><mixed-citation publication-type="journal"><name><surname>Wong</surname><given-names>LP</given-names></name><name><surname>Sam</surname><given-names>IC</given-names></name><article-title>Factors influencing the uptake of 2009 H1N1 influenza vaccine in a multiethnic Asian population</article-title><source>Vaccine</source><year>2010</year><volume>28</volume><issue>28</issue><fpage>4499</fpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2010.04.043</pub-id><pub-id pub-id-type="pmid">20451639</pub-id></mixed-citation></ref><ref id="B44"><mixed-citation publication-type="journal"><name><surname>Gray</surname><given-names>L</given-names></name><name><surname>MacDonald</surname><given-names>C</given-names></name><name><surname>Mackie</surname><given-names>B</given-names></name><name><surname>Paton</surname><given-names>D</given-names></name><name><surname>Johnston</surname><given-names>D</given-names></name><name><surname>Baker</surname><given-names>MG</given-names></name><article-title>Community responses to communication campaigns for influenza A (H1N1): a focus group study</article-title><source>BMC Public Health</source><year>2012</year><volume>12</volume><fpage>205</fpage><pub-id pub-id-type="doi">10.1186/1471-2458-12-205</pub-id><pub-id pub-id-type="pmid">22429559</pub-id></mixed-citation></ref><ref id="B45"><mixed-citation publication-type="journal"><name><surname>Kiviniemi</surname><given-names>MT</given-names></name><name><surname>Ram</surname><given-names>PK</given-names></name><name><surname>Kozlowski</surname><given-names>LT</given-names></name><name><surname>Smith</surname><given-names>KM</given-names></name><article-title>Perceptions of and willingness to engage in public health precautions to prevent 2009 H1N1 influenza transmission</article-title><source>BMC Public Health</source><year>2011</year><volume>11</volume><fpage>152</fpage><pub-id pub-id-type="doi">10.1186/1471-2458-11-152</pub-id><pub-id pub-id-type="pmid">21385436</pub-id></mixed-citation></ref><ref id="B46"><mixed-citation publication-type="journal"><name><surname>Miao</surname><given-names>YY</given-names></name><name><surname>Huang</surname><given-names>JH</given-names></name><article-title>Prevalence and associated psychosocial factors of increased hand hygiene practice during the influenza A/H1N1 pandemic: findings and prevention implications from a national survey in Taiwan</article-title><source>Trop Med Int Health</source><year>2012</year><volume>17</volume><issue>5</issue><fpage>604</fpage><pub-id pub-id-type="doi">10.1111/j.1365-3156.2012.02966.x</pub-id><pub-id pub-id-type="pmid">22385153</pub-id></mixed-citation></ref><ref id="B47"><mixed-citation publication-type="journal"><name><surname>Park</surname><given-names>JH</given-names></name><name><surname>Cheong</surname><given-names>HK</given-names></name><name><surname>Son</surname><given-names>DY</given-names></name><name><surname>Kim</surname><given-names>SU</given-names></name><name><surname>Ha</surname><given-names>CM</given-names></name><article-title>Perceptions and behaviors related to hand hygiene for the prevention of H1N1 influenza transmission among Korean university students during the peak pandemic period</article-title><source>BMC Infect Dis</source><year>2010</year><volume>10</volume><fpage>222</fpage><pub-id pub-id-type="doi">10.1186/1471-2334-10-222</pub-id><pub-id pub-id-type="pmid">20663229</pub-id></mixed-citation></ref><ref id="B48"><mixed-citation publication-type="journal"><name><surname>Wong</surname><given-names>LP</given-names></name><name><surname>Sam</surname><given-names>IC</given-names></name><article-title>Temporal changes in psychobehavioral responses during the 2009 H1N1 influenza pandemic</article-title><source>Prev Med</source><year>2010</year><volume>51</volume><issue>1</issue><fpage>92</fpage><lpage>93</lpage><pub-id pub-id-type="doi">10.1016/j.ypmed.2010.04.010</pub-id><pub-id pub-id-type="pmid">20403375</pub-id></mixed-citation></ref><ref id="B49"><mixed-citation publication-type="journal"><name><surname>Reynolds</surname><given-names>BJ</given-names></name><article-title>Building trust through social media. CDC's experience during the H1N1 influenza response</article-title><source>Mark Health Serv</source><year>2010</year><volume>30</volume><issue>2</issue><fpage>18</fpage><lpage>21</lpage><pub-id pub-id-type="pmid">20550001</pub-id></mixed-citation></ref><ref id="B50"><mixed-citation publication-type="journal"><name><surname>Larson</surname><given-names>HJ</given-names></name><name><surname>Heymann</surname><given-names>DL</given-names></name><article-title>Public health response to influenza A(H1N1) as an opportunity to build public trust</article-title><source>JAMA</source><year>2010</year><volume>303</volume><issue>3</issue><fpage>271</fpage><pub-id pub-id-type="doi">10.1001/jama.2009.2023</pub-id><pub-id pub-id-type="pmid">20085957</pub-id></mixed-citation></ref><ref id="B51"><mixed-citation publication-type="journal"><name><surname>Maurer</surname><given-names>J</given-names></name><name><surname>Uscher-Pines</surname><given-names>L</given-names></name><name><surname>Harris</surname><given-names>KM</given-names></name><article-title>Perceived seriousness of seasonal and A(H1N1) influenzas, attitudes toward vaccination, and vaccine uptake among U.S. adults: does the source of information matter?</article-title><source>Prev Med</source><year>2010</year><volume>51</volume><issue>2</issue><fpage>185</fpage><lpage>187</lpage><pub-id pub-id-type="doi">10.1016/j.ypmed.2010.05.008</pub-id><pub-id pub-id-type="pmid">20510270</pub-id></mixed-citation></ref><ref id="B52"><mixed-citation publication-type="journal"><name><surname>Maurer</surname><given-names>J</given-names></name><name><surname>Harris</surname><given-names>KM</given-names></name><article-title>Contact and communication with healthcare providers regarding influenza vaccination during the 2009–2010 H1N1 pandemic</article-title><source>Prev Med</source><year>2011</year><volume>52</volume><issue>6</issue><fpage>459</fpage><lpage>464</lpage><pub-id pub-id-type="doi">10.1016/j.ypmed.2011.03.016</pub-id><pub-id pub-id-type="pmid">21457726</pub-id></mixed-citation></ref><ref id="B53"><mixed-citation publication-type="journal"><name><surname>Jung</surname><given-names>M</given-names></name><name><surname>Lin</surname><given-names>L</given-names></name><name><surname>Viswanath</surname><given-names>K</given-names></name><article-title>Associations between health communication behaviors, neighborhood social capital, vaccine knowledge, and parents' H1N1 vaccination of their children</article-title><source>Vaccine</source><year>2013</year><volume>31</volume><issue>42</issue><fpage>4860</fpage><lpage>4866</lpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2013.07.068</pub-id><pub-id pub-id-type="pmid">23954379</pub-id></mixed-citation></ref><ref id="B54"><mixed-citation publication-type="journal"><name><surname>Eastwood</surname><given-names>K</given-names></name><name><surname>Durrheim</surname><given-names>DN</given-names></name><name><surname>Jones</surname><given-names>A</given-names></name><name><surname>Butler</surname><given-names>M</given-names></name><article-title>Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public</article-title><source>Med J Aust</source><year>2010</year><volume>192</volume><issue>1</issue><fpage>33</fpage><pub-id pub-id-type="pmid">20047546</pub-id></mixed-citation></ref><ref id="B55"><mixed-citation publication-type="journal"><name><surname>Setbon</surname><given-names>M</given-names></name><name><surname>Le Pape</surname><given-names>MC</given-names></name><name><surname>Letroublon</surname><given-names>C</given-names></name><name><surname>Caille-Brillet</surname><given-names>AL</given-names></name><name><surname>Raude</surname><given-names>J</given-names></name><article-title>The public's preventive strategies in response to the pandemic influenza A/H1N1 in France: distribution and determinants</article-title><source>Prev Med</source><year>2011</year><volume>52</volume><issue>2</issue><fpage>178</fpage><pub-id pub-id-type="doi">10.1016/j.ypmed.2010.11.010</pub-id><pub-id pub-id-type="pmid">21108960</pub-id></mixed-citation></ref><ref id="B56"><mixed-citation publication-type="journal"><name><surname>Soto Mas</surname><given-names>F</given-names></name><name><surname>Olivarez</surname><given-names>A</given-names></name><name><surname>Jacobson</surname><given-names>HE</given-names></name><name><surname>Hsu</surname><given-names>CE</given-names></name><name><surname>Miller</surname><given-names>J</given-names></name><article-title>Risk communication and college students: the 2009 H1N1 pandemic influenza</article-title><source>Prev Med</source><year>2011</year><volume>52</volume><issue>6</issue><fpage>473</fpage><lpage>474</lpage><pub-id pub-id-type="doi">10.1016/j.ypmed.2011.04.004</pub-id><pub-id pub-id-type="pmid">21524661</pub-id></mixed-citation></ref><ref id="B57"><mixed-citation publication-type="journal"><name><surname>Walter</surname><given-names>D</given-names></name><name><surname>Bohmer</surname><given-names>M</given-names></name><name><surname>Reiter</surname><given-names>S</given-names></name><name><surname>Krause</surname><given-names>G</given-names></name><name><surname>Wichmann</surname><given-names>O</given-names></name><article-title>Risk perception and information-seeking behaviour during the 2009/10 influenza A(H1N1)pdm09 pandemic in Germany</article-title><source>Euro Surveill</source><year>2012</year><volume>17</volume><issue>13</issue><fpage>20131</fpage><pub-id pub-id-type="pmid">22490383</pub-id></mixed-citation></ref><ref id="B58"><mixed-citation publication-type="journal"><name><surname>Plough</surname><given-names>A</given-names></name><name><surname>Bristow</surname><given-names>B</given-names></name><name><surname>Fielding</surname><given-names>J</given-names></name><name><surname>Caldwell</surname><given-names>S</given-names></name><name><surname>Khan</surname><given-names>S</given-names></name><article-title>Pandemics and health equity: lessons learned from the H1N1 response in Los Angeles County</article-title><source>J Public Health Manag Pract</source><year>2011</year><volume>17</volume><issue>1</issue><fpage>20</fpage><lpage>27</lpage><pub-id pub-id-type="doi">10.1097/PHH.0b013e3181ff2ad7</pub-id><pub-id pub-id-type="pmid">21135657</pub-id></mixed-citation></ref><ref id="B59"><mixed-citation publication-type="journal"><name><surname>Ramsey</surname><given-names>MA</given-names></name><name><surname>Marczinski</surname><given-names>CA</given-names></name><article-title>College students' perceptions of H1N1 flu risk and attitudes toward vaccination</article-title><source>Vaccine</source><year>2011</year><volume>29</volume><issue>44</issue><fpage>7599</fpage><pub-id pub-id-type="doi">10.1016/j.vaccine.2011.07.130</pub-id><pub-id pub-id-type="pmid">21827812</pub-id></mixed-citation></ref><ref id="B60"><mixed-citation publication-type="journal"><name><surname>Kim</surname><given-names>S</given-names></name><name><surname>Pinkerton</surname><given-names>T</given-names></name><name><surname>Ganesh</surname><given-names>N</given-names></name><article-title>Assessment of H1N1 questions and answers posted on the Web</article-title><source>Am J Infect Control</source><year>2012</year><volume>40</volume><issue>3</issue><fpage>211</fpage><lpage>217</lpage><pub-id pub-id-type="doi">10.1016/j.ajic.2011.03.028</pub-id><pub-id pub-id-type="pmid">21840085</pub-id></mixed-citation></ref><ref id="B61"><mixed-citation publication-type="journal"><name><surname>Griffiths</surname><given-names>SM</given-names></name><name><surname>Wong</surname><given-names>AH</given-names></name><name><surname>Kim</surname><given-names>JH</given-names></name><name><surname>Yung</surname><given-names>TK</given-names></name><name><surname>Lau</surname><given-names>JT</given-names></name><article-title>Influence of country of study on student responsiveness to the H1N1 pandemic</article-title><source>Public Health</source><year>2010</year><volume>124</volume><issue>8</issue><fpage>460</fpage><lpage>466</lpage><pub-id pub-id-type="doi">10.1016/j.puhe.2010.03.027</pub-id><pub-id pub-id-type="pmid">20510428</pub-id></mixed-citation></ref><ref id="B62"><mixed-citation publication-type="journal"><name><surname>Schwarzinger</surname><given-names>M</given-names></name><name><surname>Flicoteaux</surname><given-names>R</given-names></name><name><surname>Cortarenoda</surname><given-names>S</given-names></name><name><surname>Obadia</surname><given-names>Y</given-names></name><name><surname>Moatti</surname><given-names>JP</given-names></name><article-title>Low acceptability of A/H1N1 pandemic vaccination in french adult population: Did public health policy fuel public dissonance?</article-title><source>PLoS One</source><year>2010</year><volume>5</volume><issue>4</issue><fpage>e10199</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0010199</pub-id><pub-id pub-id-type="pmid">20421908</pub-id></mixed-citation></ref><ref id="B63"><mixed-citation publication-type="journal"><name><surname>Lau</surname><given-names>JT</given-names></name><name><surname>Yeung</surname><given-names>NC</given-names></name><name><surname>Choi</surname><given-names>KC</given-names></name><name><surname>Cheng</surname><given-names>MY</given-names></name><name><surname>Tsui</surname><given-names>HY</given-names></name><name><surname>Griffiths</surname><given-names>S</given-names></name><article-title>Acceptability of A/H1N1 vaccination during pandemic phase of influenza A/H1N1 in Hong Kong: population based cross sectional survey</article-title><source>BMJ (Clinical Research ed)</source><year>2009</year><volume>339</volume><fpage>b4164</fpage><pub-id pub-id-type="doi">10.1136/bmj.b4164</pub-id><pub-id pub-id-type="pmid">19861377</pub-id></mixed-citation></ref><ref id="B64"><mixed-citation publication-type="journal"><name><surname>Naing</surname><given-names>C</given-names></name><name><surname>Tan</surname><given-names>RYP</given-names></name><article-title>Knowledge about the pandemic influenza A (H1N1) and willingness to accept vaccination: A cross-sectional survey</article-title><source>J Public Health</source><year>2011</year><volume>19</volume><issue>6</issue><fpage>511</fpage><pub-id pub-id-type="doi">10.1007/s10389-011-0434-2</pub-id></mixed-citation></ref><ref id="B65"><mixed-citation publication-type="journal"><name><surname>Caress</surname><given-names>AL</given-names></name><name><surname>Duxbury</surname><given-names>P</given-names></name><name><surname>Woodcock</surname><given-names>A</given-names></name><name><surname>Luker</surname><given-names>KA</given-names></name><name><surname>Ward</surname><given-names>D</given-names></name><name><surname>Campbell</surname><given-names>M</given-names></name><name><surname>Austin</surname><given-names>L</given-names></name><article-title>Exploring the needs, concerns and behaviours of people with existing respiratory conditions in relation to the H1N1 'swine influenza' pandemic: a multicentre survey and qualitative study</article-title><source>Health Technol Assess</source><year>2010</year><volume>14</volume><issue>34</issue><fpage>1</fpage><pub-id pub-id-type="pmid">20630122</pub-id></mixed-citation></ref><ref id="B66"><mixed-citation publication-type="journal"><name><surname>Uscher-Pines</surname><given-names>L</given-names></name><name><surname>Maurer</surname><given-names>J</given-names></name><name><surname>Harris</surname><given-names>KM</given-names></name><article-title>Racial and ethnic disparities in uptake and location of vaccination for 2009-H1N1 and seasonal influenza</article-title><source>Am J Public Health</source><year>2011</year><volume>101</volume><issue>7</issue><fpage>1252</fpage><lpage>1255</lpage><pub-id pub-id-type="doi">10.2105/AJPH.2011.300133</pub-id><pub-id pub-id-type="pmid">21566026</pub-id></mixed-citation></ref><ref id="B67"><mixed-citation publication-type="journal"><name><surname>Lu</surname><given-names>PJ</given-names></name><name><surname>Gonzalez-Feliciano</surname><given-names>A</given-names></name><name><surname>Ding</surname><given-names>H</given-names></name><name><surname>Bryan</surname><given-names>LN</given-names></name><name><surname>Yankey</surname><given-names>D</given-names></name><name><surname>Monsell</surname><given-names>EA</given-names></name><name><surname>Greby</surname><given-names>SM</given-names></name><name><surname>Euler</surname><given-names>GL</given-names></name><article-title>Influenza A (H1N1) 2009 monovalent and seasonal influenza vaccination among adults 25 to 64 years of age with high-risk conditions-United States, 2010</article-title><source>Am J Infect Control</source><year>2013</year><volume>41</volume><issue>8</issue><fpage>702</fpage><lpage>709</lpage><pub-id pub-id-type="doi">10.1016/j.ajic.2012.10.027</pub-id><pub-id pub-id-type="pmid">23419613</pub-id></mixed-citation></ref><ref id="B68"><mixed-citation publication-type="journal"><name><surname>Schoch-Spana</surname><given-names>M</given-names></name><name><surname>Bouri</surname><given-names>N</given-names></name><name><surname>Rambhia</surname><given-names>KJ</given-names></name><name><surname>Norwood</surname><given-names>A</given-names></name><article-title>Stigma, health disparities, and the 2009 H1N1 influenza pandemic: how to protect Latino farmworkers in future health emergencies</article-title><source>Biosecur Bioterror</source><year>2010</year><volume>8</volume><issue>3</issue><fpage>243</fpage><lpage>254</lpage><pub-id pub-id-type="doi">10.1089/bsp.2010.0021</pub-id><pub-id pub-id-type="pmid">20825335</pub-id></mixed-citation></ref><ref id="B69"><mixed-citation publication-type="journal"><name><surname>Sparke</surname><given-names>M</given-names></name><name><surname>Anguelov</surname><given-names>D</given-names></name><article-title>H1N1, globalization and the epidemiology of inequality</article-title><source>Health Place</source><year>2012</year><volume>18</volume><issue>4</issue><fpage>726</fpage><lpage>736</lpage><pub-id pub-id-type="doi">10.1016/j.healthplace.2011.09.001</pub-id><pub-id pub-id-type="pmid">22682088</pub-id></mixed-citation></ref><ref id="B70"><mixed-citation publication-type="journal"><name><surname>Henrich</surname><given-names>N</given-names></name><name><surname>Holmes</surname><given-names>B</given-names></name><article-title>What the public was saying about the H1N1 vaccine: perceptions and issues discussed in on-line comments during the 2009 H1N1 pandemic</article-title><source>PloS One</source><year>2011</year><volume>6</volume><issue>4</issue><fpage>e18479</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0018479</pub-id><pub-id pub-id-type="pmid">21533161</pub-id></mixed-citation></ref><ref id="B71"><mixed-citation publication-type="journal"><name><surname>Tausczik</surname><given-names>Y</given-names></name><name><surname>Faasse</surname><given-names>K</given-names></name><name><surname>Pennebaker</surname><given-names>JW</given-names></name><name><surname>Petrie</surname><given-names>KJ</given-names></name><article-title>Public anxiety and information seeking following the H1N1 outbreak: blogs, newspaper articles, and Wikipedia visits</article-title><source>Health Commun</source><year>2012</year><volume>27</volume><issue>2</issue><fpage>179</fpage><lpage>185</lpage><pub-id pub-id-type="doi">10.1080/10410236.2011.571759</pub-id><pub-id pub-id-type="pmid">21827326</pub-id></mixed-citation></ref><ref id="B72"><mixed-citation publication-type="journal"><name><surname>Chew</surname><given-names>C</given-names></name><name><surname>Eysenbach</surname><given-names>G</given-names></name><article-title>Pandemics in the age of Twitter: content analysis of Tweets during the 2009 H1N1 outbreak</article-title><source>PloS One</source><year>2010</year><volume>5</volume><issue>11</issue><fpage>e14118</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0014118</pub-id><pub-id pub-id-type="pmid">21124761</pub-id></mixed-citation></ref><ref id="B73"><mixed-citation publication-type="journal"><name><surname>Salathe</surname><given-names>M</given-names></name><name><surname>Khandelwal</surname><given-names>S</given-names></name><article-title>Assessing vaccination sentiments with online social media: implications for infectious disease dynamics and control</article-title><source>PLoS Comput Biol</source><year>2011</year><volume>7</volume><issue>10</issue><fpage>e1002199</fpage><pub-id pub-id-type="doi">10.1371/journal.pcbi.1002199</pub-id><pub-id pub-id-type="pmid">22022249</pub-id></mixed-citation></ref><ref id="B74"><mixed-citation publication-type="journal"><name><surname>Huiling</surname><given-names>D</given-names></name><name><surname>Jingwen</surname><given-names>Z</given-names></name><article-title>Social Media and Participatory Risk Communication during the H1N1 Flu Epidemic: A Comparative Study of the United States and China</article-title><source>China Media Res</source><year>2010</year><volume>6</volume><issue>4</issue><fpage>80</fpage><lpage>90</lpage></mixed-citation></ref><ref id="B75"><mixed-citation publication-type="journal"><name><surname>Liu</surname><given-names>BF</given-names></name><name><surname>Kim</surname><given-names>S</given-names></name><article-title>How organizations framed the 2009 H1N1 pandemic via social and traditional media: Implications for US health communicators</article-title><source>Public Relat Rev</source><year>2011</year><volume>37</volume><issue>3</issue><fpage>233</fpage><lpage>244</lpage><pub-id pub-id-type="doi">10.1016/j.pubrev.2011.03.005</pub-id></mixed-citation></ref><ref id="B76"><mixed-citation publication-type="journal"><name><surname>Sarmiento</surname><given-names>MP</given-names></name><name><surname>Suarez</surname><given-names>O</given-names></name><name><surname>Sanabria</surname><given-names>JA</given-names></name><name><surname>Perez</surname><given-names>CE</given-names></name><name><surname>Cadena Ldel</surname><given-names>P</given-names></name><name><surname>Nino</surname><given-names>ME</given-names></name><article-title>Knowledge and practices about the prevention and the control of the influenza A H1N1 in the community of Floridablanca, Santander</article-title><source>Biomedica</source><year>2011</year><volume>31</volume><issue>1</issue><fpage>91</fpage><lpage>99</lpage><pub-id pub-id-type="pmid">22159487</pub-id></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/PandemieGrippaleV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000625 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 000625 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= PandemieGrippaleV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:4048599
|texte= What have we learned about communication inequalities during the H1N1 pandemic: a systematic review of the literature
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:24884634" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a PandemieGrippaleV1
| This area was generated with Dilib version V0.6.34. |  |