The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Identifieur interne : 000597 ( Istex/Corpus ); précédent : 000596; suivant : 000598The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Auteurs : G M Leung ; T-H Lam ; L-M Ho ; S-Y Ho ; B H Y. Chan ; I O L. Wong ; A J HedleySource :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2003-11.
English descriptors
- KwdEn :
- Teeft :
- Account background perceptions, Actual case fatality ratio, Anxiety level, Anxiety levels, Chinese community, Clinical presentation, Community medicine, Contact history, Contract sars, Contracting sars, Current outbreak, Difficulty breathing, Direct contact, Educational attainment, Effect size, Epidemiological evidence, Equal attention, Face mask, Fomite, Greater adoption, Health practices, Health services, Higher risk perceptions, Hong kong, Hong kong department, Indirect contacts, Infectious agent, Large effect, Large outbreaks, Linear trend, Medium effect size, Moderate level, Other hand, Outbreak, Outbreak control, Person droplet spread, Personal hygiene, Positive contact history, Possible changes, Precautionary, Precautionary measures, Precautionary steps, Preventive measures, Preventive strategies, Psychological responses, Public health messages, Respiratory symptoms, Respiratory syndrome, Respondent, Responsible agent, Risk perception, Sars, Sars epidemic, Sars outbreak, Sars virus, Small effect size, State trait anxiety inventory, Statistics department, Stoma surgery, Syndrome, Thematic household survey, Transurethral resection.
Abstract
Objective: To examine the public’s knowledge and perception of SARS and the extent to which various precautionary measures have been adopted. Design: Cross sectional survey. Setting: General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003). Participants: 1115 ethnic Chinese adults. Main results: Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms. Conclusions: The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.
Url:
DOI: 10.1136/jech.57.11.857
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ISTEX:C8CB72DF2218A330860B51E92E3E93B5F9D45ECFLe document en format XML
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Wong</name><affiliation><mods:affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</mods:affiliation></affiliation></author><author><name sortKey="Hedley, A J" sort="Hedley, A J" uniqKey="Hedley A" first="A J" last="Hedley">A J Hedley</name><affiliation><mods:affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="ISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2003-11">2003-11</date><biblScope unit="volume">57</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="857">857</biblScope></imprint><idno type="ISSN">0143-005X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0143-005X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Hong Kong</term><term>SARS</term><term>cross sectional study</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Account background perceptions</term><term>Actual case fatality ratio</term><term>Anxiety level</term><term>Anxiety levels</term><term>Chinese community</term><term>Clinical presentation</term><term>Community medicine</term><term>Contact history</term><term>Contract sars</term><term>Contracting sars</term><term>Current outbreak</term><term>Difficulty breathing</term><term>Direct contact</term><term>Educational attainment</term><term>Effect size</term><term>Epidemiological evidence</term><term>Equal attention</term><term>Face mask</term><term>Fomite</term><term>Greater adoption</term><term>Health practices</term><term>Health services</term><term>Higher risk perceptions</term><term>Hong kong</term><term>Hong kong department</term><term>Indirect contacts</term><term>Infectious agent</term><term>Large effect</term><term>Large outbreaks</term><term>Linear trend</term><term>Medium effect size</term><term>Moderate level</term><term>Other hand</term><term>Outbreak</term><term>Outbreak control</term><term>Person droplet spread</term><term>Personal hygiene</term><term>Positive contact history</term><term>Possible changes</term><term>Precautionary</term><term>Precautionary measures</term><term>Precautionary steps</term><term>Preventive measures</term><term>Preventive strategies</term><term>Psychological responses</term><term>Public health messages</term><term>Respiratory symptoms</term><term>Respiratory syndrome</term><term>Respondent</term><term>Responsible agent</term><term>Risk perception</term><term>Sars</term><term>Sars epidemic</term><term>Sars outbreak</term><term>Sars virus</term><term>Small effect size</term><term>State trait anxiety inventory</term><term>Statistics department</term><term>Stoma surgery</term><term>Syndrome</term><term>Thematic household survey</term><term>Transurethral resection</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To examine the public’s knowledge and perception of SARS and the extent to which various precautionary measures have been adopted. Design: Cross sectional survey. Setting: General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003). Participants: 1115 ethnic Chinese adults. Main results: Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms. Conclusions: The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. 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Design: Cross sectional survey. Setting: General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003). Participants: 1115 ethnic Chinese adults. Main results: Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms. Conclusions: The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.</abstract><qualityIndicators><score>8.604</score><pdfWordCount>3604</pdfWordCount><pdfCharCount>25198</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>7</pdfPageCount><pdfPageSize>609.193 x 790.583 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>253</abstractWordCount><abstractCharCount>1676</abstractCharCount><keywordCount>3</keywordCount></qualityIndicators><title>The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</title><pmid><json:string>14600110</json:string></pmid><genre><json:string>other</json:string></genre><host><title>Journal of Epidemiology and Community Health</title><language><json:string>unknown</json:string></language><issn><json:string>0143-005X</json:string></issn><eissn><json:string>1470-2738</json:string></eissn><volume>57</volume><issue>11</issue><pages><first>857</first></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2003-11-04</json:string><json:string>1115</json:string><json:string>2002</json:string><json:string>from 29 March to 6 April</json:string><json:string>2003</json:string></date><geogName></geogName><orgName><json:string>Statistics Department, Hong Kong</json:string><json:string>China, Vietnam, and Canada</json:string><json:string>Singapore, Taiwan</json:string><json:string>Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster</json:string><json:string>Hong Kong Department of Health, US Centers for Disease Control and Prevention</json:string><json:string>World Health Organisation</json:string><json:string>Department of Community Medicine, The University of Hong Kong, Hong Kong</json:string><json:string>Singapore, Hanoi, Canada, US, UK</json:string><json:string>Hong Kong Department of Health</json:string><json:string>University of Hong Kong SARS Research Fund</json:string></orgName><orgName_funder><json:string>University of Hong Kong SARS Research Fund</json:string></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Statistics</json:string><json:string>Hong Kong</json:string><json:string>Keith Tin</json:string><json:string>Marie Chi</json:string><json:string>Of</json:string><json:string>Kong Census</json:string></persName><placeName><json:string>Hong Kong</json:string><json:string>Helsinki</json:string><json:string>China</json:string></placeName><ref_url></ref_url><ref_bibl></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/NVC-BX1G0D2P-T</json:string></ark><categories><wos><json:string>1 - social science</json:string><json:string>2 - public, environmental & occupational health</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - public health & health services</json:string><json:string>3 - epidemiology</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Public Health, Environmental and Occupational Health</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Epidemiology</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string><json:string>4 - pathologie infectieuse</json:string></inist></categories><publicationDate>2003</publicationDate><copyrightDate>2003</copyrightDate><doi><json:string>10.1136/jech.57.11.857</json:string></doi><id>C8CB72DF2218A330860B51E92E3E93B5F9D45ECF</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/fulltext.pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/bundle.zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/fulltext.tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher scheme="https://publisher-list.data.istex.fr">BMJ Publishing Group Ltd</publisher><availability><licence><p>Copyright 2003 Journal of Epidemiology and Community Health</p></licence><p scheme="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</p></availability><date>2003-11-04</date></publicationStmt><notesStmt><note type="other" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-7474895G-0">other</note><note type="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note><note>Correspondence to:
Professor T H Lam, Department of Community Medicine, Faculty of Medicine Building, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China;
hrmrlth@hkucc.hku.hk</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</title><author xml:id="author-0000"><persName><forename type="first">G M</forename><surname>Leung</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0001"><persName><forename type="first">T-H</forename><surname>Lam</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0002"><persName><forename type="first">L-M</forename><surname>Ho</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0003"><persName><forename type="first">S-Y</forename><surname>Ho</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0004"><persName><forename type="first">B H Y</forename><surname>Chan</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0005"><persName><forename type="first">I O L</forename><surname>Wong</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><author xml:id="author-0006"><persName><forename type="first">A J</forename><surname>Hedley</surname></persName><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation></author><idno type="istex">C8CB72DF2218A330860B51E92E3E93B5F9D45ECF</idno><idno type="ark">ark:/67375/NVC-BX1G0D2P-T</idno><idno type="DOI">10.1136/jech.57.11.857</idno><idno type="href">jech-57-857.pdf</idno><idno type="PMID">14600110</idno><idno type="local">0570857</idno></analytic><monogr><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="pISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><idno type="PublisherID-hwp">jech</idno><idno type="PublisherID-nlm-ta">J Epidemiol Community Health</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2003-11"></date><biblScope unit="volume">57</biblScope><biblScope unit="issue">11</biblScope><biblScope unit="page" from="857">857</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2003-11-04</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Objective: To examine the public’s knowledge and perception of SARS and the extent to which various precautionary measures have been adopted. Design: Cross sectional survey. Setting: General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003). Participants: 1115 ethnic Chinese adults. Main results: Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms. Conclusions: The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>KWD</head><item><term>SARS</term></item><item><term>cross sectional study</term></item><item><term>Hong Kong</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2003-11-04">Created</change><change when="2003-11">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article xml:lang="en" article-type="other"><front><journal-meta><journal-id journal-id-type="hwp">jech</journal-id><journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id><journal-title>Journal of Epidemiology and Community Health</journal-title><abbrev-journal-title abbrev-type="publisher">J Epidemiol Community Health</abbrev-journal-title><issn pub-type="ppub">0143-005X</issn><issn pub-type="epub">1470-2738</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="other">0570857</article-id><article-id pub-id-type="other">jech;57/11/857</article-id><article-id pub-id-type="doi">10.1136/jech.57.11.857</article-id><article-id pub-id-type="pmid">14600110</article-id><article-id pub-id-type="other">857</article-id><article-id pub-id-type="other">jech.57.11.857</article-id><article-categories><subj-group subj-group-type="heading"><subject>Evidence based public health policy and practice</subject></subj-group></article-categories><title-group><article-title>The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Leung</surname><given-names>G M</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Lam</surname><given-names>T-H</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Ho</surname><given-names>L-M</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Ho</surname><given-names>S-Y</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Chan</surname><given-names>B H Y</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Wong</surname><given-names>I O L</given-names></name><xref rid="AFF1"></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hedley</surname><given-names>A J</given-names></name><xref rid="AFF1"></xref></contrib><aff id="AFF1">Department of Community Medicine, The University of Hong Kong, Hong Kong</aff></contrib-group><author-notes><corresp>Correspondence to:
Professor T H Lam, Department of Community Medicine, Faculty of Medicine Building, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China;
<ext-link xlink:href="hrmrlthhkucc.hku.hk" ext-link-type="email" xlink:type="simple">hrmrlth@hkucc.hku.hk</ext-link></corresp></author-notes><pub-date pub-type="ppub"><month>11</month><year>2003</year></pub-date><pub-date pub-type="epub"><day>4</day><month>11</month><year>2003</year></pub-date><volume>57</volume><volume-id pub-id-type="other">57</volume-id><volume-id pub-id-type="other">57</volume-id><issue>11</issue><issue-id pub-id-type="other">jech;57/11</issue-id><issue-id pub-id-type="other">11</issue-id><issue-id pub-id-type="other">57/11</issue-id><fpage>857</fpage><history><date date-type="accepted"><day>30</day><month>07</month><year>2003</year></date></history><permissions><copyright-statement>Copyright 2003 Journal of Epidemiology and Community Health</copyright-statement><copyright-year>2003</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="jech-57-857.pdf"></self-uri><abstract xml:lang="en"><p><bold>Objective:</bold> To examine the public’s knowledge and perception of SARS and the extent to which various precautionary measures have been adopted.</p><p><bold>Design:</bold> Cross sectional survey.</p><p><bold>Setting:</bold> General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003).</p><p><bold>Participants:</bold> 1115 ethnic Chinese adults.</p><p><bold>Main results:</bold> Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms.</p><p><bold>Conclusions:</bold> The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.</p></abstract><kwd-group kwd-group-type="KWD" xml:lang="en"><kwd>SARS</kwd><kwd>cross sectional study</kwd><kwd>Hong Kong</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong</title></titleInfo><name type="personal"><namePart type="given">G M</namePart><namePart type="family">Leung</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T-H</namePart><namePart type="family">Lam</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L-M</namePart><namePart type="family">Ho</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S-Y</namePart><namePart type="family">Ho</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B H Y</namePart><namePart type="family">Chan</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I O L</namePart><namePart type="family">Wong</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A J</namePart><namePart type="family">Hedley</namePart><affiliation>Department of Community Medicine, The University of Hong Kong, Hong Kong</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="other" displayLabel="other" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-7474895G-0">other</genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2003-11</dateIssued><dateCreated encoding="w3cdtf">2003-11-04</dateCreated><copyrightDate encoding="w3cdtf">2003</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Objective: To examine the public’s knowledge and perception of SARS and the extent to which various precautionary measures have been adopted. Design: Cross sectional survey. Setting: General population of Hong Kong at the height of the SARS outbreak (29 March to 6 April 2003). Participants: 1115 ethnic Chinese adults. Main results: Forty per cent did not recognise fomites as a possible mode of transmission whereas 55.1% believed that the infection could be transmitted airborne. A large proportion (30.1%) believed they were very or somewhat likely to contract SARS while only one quarter believed they were very likely to survive if they contracted the disease, benchmarked against an actual case fatality ratio of 2.8% at the time of the survey and 15%–20% according to current best estimates. Precautionary measures directed against person to person droplet spread were generally adopted by most while the prevention of transmission through fomites was not practised as frequently. Respondents with higher risk perceptions and a moderate level of anxiety were most likely to take comprehensive precautionary measures against the infection, as were older, female, more educated people as well as those with a positive contact history and SARS-like symptoms. Conclusions: The findings demonstrate that the promotion of protective personal health practices to interrupt the self sustaining transmission of the SARS virus in the community must take into account background perceptions of risk and anxiety levels of the public at large. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.</abstract><note type="author-notes">Correspondence to:
Professor T H Lam, Department of Community Medicine, Faculty of Medicine Building, The University of Hong Kong, 21 Sassoon Road, Pokfulam, Hong Kong, China;
hrmrlth@hkucc.hku.hk</note><subject lang="en"><genre>KWD</genre><topic>SARS</topic><topic>cross sectional study</topic><topic>Hong Kong</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Epidemiology and Community Health</title></titleInfo><titleInfo type="abbreviated"><title>J Epidemiol Community Health</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0143-005X</identifier><identifier type="eISSN">1470-2738</identifier><identifier type="PublisherID-hwp">jech</identifier><identifier type="PublisherID-nlm-ta">J Epidemiol Community Health</identifier><part><date>2003</date><detail type="volume"><caption>vol.</caption><number>57</number></detail><detail type="issue"><caption>no.</caption><number>11</number></detail><extent unit="pages"><start>857</start></extent></part></relatedItem><identifier type="istex">C8CB72DF2218A330860B51E92E3E93B5F9D45ECF</identifier><identifier type="ark">ark:/67375/NVC-BX1G0D2P-T</identifier><identifier type="DOI">10.1136/jech.57.11.857</identifier><identifier type="href">jech-57-857.pdf</identifier><identifier type="PMID">14600110</identifier><identifier type="local">0570857</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright 2003 Journal of Epidemiology and Community Health</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-7M42M2QJ-2">bmj</recordContentSource><recordOrigin>Copyright 2003 Journal of Epidemiology and Community Health</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/record.json</uri></json:item></metadata><annexes><json:item><extension>jpeg</extension><original>true</original><mimetype>image/jpeg</mimetype><uri>https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/annexes.jpeg</uri></json:item></annexes><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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