The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Identifieur interne : 000429 ( Ncbi/Curation ); précédent : 000428; suivant : 000430The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Auteurs : G. Leung ; T. Lam ; L. Ho ; S. Ho ; B. Chan ; I. Wong ; A. HedleySource :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2003.
Descripteurs français
- KwdFr :
- Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Femelle, Flambées de maladies (), Hong Kong (épidémiologie), Humains, Maladies transmissibles émergentes (), Maladies transmissibles émergentes (psychologie), Mâle, Services de santé communautaires (normes), Sujet âgé, Syndrome respiratoire aigu sévère (), Syndrome respiratoire aigu sévère (psychologie), Syndrome respiratoire aigu sévère (épidémiologie), Études transversales.
- MESH :
- normes : Services de santé communautaires.
- psychologie : Maladies transmissibles émergentes, Syndrome respiratoire aigu sévère.
- épidémiologie : Hong Kong, Syndrome respiratoire aigu sévère.
- Adaptation psychologique, Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Femelle, Flambées de maladies, Humains, Maladies transmissibles émergentes, Mâle, Sujet âgé, Syndrome respiratoire aigu sévère, Études transversales.
- Wicri :
- geographic : Hong Kong.
English descriptors
- KwdEn :
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Communicable Diseases, Emerging (prevention & control), Communicable Diseases, Emerging (psychology), Community Health Services (standards), Cross-Sectional Studies, Disease Outbreaks (prevention & control), Female, Hong Kong (epidemiology), Humans, Male, Middle Aged, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (psychology).
- MESH :
- geographic , epidemiology : Hong Kong.
- epidemiology : Severe Acute Respiratory Syndrome.
- prevention & control : Communicable Diseases, Emerging, Disease Outbreaks, Severe Acute Respiratory Syndrome.
- psychology : Communicable Diseases, Emerging, Severe Acute Respiratory Syndrome.
- standards : Community Health Services.
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Cross-Sectional Studies, Female, Humans, Male, Middle Aged.
Abstract
Url:
DOI: 10.1136/jech.57.11.857
PubMed: 14600110
PubMed Central: 1732323
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PMC:1732323Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Communicable Diseases, Emerging (prevention & control)</term>
<term>Communicable Diseases, Emerging (psychology)</term>
<term>Community Health Services (standards)</term>
<term>Cross-Sectional Studies</term>
<term>Disease Outbreaks (prevention & control)</term>
<term>Female</term>
<term>Hong Kong (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (prevention & control)</term>
<term>Severe Acute Respiratory Syndrome (psychology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Femelle</term>
<term>Flambées de maladies ()</term>
<term>Hong Kong (épidémiologie)</term>
<term>Humains</term>
<term>Maladies transmissibles émergentes ()</term>
<term>Maladies transmissibles émergentes (psychologie)</term>
<term>Mâle</term>
<term>Services de santé communautaires (normes)</term>
<term>Sujet âgé</term>
<term>Syndrome respiratoire aigu sévère ()</term>
<term>Syndrome respiratoire aigu sévère (psychologie)</term>
<term>Syndrome respiratoire aigu sévère (épidémiologie)</term>
<term>Études transversales</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Hong Kong</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Services de santé communautaires</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Communicable Diseases, Emerging</term>
<term>Disease Outbreaks</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladies transmissibles émergentes</term>
<term>Syndrome respiratoire aigu sévère</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Communicable Diseases, Emerging</term>
<term>Severe Acute Respiratory Syndrome</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Community Health Services</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Hong Kong</term>
<term>Syndrome respiratoire aigu sévère</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Attitude to Health</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term>
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Attitude envers la santé</term>
<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Humains</term>
<term>Maladies transmissibles émergentes</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Syndrome respiratoire aigu sévère</term>
<term>Études transversales</term>
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<front><div type="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>
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</front>
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