The Perceived Threat of SARS and its Impact on Precautionary Actions and Adverse Consequences: A Qualitative Study Among Chinese Communities in the United Kingdom and the Netherlands
Identifieur interne : 000C65 ( Pmc/Checkpoint ); précédent : 000C64; suivant : 000C66The Perceived Threat of SARS and its Impact on Precautionary Actions and Adverse Consequences: A Qualitative Study Among Chinese Communities in the United Kingdom and the Netherlands
Auteurs : Xinyi Jiang [Royaume-Uni] ; Gillian Elam [Royaume-Uni] ; Cicely Yuen [Pays-Bas] ; Helene Voeten [Pays-Bas] ; Onno De Zwart [Pays-Bas] ; Irene Veldhuijzen [Pays-Bas] ; Johannes Brug [Pays-Bas]Source :
- International Journal of Behavioral Medicine [ 1070-5503 ] ; 2009.
Abstract
Although the SARS outbreak involved few probable cases of infection in Europe, swift international spread of infections raised the possibility of outbreaks. In particular, SARS presented a sociopsychological and economic threat to European Chinese communities because of their close links with the outbreak’s origins.
A qualitative study was conducted among Chinese residents in the United Kingdom and the Netherlands to identify the origins of SARS risk perceptions and their impact on precautionary actions and adverse consequences from the perspective of vulnerable communities living in unaffected regions. Analysis was informed by protection motivation theory.
Results revealed that information from affected Asia influenced risk perceptions and protective behavior among the Chinese in Europe when more relevant local information was absent. When high risk perceptions were combined with low efficacy regarding precautionary measures, avoidance-based precautionary action appeared to dominate responses to SARS. These actions may have contributed to the adverse impacts of SARS on the communities.
Experiences of European Chinese communities suggest that practical and timely information, and consistent implementation of protective measures from central governments are essential to protect vulnerable populations in unaffected regions from unnecessary alarm and harm during outbreaks of emerging infections.
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DOI: 10.1007/s12529-008-9005-5
PubMed: 19277874
PubMed Central: 7090686
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type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Voeten, Helene" sort="Voeten, Helene" uniqKey="Voeten H" first="Helene" last="Voeten">Helene Voeten</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.5645.2</institution-id><institution-id institution-id-type="ISNI">000000040459992X</institution-id><institution>Department of Public Health,</institution><institution>Erasmus MC University Medical Center,</institution></institution-wrap>Rotterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Rotterdam</wicri:regionArea></affiliation></author><author><name sortKey="De Zwart, Onno" sort="De Zwart, Onno" uniqKey="De Zwart O" first="Onno" last="De Zwart">Onno De Zwart</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Municipal Public Health Service Rotterdam Area, Rotterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Municipal Public Health Service Rotterdam Area, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.5645.2</institution-id><institution-id institution-id-type="ISNI">000000040459992X</institution-id><institution>Department of Public Health,</institution><institution>Erasmus MC University Medical Center,</institution></institution-wrap>Rotterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Rotterdam</wicri:regionArea></affiliation></author><author><name sortKey="Veldhuijzen, Irene" sort="Veldhuijzen, Irene" uniqKey="Veldhuijzen I" first="Irene" last="Veldhuijzen">Irene Veldhuijzen</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Municipal Public Health Service Rotterdam Area, Rotterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Municipal Public Health Service Rotterdam Area, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Brug, Johannes" sort="Brug, Johannes" uniqKey="Brug J" first="Johannes" last="Brug">Johannes Brug</name><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.5645.2</institution-id><institution-id institution-id-type="ISNI">000000040459992X</institution-id><institution>Department of Public Health,</institution><institution>Erasmus MC University Medical Center,</institution></institution-wrap>Rotterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Rotterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution-id institution-id-type="ISNI">000000040435165X</institution-id><institution>EMGO Institute VU University Medical Center,</institution></institution-wrap>Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal of Behavioral Medicine</title><idno type="ISSN">1070-5503</idno><idno type="eISSN">1532-7558</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although the SARS outbreak involved few probable cases of infection in Europe, swift international spread of infections raised the possibility of outbreaks. In particular, SARS presented a sociopsychological and economic threat to European Chinese communities because of their close links with the outbreak’s origins.</p></sec><sec><title>Methods</title><p>A qualitative study was conducted among Chinese residents in the United Kingdom and the Netherlands to identify the origins of SARS risk perceptions and their impact on precautionary actions and adverse consequences from the perspective of vulnerable communities living in unaffected regions. Analysis was informed by protection motivation theory.</p></sec><sec><title>Results</title><p>Results revealed that information from affected Asia influenced risk perceptions and protective behavior among the Chinese in Europe when more relevant local information was absent. When high risk perceptions were combined with low efficacy regarding precautionary measures, avoidance-based precautionary action appeared to dominate responses to SARS. These actions may have contributed to the adverse impacts of SARS on the communities.</p></sec><sec><title>Conclusions</title><p>Experiences of European Chinese communities suggest that practical and timely information, and consistent implementation of protective measures from central governments are essential to protect vulnerable populations in unaffected regions from unnecessary alarm and harm during outbreaks of emerging infections.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sproston, K" uniqKey="Sproston K">K Sproston</name></author><author><name sortKey="Pitson, L" uniqKey="Pitson L">L Pitson</name></author><author><name sortKey="Whitfield, G" uniqKey="Whitfield G">G Whitfield</name></author><author><name sortKey="Walker, E" uniqKey="Walker E">E Walker</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Behav Med</journal-id><journal-id journal-id-type="iso-abbrev">Int J Behav Med</journal-id><journal-title-group><journal-title>International Journal of Behavioral Medicine</journal-title></journal-title-group><issn pub-type="ppub">1070-5503</issn><issn pub-type="epub">1532-7558</issn><publisher><publisher-name>Springer US</publisher-name><publisher-loc>Boston</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19277874</article-id><article-id pub-id-type="pmc">7090686</article-id><article-id pub-id-type="publisher-id">9005</article-id><article-id pub-id-type="doi">10.1007/s12529-008-9005-5</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>The Perceived Threat of SARS and its Impact on Precautionary Actions and Adverse Consequences: A Qualitative Study Among Chinese Communities in the United Kingdom and the Netherlands</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Jiang</surname><given-names>Xinyi</given-names></name><address><email>x.y.jiang@dundee.ac.uk</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref><xref ref-type="aff" rid="Aff6">6</xref></contrib><contrib contrib-type="author"><name><surname>Elam</surname><given-names>Gillian</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Yuen</surname><given-names>Cicely</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Voeten</surname><given-names>Helene</given-names></name><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>de Zwart</surname><given-names>Onno</given-names></name><xref ref-type="aff" rid="Aff3">3</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Veldhuijzen</surname><given-names>Irene</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Brug</surname><given-names>Johannes</given-names></name><xref ref-type="aff" rid="Aff4">4</xref><xref ref-type="aff" rid="Aff5">5</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.9004.d</institution-id><institution-id institution-id-type="ISNI">0000000121968713</institution-id><institution>Health Protection Agency—Centre for Infections,</institution></institution-wrap>London, UK</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.8241.f</institution-id><institution-id institution-id-type="ISNI">0000000403972876</institution-id><institution>College of Art, Science & Engineering,</institution><institution>University of Dundee,</institution></institution-wrap>Dundee, UK</aff><aff id="Aff3"><label>3</label>Municipal Public Health Service Rotterdam Area, Rotterdam, the Netherlands</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.5645.2</institution-id><institution-id institution-id-type="ISNI">000000040459992X</institution-id><institution>Department of Public Health,</institution><institution>Erasmus MC University Medical Center,</institution></institution-wrap>Rotterdam, the Netherlands</aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="GRID">grid.16872.3a</institution-id><institution-id institution-id-type="ISNI">000000040435165X</institution-id><institution>EMGO Institute VU University Medical Center,</institution></institution-wrap>Amsterdam, the Netherlands</aff><aff id="Aff6"><label>6</label><institution-wrap><institution-id institution-id-type="GRID">grid.8241.f</institution-id><institution-id institution-id-type="ISNI">0000000403972876</institution-id><institution>Queen Mother Building,</institution><institution>University of Dundee,</institution></institution-wrap>Dundee, DD1 4HN UK</aff></contrib-group><pub-date pub-type="epub"><day>10</day><month>3</month><year>2009</year></pub-date><pub-date pub-type="ppub"><year>2009</year></pub-date><volume>16</volume><issue>1</issue><fpage>58</fpage><lpage>67</lpage><history><date date-type="accepted"><day>12</day><month>12</month><year>2007</year></date></history><permissions><copyright-statement>© International Society of Behavioral Medicine 2009</copyright-statement><license><license-p>This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Although the SARS outbreak involved few probable cases of infection in Europe, swift international spread of infections raised the possibility of outbreaks. In particular, SARS presented a sociopsychological and economic threat to European Chinese communities because of their close links with the outbreak’s origins.</p></sec><sec><title>Methods</title><p>A qualitative study was conducted among Chinese residents in the United Kingdom and the Netherlands to identify the origins of SARS risk perceptions and their impact on precautionary actions and adverse consequences from the perspective of vulnerable communities living in unaffected regions. Analysis was informed by protection motivation theory.</p></sec><sec><title>Results</title><p>Results revealed that information from affected Asia influenced risk perceptions and protective behavior among the Chinese in Europe when more relevant local information was absent. When high risk perceptions were combined with low efficacy regarding precautionary measures, avoidance-based precautionary action appeared to dominate responses to SARS. These actions may have contributed to the adverse impacts of SARS on the communities.</p></sec><sec><title>Conclusions</title><p>Experiences of European Chinese communities suggest that practical and timely information, and consistent implementation of protective measures from central governments are essential to protect vulnerable populations in unaffected regions from unnecessary alarm and harm during outbreaks of emerging infections.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Severe acute respiratory syndrome (SARS)</kwd><kwd>Chinese population</kwd><kwd>Risk perceptions</kwd><kwd>Precautionary behavior</kwd><kwd>Qualitative</kwd><kwd>Protection motivation theory</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© International Society of Behavioral Medicine 2009</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Pays-Bas</li><li>Royaume-Uni</li></country><region><li>Hollande-Méridionale</li></region><settlement><li>Rotterdam</li></settlement></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Jiang, Xinyi" sort="Jiang, Xinyi" uniqKey="Jiang X" first="Xinyi" last="Jiang">Xinyi Jiang</name></noRegion><name sortKey="Elam, Gillian" sort="Elam, Gillian" uniqKey="Elam G" first="Gillian" last="Elam">Gillian Elam</name><name sortKey="Jiang, Xinyi" sort="Jiang, Xinyi" uniqKey="Jiang X" first="Xinyi" last="Jiang">Xinyi Jiang</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Yuen, Cicely" sort="Yuen, Cicely" uniqKey="Yuen C" first="Cicely" last="Yuen">Cicely Yuen</name></region><name sortKey="Brug, Johannes" sort="Brug, Johannes" uniqKey="Brug J" first="Johannes" last="Brug">Johannes Brug</name><name sortKey="Brug, Johannes" sort="Brug, Johannes" uniqKey="Brug J" first="Johannes" last="Brug">Johannes Brug</name><name sortKey="De Zwart, Onno" sort="De Zwart, Onno" uniqKey="De Zwart O" first="Onno" last="De Zwart">Onno De Zwart</name><name sortKey="De Zwart, Onno" sort="De Zwart, Onno" uniqKey="De Zwart O" first="Onno" last="De Zwart">Onno De Zwart</name><name sortKey="Veldhuijzen, Irene" sort="Veldhuijzen, Irene" uniqKey="Veldhuijzen I" first="Irene" last="Veldhuijzen">Irene Veldhuijzen</name><name sortKey="Voeten, Helene" sort="Voeten, Helene" uniqKey="Voeten H" first="Helene" last="Voeten">Helene Voeten</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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