Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza
Identifieur interne : 000394 ( Pmc/Curation ); précédent : 000393; suivant : 000395Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza
Auteurs : J. T. F. Lau [République populaire de Chine] ; H. Y. Tsui ; J. H. Kim ; P. K. S. Chan ; S. GriffithsSource :
- Infection [ 0300-8126 ] ; 2010.
Abstract
The aim of this study was to monitor changes in behavioral and emotional responses to human H5N1 in the community over a 28-month period (from November 2005 to February 2008).
A total of 3,527 Hong Kong Chinese adults were interviewed by telephone within the framework of six identical cross-sectional surveys carried out during the 28-month study period. Given a hypothetical scenario that two to three new human-to-human H5N1 cases had been reported in Hong Kong, the trends of the respondents in various H5N1-related risk perceptions, anticipated personal psychological responses, and anticipated personal preventive behaviors were investigated.
Over time, a decreased proportion of the respondents (1) felt susceptible to contracting H5N1, (2) expected a large outbreak would eventually occur, (3) believed that the impacts of H5N1 were worse than those of severe acute respiratory syndrome (SARS), and (4) anticipated adopting more types of preventive measures and experiencing mental distress in the case of a small-scale outbreak in Hong Kong (AOR from 0.27 to 0.43,
Starting in 2005 through to 2008, respondents perceived a decreasing level of susceptibility, severity, and anticipated stress towards a hypothetical human-to-human H5N1 outbreak, possibly due to the low efficiency of transmission. The public’s general preparedness was still relatively good and rational, even though individual preventive behaviors were less common. However, misconceptions were prevalent among the respondents. Based on these results, public education is warranted to rectify these misconceptions.
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DOI: 10.1007/s15010-010-0034-z
PubMed: 20582562
PubMed Central: 7100839
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J. T. F. Lau<affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Centre for Medical Anthropology and Behavioral Health, Sun Yat Sen University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza</title><author><name sortKey="F Lau, J T" sort="F Lau, J T" uniqKey="F Lau J" first="J. T." last="F. Lau">J. T. F. Lau</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Centre for Medical Anthropology and Behavioral Health, Sun Yat Sen University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Tsui, H Y" sort="Tsui, H Y" uniqKey="Tsui H" first="H. Y." last="Tsui">H. Y. Tsui</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Kim, J H" sort="Kim, J H" uniqKey="Kim J" first="J. H." last="Kim">J. H. Kim</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Chan, P K S" sort="Chan, P K S" uniqKey="Chan P" first="P. K. S." last="Chan">P. K. S. Chan</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Griffiths, S" sort="Griffiths, S" uniqKey="Griffiths S" first="S." last="Griffiths">S. Griffiths</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">20582562</idno><idno type="pmc">7100839</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7100839</idno><idno type="RBID">PMC:7100839</idno><idno type="doi">10.1007/s15010-010-0034-z</idno><date when="2010">2010</date><idno type="wicri:Area/Pmc/Corpus">000394</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000394</idno><idno type="wicri:Area/Pmc/Curation">000394</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000394</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza</title><author><name sortKey="F Lau, J T" sort="F Lau, J T" uniqKey="F Lau J" first="J. T." last="F. Lau">J. T. F. Lau</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Centre for Medical Anthropology and Behavioral Health, Sun Yat Sen University,</institution></institution-wrap>Guangzhou, China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Guangzhou</wicri:regionArea></affiliation></author><author><name sortKey="Tsui, H Y" sort="Tsui, H Y" uniqKey="Tsui H" first="H. Y." last="Tsui">H. Y. Tsui</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Kim, J H" sort="Kim, J H" uniqKey="Kim J" first="J. H." last="Kim">J. H. Kim</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Chan, P K S" sort="Chan, P K S" uniqKey="Chan P" first="P. K. S." last="Chan">P. K. S. Chan</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author><author><name sortKey="Griffiths, S" sort="Griffiths, S" uniqKey="Griffiths S" first="S." last="Griffiths">S. Griffiths</name><affiliation><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</nlm:aff><wicri:noCountry code="subfield">NT Hong Kong</wicri:noCountry></affiliation></author></analytic><series><title level="j">Infection</title><idno type="ISSN">0300-8126</idno><idno type="eISSN">1439-0973</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim of this study was to monitor changes in behavioral and emotional responses to human H5N1 in the community over a 28-month period (from November 2005 to February 2008).</p></sec><sec><title>Methods</title><p>A total of 3,527 Hong Kong Chinese adults were interviewed by telephone within the framework of six identical cross-sectional surveys carried out during the 28-month study period. Given a hypothetical scenario that two to three new human-to-human H5N1 cases had been reported in Hong Kong, the trends of the respondents in various H5N1-related risk perceptions, anticipated personal psychological responses, and anticipated personal preventive behaviors were investigated.</p></sec><sec><title>Results</title><p>Over time, a decreased proportion of the respondents (1) felt susceptible to contracting H5N1, (2) expected a large outbreak would eventually occur, (3) believed that the impacts of H5N1 were worse than those of severe acute respiratory syndrome (SARS), and (4) anticipated adopting more types of preventive measures and experiencing mental distress in the case of a small-scale outbreak in Hong Kong (AOR from 0.27 to 0.43, <italic>p</italic> < 0.001), but the public remained vigilant on public health behaviors, such as hand-washing. The prevalence of misconceptions on the mode of transmission declined, but remained high; perceptions on the fatality of H5N1 remained largely underestimated. The SARS experience and unconfirmed beliefs about the transmission modes were associated with variables on anticipated preventive behaviors and emotional distress.</p></sec><sec><title>Conclusion</title><p>Starting in 2005 through to 2008, respondents perceived a decreasing level of susceptibility, severity, and anticipated stress towards a hypothetical human-to-human H5N1 outbreak, possibly due to the low efficiency of transmission. The public’s general preparedness was still relatively good and rational, even though individual preventive behaviors were less common. However, misconceptions were prevalent among the respondents. Based on these results, public education is warranted to rectify these misconceptions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sims, Ld" uniqKey="Sims L">LD Sims</name></author><author><name sortKey="Ellis, Tm" uniqKey="Ellis T">Tm Ellis</name></author><author><name sortKey="Liu, Kk" uniqKey="Liu K">KK Liu</name></author><author><name sortKey="Dyrting, K" uniqKey="Dyrting K">K Dyrting</name></author><author><name sortKey="Wong, H" uniqKey="Wong H">H Wong</name></author><author><name sortKey="Peiris, M" uniqKey="Peiris M">M Peiris</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Yang, X" uniqKey="Yang X">X Yang</name></author><author><name sortKey="Tsui, H" uniqKey="Tsui H">H Tsui</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liao, Qy" uniqKey="Liao Q">QY Liao</name></author><author><name sortKey="Lam, Ww" uniqKey="Lam W">WW Lam</name></author><author><name sortKey="Dang, Vt" uniqKey="Dang V">VT Dang</name></author><author><name sortKey="Jiang, Cq" uniqKey="Jiang C">CQ Jiang</name></author><author><name sortKey="Udomprasertgul, V" uniqKey="Udomprasertgul V">V Udomprasertgul</name></author><author><name sortKey="Fielding, R" uniqKey="Fielding R">R Fielding</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Tsui, H" uniqKey="Tsui H">H Tsui</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author><author><name sortKey="Griffiths, S" uniqKey="Griffiths S">S Griffiths</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</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="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Kim, Jh" uniqKey="Kim J">JH Kim</name></author><author><name sortKey="Tsui, H" uniqKey="Tsui H">H Tsui</name></author><author><name sortKey="Griffiths, S" uniqKey="Griffiths S">S Griffiths</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jtf" uniqKey="Lau J">JTF Lau</name></author><author><name sortKey="Yang, X" uniqKey="Yang X">X Yang</name></author><author><name sortKey="Pang, E" uniqKey="Pang E">E Pang</name></author><author><name sortKey="Tsui, Hy" uniqKey="Tsui H">HY Tsui</name></author><author><name sortKey="Wong, E" uniqKey="Wong E">E Wong</name></author><author><name sortKey="Wing, Yk" uniqKey="Wing Y">YK Wing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tang, Cs" uniqKey="Tang C">CS Tang</name></author><author><name sortKey="Wong, Cy" uniqKey="Wong C">CY Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fielding, R" uniqKey="Fielding R">R Fielding</name></author><author><name sortKey="Lam, Ww" uniqKey="Lam W">WW Lam</name></author><author><name sortKey="Ho, Ey" uniqKey="Ho E">EY Ho</name></author><author><name sortKey="Lam, Th" uniqKey="Lam T">TH Lam</name></author><author><name sortKey="Hedley, Aj" uniqKey="Hedley A">AJ Hedley</name></author><author><name sortKey="Leung, Gm" uniqKey="Leung G">GM Leung</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wang, H" uniqKey="Wang H">H Wang</name></author><author><name sortKey="Feng, Z" uniqKey="Feng Z">Z Feng</name></author><author><name sortKey="Shu, Y" uniqKey="Shu Y">Y Shu</name></author><author><name sortKey="Yu, H" uniqKey="Yu H">H Yu</name></author><author><name sortKey="Zhou, L" uniqKey="Zhou L">L Zhou</name></author><author><name sortKey="Zu, R" uniqKey="Zu R">R Zu</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jtf" uniqKey="Lau J">JTF Lau</name></author><author><name sortKey="Tsui, Hy" uniqKey="Tsui H">HY Tsui</name></author><author><name sortKey="Lau, M" uniqKey="Lau M">M Lau</name></author><author><name sortKey="Yang, Xl" uniqKey="Yang X">XL Yang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ajzen, I" uniqKey="Ajzen I">I Ajzen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lau, Jt" uniqKey="Lau J">JT Lau</name></author><author><name sortKey="Tang, As" uniqKey="Tang A">AS Tang</name></author><author><name sortKey="Tsui, Hy" uniqKey="Tsui H">HY Tsui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheung, Tk" uniqKey="Cheung T">TK Cheung</name></author><author><name sortKey="Lam, Kf" uniqKey="Lam K">KF Lam</name></author><author><name sortKey="Hu, Wh" uniqKey="Hu W">WH Hu</name></author><author><name sortKey="Lam, Cl" uniqKey="Lam C">CL Lam</name></author><author><name sortKey="Wong, Wm" uniqKey="Wong W">WM Wong</name></author><author><name sortKey="Hui, Wm" uniqKey="Hui W">WM Hui</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Infection</journal-id><journal-id journal-id-type="iso-abbrev">Infection</journal-id><journal-title-group><journal-title>Infection</journal-title></journal-title-group><issn pub-type="ppub">0300-8126</issn><issn pub-type="epub">1439-0973</issn><publisher><publisher-name>Urban and Vogel</publisher-name><publisher-loc>Munchen</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">20582562</article-id><article-id pub-id-type="pmc">7100839</article-id><article-id pub-id-type="publisher-id">34</article-id><article-id pub-id-type="doi">10.1007/s15010-010-0034-z</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical and Epidemiological Study</subject></subj-group></article-categories><title-group><article-title>Monitoring of perceptions, anticipated behavioral, and psychological responses related to H5N1 influenza</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>F. Lau</surname><given-names>J. T.</given-names></name><address><phone>+852-2637-6606</phone><fax>+852-2645-3098</fax><email>jlau@cuhk.edu.hk</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Tsui</surname><given-names>H. Y.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>J. H.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Chan</surname><given-names>P. K. S.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Griffiths</surname><given-names>S.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>5/F, Prince of Wales Hospital, Shatin, NT Hong Kong</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>School of Public Health and Primary Care, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong, Prince of Wales Hospital,</institution></institution-wrap>Shatin, NT Hong Kong</aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="GRID">grid.10784.3a</institution-id><institution-id institution-id-type="ISNI">0000000419370482</institution-id><institution>Department of Microbiology, Faculty of Medicine,</institution><institution>The Chinese University of Hong Kong,</institution></institution-wrap>Shatin, NT Hong Kong</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="GRID">grid.12981.33</institution-id><institution-id institution-id-type="ISNI">000000012360039X</institution-id><institution>Centre for Medical Anthropology and Behavioral Health, Sun Yat Sen University,</institution></institution-wrap>Guangzhou, China</aff></contrib-group><pub-date pub-type="epub"><day>26</day><month>6</month><year>2010</year></pub-date><pub-date pub-type="ppub"><year>2010</year></pub-date><volume>38</volume><issue>4</issue><fpage>275</fpage><lpage>283</lpage><history><date date-type="received"><day>28</day><month>10</month><year>2009</year></date><date date-type="accepted"><day>25</day><month>5</month><year>2010</year></date></history><permissions><copyright-statement>© Urban & Vogel 2010</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>The aim of this study was to monitor changes in behavioral and emotional responses to human H5N1 in the community over a 28-month period (from November 2005 to February 2008).</p></sec><sec><title>Methods</title><p>A total of 3,527 Hong Kong Chinese adults were interviewed by telephone within the framework of six identical cross-sectional surveys carried out during the 28-month study period. Given a hypothetical scenario that two to three new human-to-human H5N1 cases had been reported in Hong Kong, the trends of the respondents in various H5N1-related risk perceptions, anticipated personal psychological responses, and anticipated personal preventive behaviors were investigated.</p></sec><sec><title>Results</title><p>Over time, a decreased proportion of the respondents (1) felt susceptible to contracting H5N1, (2) expected a large outbreak would eventually occur, (3) believed that the impacts of H5N1 were worse than those of severe acute respiratory syndrome (SARS), and (4) anticipated adopting more types of preventive measures and experiencing mental distress in the case of a small-scale outbreak in Hong Kong (AOR from 0.27 to 0.43, <italic>p</italic> < 0.001), but the public remained vigilant on public health behaviors, such as hand-washing. The prevalence of misconceptions on the mode of transmission declined, but remained high; perceptions on the fatality of H5N1 remained largely underestimated. The SARS experience and unconfirmed beliefs about the transmission modes were associated with variables on anticipated preventive behaviors and emotional distress.</p></sec><sec><title>Conclusion</title><p>Starting in 2005 through to 2008, respondents perceived a decreasing level of susceptibility, severity, and anticipated stress towards a hypothetical human-to-human H5N1 outbreak, possibly due to the low efficiency of transmission. The public’s general preparedness was still relatively good and rational, even though individual preventive behaviors were less common. However, misconceptions were prevalent among the respondents. Based on these results, public education is warranted to rectify these misconceptions.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Human-to-human H5N1</kwd><kwd>Perceptions</kwd><kwd>Preventive behaviors</kwd><kwd>Psychological responses</kwd><kwd>Chinese</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Urban & Vogel 2010</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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