Stress, adherence to preventive measures for reducing influenza transmission and influenza-like illness
Identifieur interne : 000081 ( Psycho/Analysis ); précédent : 000080; suivant : 000082Stress, adherence to preventive measures for reducing influenza transmission and influenza-like illness
Auteurs : Vanessa Perez [États-Unis] ; Monica Uddin [États-Unis] ; Sandro Galea [États-Unis] ; Arnold S. Monto [États-Unis] ; Allison E. Aiello [États-Unis]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2012-07.
English descriptors
- Teeft :
- Academic year, Alcohol consumption, American indian, Arch intern, Average number, Baseline, Baseline gender, Behavioural characteristics, Black asian otherz employment, Clinical assessment, College students, Compliance, Compliance analyses, Continuous measure, Control groups, Covariates, Employment status, Epidemiol, Epidemiol community health, Epidemiological data, Epidemiology, Experimental studies, Face mask, Facemask, Facemask usage, Facemasks, Further studies, Future research, Gender, Gender differences, Gender disparity, Greater risk, Greater stress, Hall correlation, Hand hygiene, Hand hygiene compliance, Hand sanitiser, Hard rate, Health behaviours, Healthy persons, Higher levels, Hygiene, Illness increases, Illness symptoms, Increase susceptibility, Interquartile range, Intervention arms, Intervention period, Life events, Lower levels, Main predictor, Many studies, More drinks, Older adults, Optimal hand, Pandemic, Participant, Past week, Physical activity, Preventive measures, Previous week, Psychological factors, Psychological stress, Psychosocial, Psychosocial factors, Public health, Recent shot, Regression analyses, Residence hall, Residence halls, Respiratory illness, Review board, Sanitiser, Social epidemiology population health, Social support, Stress scores, Stressful life events, Study groups, Study period, Study population, Susceptibility, University residence halls, University students, Vaccination, Vaccination history, Viral transmission, Weekend days, Weekly surveys, Young adults, Yperceived stress.
Abstract
Background Using data from a randomised intervention trial of facemask use and hand hygiene for reducing transmission of seasonal influenza among university students, we examined if levels of perceived stress were negatively associated with adherence to these preventive measures and incidence of influenza-like illness (ILI). Methods Longitudinal analyses using generalised estimating equations were examined. Perceived stress was self-reported at baseline using a validated scale. Compliance with preventive measures was self-reported throughout the study period and reported ILI symptoms were defined as cough and one or more of fever/feverishness, chills and body aches. Results Higher levels of perceived stress were not associated with facemask or hand hygiene compliance. However, perceived stress was significantly associated with a greater ILI incidence (HR1.25, 95% CI 1.07 to 1.45) even after controlling for demographic and behavioural risk factors. Conclusions Among students in the university setting, higher levels of perceived stress affect ILI symptom reporting but not compliance with preventive measures for reducing transmission of influenza. Further studies are needed to examine whether psychological stress is a key mechanism explaining socio-demographic health disparities in confirmed influenza infection among healthy persons in the community setting.
Url:
DOI: 10.1136/jech.2010.117002
Affiliations:
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Methods Longitudinal analyses using generalised estimating equations were examined. Perceived stress was self-reported at baseline using a validated scale. Compliance with preventive measures was self-reported throughout the study period and reported ILI symptoms were defined as cough and one or more of fever/feverishness, chills and body aches. Results Higher levels of perceived stress were not associated with facemask or hand hygiene compliance. However, perceived stress was significantly associated with a greater ILI incidence (HR1.25, 95% CI 1.07 to 1.45) even after controlling for demographic and behavioural risk factors. Conclusions Among students in the university setting, higher levels of perceived stress affect ILI symptom reporting but not compliance with preventive measures for reducing transmission of influenza. Further studies are needed to examine whether psychological stress is a key mechanism explaining socio-demographic health disparities in confirmed influenza infection among healthy persons in the community setting.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li><li>État de New York</li></region><settlement><li>New York</li></settlement><orgName><li>Université Columbia</li></orgName></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Perez, Vanessa" sort="Perez, Vanessa" uniqKey="Perez V" first="Vanessa" last="Perez">Vanessa Perez</name></region><name sortKey="Aiello, Allison E" sort="Aiello, Allison E" uniqKey="Aiello A" first="Allison E" last="Aiello">Allison E. Aiello</name><name sortKey="Aiello, Allison E" sort="Aiello, Allison E" uniqKey="Aiello A" first="Allison E" last="Aiello">Allison E. Aiello</name><name sortKey="Aiello, Allison E" sort="Aiello, Allison E" uniqKey="Aiello A" first="Allison E" last="Aiello">Allison E. Aiello</name><name sortKey="Galea, Sandro" sort="Galea, Sandro" uniqKey="Galea S" first="Sandro" last="Galea">Sandro Galea</name><name sortKey="Monto, Arnold S" sort="Monto, Arnold S" uniqKey="Monto A" first="Arnold S" last="Monto">Arnold S. Monto</name><name sortKey="Perez, Vanessa" sort="Perez, Vanessa" uniqKey="Perez V" first="Vanessa" last="Perez">Vanessa Perez</name><name sortKey="Uddin, Monica" sort="Uddin, Monica" uniqKey="Uddin M" first="Monica" last="Uddin">Monica Uddin</name><name sortKey="Uddin, Monica" sort="Uddin, Monica" uniqKey="Uddin M" first="Monica" last="Uddin">Monica Uddin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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