The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Identifieur interne : 000273 ( Psycho/Analysis ); précédent : 000272; suivant : 000274The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong
Auteurs : G M Leung [Hong Kong] ; T-H Lam [Hong Kong] ; L-M Ho [Hong Kong] ; S-Y Ho [Hong Kong] ; B H Y. Chan [Hong Kong] ; I O L. Wong [Hong Kong] ; A J Hedley [Hong Kong]Source :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2003-11.
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.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Atypical, Communicable Diseases, Emerging (prevention & control), Communicable Diseases, Emerging (psychology), Community Health Services (standards), Community health, Cross-Sectional Studies, Disease Outbreaks (prevention & control), Epidemic, Female, Health promotion, Hong Kong, Hong Kong (epidemiology), Humans, Male, Middle Aged, Opinion inquiry, Pneumonia, Prevention, SARS, Severe Acute Respiratory Syndrome (epidemiology), Severe Acute Respiratory Syndrome (prevention & control), Severe Acute Respiratory Syndrome (psychology), Transmission from man to man, Viral disease, cross sectional study.
- 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.
- Teeft :
- Account background perceptions, Actual case fatality ratio, Adaptation, Psychological, Adolescent, Adult, Aged, Anxiety level, Anxiety levels, Attitude to Health, Chinese community, Clinical presentation, Community medicine, Contact history, Contract sars, Contracting sars, Cross-Sectional Studies, Current outbreak, Difficulty breathing, Direct contact, Educational attainment, Effect size, Epidemiological evidence, Equal attention, Face mask, Female, Fomite, Greater adoption, Health practices, Health services, Higher risk perceptions, Hong kong, Hong kong department, Humans, Indirect contacts, Infectious agent, Large effect, Large outbreaks, Linear trend, Male, Medium effect size, Middle Aged, 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:
- https://api.istex.fr/ark:/67375/NVC-BX1G0D2P-T/fulltext.pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1732323
DOI: 10.1136/jech.57.11.857
Affiliations:
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<term>Attitude to Health</term>
<term>Atypical</term>
<term>Communicable Diseases, Emerging (prevention & control)</term>
<term>Communicable Diseases, Emerging (psychology)</term>
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<term>Hong Kong (epidemiology)</term>
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<term>Pneumonia</term>
<term>Prevention</term>
<term>SARS</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (prevention & control)</term>
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<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>
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<term>Services de santé communautaires (normes)</term>
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<term>Syndrome respiratoire aigu sévère (épidémiologie)</term>
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<term>Enquête opinion</term>
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<term>Hong Kong</term>
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<term>Contracting sars</term>
<term>Cross-Sectional Studies</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>Female</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>
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<term>Indirect contacts</term>
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<term>Large effect</term>
<term>Large outbreaks</term>
<term>Linear trend</term>
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<term>Medium effect size</term>
<term>Middle Aged</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>
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<term>Preventive strategies</term>
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<term>Risk perception</term>
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<term>Sars outbreak</term>
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<term>State trait anxiety inventory</term>
<term>Statistics department</term>
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<term>Thematic household survey</term>
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<term>Femelle</term>
<term>Flambées de maladies</term>
<term>Hong Kong</term>
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<term>Syndrome respiratoire aigu sévère</term>
<term>Études transversales</term>
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<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. Continuing public education about preventive measures should be targeted at the identified groups with low current uptake of precautions.</div>
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