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Changes in knowledge, perceptions, preventive behaviours and psychological responses in the pre-community outbreak phase of the H1N1 epidemic

  • J. T. F. LAU (a1) (a2), S. GRIFFITHS (a3), D. W. H. AU (a1) and K. C. CHOI (a1)
Summary
SUMMARY

To investigate the changes in community responsiveness during the pre-community-outbreak phase of the H1N1 epidemic in Hong Kong, a pooled sample of 999 adults was interviewed in three surveys (S1, S2, S3) from 7 May to 6 June 2009. Over time, fewer people felt confident in staying free from H1N1 infection in the following year (S1, 63·3%; S3, 46%; P<0·001). The level of distress due to H1N1 remained modest throughout the study period. People's confidence in the government's ability to control a large-scale H1N1 outbreak declined slightly at the third survey (S1, 80·5%; S3, 73·8%; P=0·025). Across the three surveys, respondents remained vigilant with frequent adoption of preventive measures (e.g. wearing face masks in public areas when suffering from influenza-like symptoms and frequent hand-washing). The public was generally supportive of the Hong Kong government although misconceptions regarding the disease were common. Provision of evidence-based public-health education is still warranted as the disease outbreak unfolds.

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Corresponding author
*Author for correspondence: Professor J. T. F. Lau, Associate Director, School of Public Health and Primary Care, Director, Centre for Health Behaviours Research, School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, 5/F, School of Public Health and Primary Care, Prince of Wales Hospital, Shatin, NT, Hong Kong. (Email: jlau@cuhk.edu.hk)
References
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1.World Health Organization. World now at the start of 2009 influenza pandemic, 2009 (http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/index.html). Accessed 30 June 2009.
2.World Health Organization. Influenza A(H1N1) – update 5, 2009 (http://www.who.int/csr/don/2009_06_29/en/index.html). Accessed 30 June 2009.
3.Fraser C, et al. Pandemic potential of a strain of influenza A (H1N1): early findings. Science 2009 (http://www.sciencemag.org/cgi/rapidpdf/1176062v2.pdf). Accessed 30 June 2009.
4.Centre for Health Protection, Hong Kong SAR Government. Last group of people under quarantine released, 2009 (http://www.chp.gov.hk/content.asp?lang=en&info_id=16970&id=116). Accessed 30 June 2009.
5.Centre for Health Protection, Hong Kong SAR Government. Update on human swine influenza, 2009 (http://www.chp.gov.hk/files/pdf/Daily_update_on_swine_influenza_bilingual.pdf). Accessed 30 June 2009.
6.Lau J, et al. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. Journal of Epidemiology and Community Health 2003; 57: 864870.
7.Leung G, et al. Longitudinal assessment of community psychobehavioural responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clinical Infectious Diseases 2005; 40: 17131720.
8.Wong W, et al. The cycle fear: a qualitative study of SARS and its impacts on kindergarten parents one year after the outbreak. Hong Kong Practitioner 2007; 29: 146155.
9.Lau J, et al. Anticipated and current preventive behaviours in response to an anticipated human-to-human H5N1 epidemic in the Hong Kong Chinese general population. BMC Infectious Diseases 2007; 7: 18.
10.Lau J, et al. Perceptions about status and modes of H5N1 transmission and associations with immediate behavioural responses in the Hong Kong general population. Preventive Medicine 2006; 43: 406410.
11.Lau J, et al. Widespread public misconception in the early phase of the H1N1 influenza epidemic. Journal of Infection 2009; 59: 122127.
12.Rubin G, et al. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. British Medical Journal 2009; 339: b2651.
13.Education Bureau. EDB announces 14-day class suspension of United Christian College (Kowloon East), 2009 (http://www.info.gov.hk/gia/general/200905/28/P200905280168.htm). Accessed 30 June 2009.
14.Centre for Health Protection, Hong Kong SAR Government. Three new cases of human swine influenza. (http://www.chp.gov.hk/content.asp?lang=en&info_id=17417&id=116), 2009. Accessed 30 June 2009.
15.Education Bureau. Arrangements for primary schools under the latest development of human swine influenza (HSI), 2009 (http://www.edb.gov.hk/FileManager/EN/Content_243/letter_to_pri_20090623_eng.pdf). Accessed 30 June 2009.
16.Hong Kong Office of the Telecommunications Authority. Key Telecommunications Statistics. Hong Kong Office of the Telecommunications Authority, 2009. (http://www.ofta.gov.hk/en/datastat/main.html). Accessed 30 June 2009.
17.Lau J, et al. Perceptions related to bird-to-human avian influenza, influenza vaccination, and use of face mask. Infection 2008; 36: 434443.
18.Lau J, et al. Perceptions related to human avian influenza and their associations with anticipated psychological and behavioural responses at the onset of outbreak in the Hong Kong Chinese general population. American Journal of Infection Control 2007; 35: 3849.
19.Lau J, et al. Impacts of SARS on health-seeking behaviours in general population in Hong Kong. Preventive Medicine 2005; 41: 454462.
20.Lau J, et al. Positive mental health-related impacts of the SARS epidemic on the general public in Hong Kong and their associations with other negative impacts. Journal of Infection 2006; 53: 114124.
21.Lau JT. Avoidance behaviors and negative psychological responses in the general population in the initial stage of the H1N1 pandemic in Hong Kong. BMC Infectious Diseases 2010; 10: 139.
22.Cowling B, et al. Preliminary findings of a randomized trial of non-pharmaceutical interventions to prevent influenza transmission in households. PLoS ONE 2008; 3: e2101.
23.NHS. Swine flu Q&A, 2009 (http://www.nhs.uk/Conditions/Pandemic-flu/Pages/QA.aspx#Whofacemask). Accessed 30 June 2009.
24.Lau J, et al. SARS-related perceptions in Hong Kong. Emerging Infectious Diseases 2004; 10: 587592.
25.Tang C, Wong C. An outbreak of the severe acute respiratory syndrome: predictors of health behaviours and effect of community prevention measures in Hong Kong, China. American Journal of Public Health 2003; 93: 1887–8.
26.Census and Statistics Department, Hong Kong SAR Government. Population by age group and sex, 2009 (http://www.censtatd.gov.hk/hong_kong_statistics/statistical_tables/index.jsp?subjectID=1&tableID=002). Accessed 30 June 2009.
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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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