期刊论文详细信息
BMC Infectious Diseases
Attitudes, practices and information needs regarding novel influenza A (H7N9) among employees of food production and operation in Guangzhou, Southern China: a cross-sectional study
Ming Wang2  MeiXia Li2  Weisi Liu2  Xiaomei Fan1  Pengzhe Qing2  Jing Feng2  Tiegang Li2 
[1] Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, China;Guangzhou Center for Disease Control and Prevention, No 1, Qide Rd, Jiahe, Baiyun District, Guangzhou, Guangdong Province 510440, China
关键词: Practices;    Information needs;    Influenza A (H7N9);    Health education;    Attitudes;   
Others  :  1135140
DOI  :  10.1186/1471-2334-14-4
 received in 2013-07-11, accepted in 2013-12-24,  发布年份 2014
【 摘 要 】

Background

As of 30 May 2013, 132 human infections with avian influenza A (H7N9) had been reported in 10 Chinese cities. On 17 May 2013, because a chicken infection with H7 subtype avian influenza virus was detected in Guanzhou, Guangzhou became the 11th city to conduct emergency response operations. The goal of this study was to identify attitudes, practices and information needs among employees of food production and operation in Guangzhou.

Methods

A cross-sectional survey of face-to-face interviews was used during 17–24 June 2013. All adults seeking health examination in Guangzhou Center for Disease Control and Prevention who had lived in Guangzhou for at least 3 months, were engaged in food production and operation, and agreed to participate were interviewed.

Results

Of 1,450 participants, 69.72% worried about being infected with the A/H7N9 and 74.41% stated that they had searched for information about A/H7N9. The internet (76.92%), television (67.56%), and newspapers (56.26%) were the main methods of obtaining information; the use of these methods differed significantly by various demographic variables (P < 0.05). More than one-fifth of participants complained that the information was not timely enough (20.28%) and was intentionally concealed by the government (20.76%). Nearly one-third (32.35%) did not believe that the government could control the A/H7N9 epidemic. Most participants (80.76%) reported washing hands more frequently than before, while over one-third (37.17%) stated no longer buying poultry. A total of 84.00% indicated a willingness to receive an A/H7N9 vaccine, and the primary reason for not being willing was concern about safety (58.19%). A history of influenza vaccination and worry about being infected with the A/H7N9 were significantly associated with intention to receive an A/H7N9 vaccine (P < 0.05).

Conclusions

Our findings provide insight into the attitudes and practices of employees of food production and operation 3 months after the first human A/H7N9 case reported in China, and 1 month after infected chickens were identified in Guangzhou. Distrust in the health department should be addressed, and more effort should be made to improve compliance of proper preventive measures to reduce panic among the public. The information needs should be taken into account in the next step of health education.

【 授权许可】

   
2014 Li et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Gao R, Cao B, Hu Y, Feng Z, Wang D, Hu W, Chen J, Jie Z, Qiu H, Xu K, et al.: Human infection with a novel avian-origin influenza A (H7N9) virus. N Engl J Med 2013, 368:1888-1897.
  • [2]Ke Y, Wang Y, Zhang W, Huang L, Chen Z: Deaths Associated with Avian Influenza A(H7N9) Virus in China. Ann Intern Med 2013, 159:159-160.
  • [3]National health and family planning commission of the people’s republic of China: overview of people infected with avian influenza A (H7N9) in China [in Chinese]. http://www.nhfpc.gov.cn/yjb/s3578/201307/75a172fb9cf54ede8f96da5c3f72efd4.shtml webcite
  • [4]Mei Z, Lu S, Wu X, Shao L, Hui Y, Wang J, Li T, Zhang H, Wang X, Yang F, et al.: Avian Influenza A(H7N9) Virus Infections, Shanghai, China. Emerg Infect Dis 2013, 19:1179-1181.
  • [5]Chen Y, Liang W, Yang S, Wu N, Gao H, Sheng J, Yao H, Wo J, Fang Q, Cui D, et al.: Human infections with the emerging avian influenza A H7N9 virus from wet market poultry: clinical analysis and characterisation of viral genome. Lancet 2013, 381:1916-1925.
  • [6]Pavia AT: Influenza A (H7N9): From Anxiety to Preparedness. Ann Intern Med 2013, 159:219-220.
  • [7]Li T, Fu C, Di B, Wu J, Yang Z, Wang Y, Li M, Lu J, Chen Y, Lu E, et al.: A two-year surveillance of 2009 pandemic influenza A (H1N1) in Guangzhou, China: from pandemic to seasonal influenza? PLoS One 2011, 6:e28027.
  • [8]Seale H, Heywood AE, McLaws M-L, Ward KF, Lowbridge CP, Van D, MacIntyre CR: Why do I need it? I am not at risk! Public perceptions towards the pandemic (H1N1) 2009 vaccine. BMC Infect Dis 2010, 10:99. BioMed Central Full Text
  • [9]Seale H, McLaws M, Heywood A, Ward K, Lowbridge C, Van D, Gralton J, MacIntyre C: The community’s attitude towards swine flu and pandemic influenza. MJA 2009, 191:267-269.
  • [10]Goodwin R, Haque S, Neto F, Myers LB, Goodwin R, Haque S, Neto F, Myers LB: Initial psychological responses to Influenza A, H1N1 (“Swine flu”). BMC Infect Dis 2009, 9:166. BioMed Central Full Text
  • [11]Jones JH, Salathe M: Early assessment of anxiety and behavioral response to novel swine-origin influenza A(H1N1). PLoS ONE 2009, 4:e8032.
  • [12]Rubin G, Amlot R, Page L, Wessely S: Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ 2009, 339:b2651.
  • [13]Balkhy HH, Abolfotouh MA, Al-Hathlool RH, Al-Jumah MA: Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public. BMC Infect Dis 2010, 10:42. BioMed Central Full Text
  • [14]Elledge BL, Brand M, Regens JL, Boatright DT: Implications of public understanding of avian influenza for fostering effective risk communication. Health Promot Pract 2008, 9(4 Suppl):54S-9S.
  • [15]Finkelstein J, Bedra M: Is Internet Search Better than Structured Instruction for Web-Based Health Education? Stud Health Technol Inform 2013, 190:65-67.
  • [16]Lau JT, Griffiths S, Choi KC, Tsui HY: Widespread public misconception in the early phase of the H1N1 influenza pandemic. J Infect 2009, 59:122-127.
  • [17]Lau JTF, Yang X, Tsui H, Kim JH: Monitoring community responses to the SARS pandemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health 2003, 57:864-870.
  • [18]Tang CSK, Wong C-Y: Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among Chinese in Hong Kong. Prev Med 2004, 39:1193.
  • [19]Leung GM, Ho LM, Chan SK, Ho SY, Bacon-Shone J, Choy RY, Hedley AJ, Lam TH, Fielding R: Longitudinal assessment of community psychobehavioral responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clin Infect Dis 2005, 40:1713-20.
  • [20]Liao Q, Cowling BJ, Lam WW, Fielding R: The influence of social-cognitive factors on personal hygiene practices to protect againstinfluenzas: using modelling to compare avian A/H5N1 and 2009 pandemic A/H1N1 influenzas inHong Kong. Int J Behav Med 2011, 18:93-104.
  • [21]Liao Q, Lam WW, Jiang CQ, Ho EY, Liu YM, Zhang WS, Richard F: Avian influenza risk perception and live poultry purchase in Guangzhou, China, 2006. Risk Anal 2009, 29:416-424.
  • [22]Liao Q, Cowling BJ, Lam WT, Fielding R: Changing perception of avian influenza risk, Hong Kong, 2006–2010. Emerg Infect Dis 2011, 17:2379-2380.
  • [23]Liao QY, Lam WW, Dang VT, Jiang CQ, Udomprasertgul V, Fielding R: What causes H5N1 avian influenza? Lay perceptions of H5N1 a etiology in South East and East Asia. J Public Health 2009, 31:573-581.
  • [24]Liao Q, Lam WT, Leung GM, Jiang C, Fielding R: Live poultry exposure, Guangzhou, China, 2006. Epidemics 2009, 1:207-212.
  • [25]Liao Q, Cowling BJ, Lam WW, Fielding R: Factors affecting intention to receive and self-reported receipt of 2009 pandemic (H1N1) vaccine in Hong Kong: a longitudinal study. PLoS One 2011, 6:e17713.
  • [26]Sypsa V, Livanios T, Psichogiou M, Malliori M: Public perceptions in relation to intention to receive pandemic influenza vaccination in a random population sample: evidence from a cross-sectional telephone survey. European Communicable Disease Bulletin 2009, 14:19437.
  • [27]Maurer J, Harris KM, Parker A, Lurie N, Maurer J, Harris KM, Parker A, Lurie N: Does receipt of seasonal influenza vaccine predict intention to receive novel H1N1 vaccine: evidence from a nationally representative survey of U.S. adults. Vaccine 2009, 27:5732-5734.
  • [28]Australian Institute of Health and Welfare: 2009 Adult Vaccination Survey Provisional topline results for H1N1 vaccination uptake. Canberra: Australian Government Department of Health and Ageing; 2010.
  • [29]Aihua H, Yansha C, Wenru F, Ming W: Investigation on information needs towards influenza pandemic among public in Guangzhou [Article in Chinese]. Chinese Journal of Epidemiology 2009, 11:1117-1120.
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