Lau Joseph T F, Yang Xilin, Tsui H Y, Kim Jean H
Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, China.
Prev Med. 2005 Aug;41(2):454-62. doi: 10.1016/j.ypmed.2004.11.023.
The severe acute respiratory syndrome (SARS) epidemic that occurred in Hong Kong in 2003 caused serious public health consequences. Its impacts on health-seeking behaviors of the general public have not been assessed.
Two cross-sectional, random telephone surveys interviewed 1603 Hong Kong adult residents in the post-SARS epidemic period, June and September 2003 to investigate changes in the post-SARS period.
Noteworthy percentages of the respondents self-reported increased frequencies of practicing favorable health-seeking behaviors in June 2003, as compared with the pre-SARS period. Few respondents reported the opposite. This was observed in different dimensions: health services seeking, adoption of healthier lifestyle, spending more resources on health, adoption of good personal hygiene, mask use when ill with influenza, and avoidance of risk behaviors. The frequencies of practicing most of these health-seeking behaviors, as measured in June and September 2003, were comparable. Further increases in healthy diet and weight control, etc., were observed during that period. Those who worried about contracting SARS were more likely to have improved health-seeking behaviors.
The community in Hong Kong responded to the SARS epidemic by practicing more favorable health-seeking behaviors. Public health workers should utilize these opportunities to foster favorable changes.
2003年在香港发生的严重急性呼吸系统综合症(SARS)疫情造成了严重的公共卫生后果。其对普通公众求医行为的影响尚未得到评估。
在2003年6月和9月SARS疫情过后,通过两次横断面随机电话调查,对1603名香港成年居民进行了访谈,以调查SARS疫情过后的变化情况。
与SARS疫情之前相比,值得注意的是,有一定比例的受访者自称在2003年6月增加了采取有益求医行为的频率。很少有受访者表示情况相反。在不同方面均观察到这一现象:寻求医疗服务、采取更健康的生活方式、在健康方面投入更多资源、保持良好个人卫生习惯、患流感时戴口罩以及避免危险行为。2003年6月和9月所衡量的这些求医行为中,大多数行为的频率相当。在此期间,健康饮食和体重控制等行为进一步增加。那些担心感染SARS的人更有可能改善求医行为。
香港社区通过采取更有益的求医行为应对了SARS疫情。公共卫生工作者应利用这些机会促成有益的变化。