Peltz Rami, Avisar-Shohat Galit, Bar-Dayan Yaron
IDF Home Front Command, Israel.
J Infect. 2007 Dec;55(6):545-50. doi: 10.1016/j.jinf.2007.07.014. Epub 2007 Sep 10.
In March 2006, 298,000 cases of birds infected with bird flu were destroyed in nine rural settlements in Israel, out of around 1.2 million birds that were destroyed within these settlements and in a radius of 3 km. The nationwide population was instructed to take preventive measures against the spread of infection. This study aims to compare the emotions, interest, sense of knowledge and compliance, of the population in the affected area with the nationwide general population, during the first phase of a bird flu outbreak in Israel.
We conducted a telephone survey among two randomly selected, representative samples of adults. One sample involved 500 adult residents of the nationwide area; and the other sample involved 103 adult residents of the affected area during the first phase of the outbreak. We measured perceived emotions, interest, sense of knowledge and compliance. We analyzed the differences in these parameters between the affected area and the nationwide population using chi-square and t-test analysis. A p value of less than 0.05 was considered to be statistically significant.
The compliance for using measures of precaution was high and not significantly different between the affected area and the nationwide population. The interest in bird flue and the sense of knowledge were significantly higher in the affected area compared to the nationwide population (p<0.05). A misconception of a high human to human transmission was significantly higher in the nationwide population compared with the affected area (p<0.05). The levels of stress and fear perception were significantly lower in the affected area compared to the nationwide population (p<0.05).
Interest, sense of knowledge and emotions of the population are different in the affected area during the early phase of bird flu outbreak compared with the general population in the same country. Authorities must consider these differences while planning the strategy of population education during the early phase of a bird flu outbreak.
2006年3月，以色列9个乡村定居点内约120万只禽类被扑杀，其中29.8万只为感染禽流感的禽类。这些定居点及其周边3公里范围内的禽类均被扑杀。全国民众都收到了预防感染传播的指示。本研究旨在比较以色列禽流感疫情爆发第一阶段，受影响地区民众与全国普通民众在情绪、关注度、知识认知度和依从性方面的差异。
我们对两个随机抽取的具有代表性的成年样本进行了电话调查。一个样本包括全国范围内500名成年居民；另一个样本包括疫情爆发第一阶段受影响地区的103名成年居民。我们测量了感知到的情绪、关注度、知识认知度和依从性。我们使用卡方检验和t检验分析，比较了受影响地区与全国人口在这些参数上的差异。p值小于0.05被认为具有统计学意义。
采取预防措施的依从性很高，受影响地区与全国人口之间没有显著差异。与全国人口相比，受影响地区对禽流感的关注度和知识认知度显著更高（p<0.05）。与受影响地区相比，全国人口中对人传人风险的误解显著更高（p<0.05）。与全国人口相比，受影响地区的压力和恐惧感知水平显著更低（p<0.05）。
与同一国家的普通民众相比，禽流感疫情爆发早期受影响地区民众的关注度、知识认知度和情绪有所不同。当局在制定禽流感疫情爆发早期的民众教育策略时，必须考虑这些差异。
