Office for Disease Control and Emergency Response, Chinese Center for Disease Control and Prevention, Beijing, China.
BMC Infect Dis. 2010 Feb 21;10:34. doi: 10.1186/1471-2334-10-34.
Studies have revealed that visiting poultry markets and direct contact with sick or dead poultry are significant risk factors for H5N1 infection, the practices of which could possibly be influenced by people's knowledge, attitudes and practices (KAPs) associated with avian influenza (AI). To determine the KAPs associated with AI among the Chinese general population, a cross-sectional survey was conducted in China.
We used standardized, structured questionnaires distributed in both an urban area (Shenzhen, Guangdong Province; n = 1,826) and a rural area (Xiuning, Anhui Province; n = 2,572) using the probability proportional to size (PPS) sampling technique.
Approximately three-quarters of participants in both groups requested more information about AI. The preferred source of information for both groups was television. Almost three-quarters of all participants were aware of AI as an infectious disease; the urban group was more aware that it could be transmitted through poultry, that it could be prevented, and was more familiar with the relationship between AI and human infection. The villagers in Xiuning were more concerned than Shenzhen residents about human AI viral infection. Regarding preventative measures, a higher percentage of the urban group used soap for hand washing whereas the rural group preferred water only. Almost half of the participants in both groups had continued to eat poultry after being informed about the disease.
Our study shows a high degree of awareness of human AI in both urban and rural populations, and could provide scientific support to assist the Chinese government in developing strategies and health-education campaigns to prevent AI infection among the general population.
研究表明，接触家禽市场和患有疾病或死亡的家禽是感染 H5N1 的重要危险因素，而这些行为可能受到人们与禽流感相关的知识、态度和行为（KAP）的影响。为了确定中国普通人群中与禽流感相关的 KAP，我们在中国进行了一项横断面调查。
我们使用标准化、结构化的问卷，采用概率比例大小（PPS）抽样技术，在城市地区（广东省深圳市；n=1826）和农村地区（安徽省休宁县；n=2572）进行调查。
两组参与者中约有四分之三的人要求获得更多关于禽流感的信息。两组参与者都更喜欢通过电视获取信息。几乎所有参与者都知道禽流感是一种传染病；城市组更了解它可以通过家禽传播，可以预防，并且更熟悉禽流感与人类感染之间的关系。与深圳居民相比，休宁的村民更担心人类禽流感病毒感染。关于预防措施，城市组中更多的人用肥皂洗手，而农村组更喜欢只用清水。两组中几乎有一半的参与者在了解该疾病后继续食用家禽。
我们的研究表明，城市和农村人群对人类禽流感都有很高的认识，这可为中国政府制定策略和开展健康教育活动提供科学支持，以预防普通人群感染禽流感。
