自我报告的在大流行（H1N1）2009 期间遵守医生建议留在家中的预期依从性：2009 年昆士兰社会调查结果。
Self-reported anticipated compliance with physician advice to stay home during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey.
机构信息
Anton Breinl Centre, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, Queensland, Australia.
出版信息
BMC Public Health. 2010 Mar 16;10:138. doi: 10.1186/1471-2458-10-138.
BACKGROUND
One strategy available to public health officials during a pandemic is physician recommendations for isolation of infected individuals. This study was undertaken during the height of the Australian pandemic (H1N1) 2009 outbreak to measure self-reported willingness to comply with physician recommendations to stay home for seven days, and to compare responses for the current strain of pandemic influenza, avian influenza, seasonal influenza, and the common cold.
METHODS
Data were collected as part of the Queensland Social Survey (QSS) 2009, which consisted of a standardized introduction, 37 demographic questions, and research questions incorporated through a cost-sharing arrangement. Four questions related to respondents' anticipated compliance with a physician's advice to stay home if they had a common cold, seasonal influenza, pandemic (H1N1) 2009 influenza or avian influenza were incorporated into QSS 2009, with responses recorded using a balanced Likert scale ranging from "very unlikely" to "very likely." Discordance between responses for different diseases was analysed using McNemar's test. Associations between demographic variables and anticipated compliance were analysed using Pearson's chi-square or chi-square for linear-by-linear association, and confirmed using multivariate logistic regression; p < 0.05 was used to establish statistical significance.
RESULTS
Self-reported anticipated compliance increased from 59.9% for the common cold to 71.3% for seasonal influenza (p < .001), and to 95.0% for pandemic (H1N1) 2009 influenza and 94.7% for avian influenza (p < 0.001 for both versus seasonal influenza). Anticipated compliance did not differ for pandemic (H1N1) 2009 and avian influenza (p = 0.815). Age and sex were both associated with anticipated compliance in the setting of seasonal influenza and the common cold. Notably, 27.1% of health and community service workers would not comply with physician advice to stay home for seasonal influenza.
CONCLUSIONS
Ninety-five percent of people report they would comply with a physicians' advice to stay home for seven days if they are diagnosed with pandemic (H1N1) 2009 or avian influenza, but only 71% can be expected to comply in the setting of seasonal influenza and fewer still can be expected to comply if they are diagnosed with a common cold. Sub-populations that might be worthwhile targets for public health messages aimed at increasing the rate of self-imposed isolation for seasonal influenza include males, younger people, and healthcare workers.
背景
在大流行期间，公共卫生官员可采取的一项策略是医生建议对感染者进行隔离。本研究在澳大利亚大流行（H1N1）2009 爆发期间进行，目的是衡量自我报告的遵守医生建议在家中隔离七天的意愿，并比较当前大流行性流感、禽流感、季节性流感和普通感冒的反应。
方法
数据是作为昆士兰社会调查（QSS）2009 的一部分收集的，该调查包括标准化介绍、37 项人口统计问题和通过成本分担安排纳入的研究问题。QSS 2009 纳入了四个与受访者如果患有普通感冒、季节性流感、大流行（H1N1）2009 流感或禽流感时预计遵守医生建议留在家中的意愿相关的问题，使用平衡的李克特量表记录回答，范围从“不太可能”到“非常可能”。使用 McNemar 检验分析不同疾病之间反应的差异。使用 Pearson 卡方检验或线性卡方检验分析人口统计学变量与预期一致性之间的关联，并使用多元逻辑回归进行确认；p < 0.05 用于确定统计学意义。
结果
自我报告的预期一致性从普通感冒的 59.9%增加到季节性流感的 71.3%（p <.001），再增加到大流行（H1N1）2009 流感的 95.0%和禽流感的 94.7%（季节性流感的 p < 0.001）流感）。大流行（H1N1）2009 流感和禽流感之间的预期一致性没有差异（p = 0.815）。年龄和性别在季节性流感和普通感冒的情况下均与预期一致性相关。值得注意的是，27.1%的卫生和社区服务工作者不会遵守医生建议在家中隔离治疗季节性流感。
结论
如果被诊断患有大流行（H1N1）2009 或禽流感，95%的人表示他们会遵守医生建议在家中隔离七天，但如果被诊断患有季节性流感，只有 71%的人可以预期会遵守，而被诊断患有普通感冒的人则更少。可能是增加季节性流感自我隔离率的公共卫生信息的有价值目标的亚人群包括男性、年轻人和医疗保健工作者。
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