Department of Public Health, Temple University,Philadelphia, PA 19122,
Disaster Med Public Health Prep. 2010 Jun;4(2):135-44. doi: 10.1001/dmphp.d-09-00052r2.
An influenza pandemic, such as that of the H1N1 virus, raises questions about how to respond effectively to a lethal outbreak. Most plans have focused on minimizing impact by containing the virus through quarantine, but quarantine has not been used widely in the United States and little is known about what would be the public's response. The purpose of this study was to investigate factors that influence an individual's decision to comply with a hypothetical avian influenza quarantine order.
A total of 1204 adult Pennsylvania residents participated in a random digit dial telephone sample. The residents were interviewed regarding their attitudes about and knowledge of avian influenza and about compliance with quarantine orders, including staying at home or traveling to a government-designated facility.
Analysis of variance showed differences among demographic groups in willingness to comply with quarantine orders, with women and individuals not presently employed more willing to stay at home or to travel to a government-designated facility if ordered. Those who did not regularly attend religious services were significantly less willing than those who did attend regularly to comply with any type of quarantine order. Regression analysis indicated that demographic variables, overall knowledge of avian influenza, attitudes about its severity, and the belief that the respondent and/or his or her significant other(s) may contract it were predictive.
The results of this study can provide health planners and policy makers with information for improving their efforts to conduct a quarantine successfully, including crafting messages and targeting information to certain groups of people to communicate risk about the epidemic.
流感大流行，如 H1N1 病毒，引发了如何有效应对致命疫情的问题。大多数计划都侧重于通过隔离来最大限度地减少病毒的影响，但隔离在美国并没有被广泛使用，对于公众的反应知之甚少。本研究旨在调查影响个人遵守假设性禽流感隔离命令的因素。
共有 1204 名宾夕法尼亚州成年居民参与了随机数字拨号电话抽样。对居民进行了关于他们对禽流感的态度和知识以及对隔离令遵守情况的调查，包括留在家中或前往政府指定的设施。
方差分析显示，在遵守隔离令的意愿方面，不同人群存在差异，女性和目前未就业的人更愿意留在家中或前往政府指定的设施，如果接到命令。那些不经常参加宗教服务的人比那些经常参加宗教服务的人更不愿意遵守任何类型的隔离令。回归分析表明，人口统计学变量、对禽流感的总体认识、对其严重性的态度以及认为受访者及其重要他人可能感染该病的信念是可以预测的。
本研究结果可为卫生规划者和政策制定者提供信息，以帮助他们成功实施隔离措施，包括制定信息传递策略并将信息传达给某些人群，以传达有关疫情的风险。
