Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA.
Lancet Infect Dis. 2012 Nov;12(11):845-50. doi: 10.1016/S1473-3099(12)70206-2. Epub 2012 Oct 5.
Many important strategies to reduce the spread of pandemic influenza need public participation. To assess public receptivity to such strategies, we compared adoption of preventive behaviours in response to the 2009 H1N1 influenza pandemic among the public in five countries and examined whether certain non-pharmaceutical behaviours (such as handwashing) were deterrents to vaccination. We also assessed public support for related public health recommendations.
We used data from simultaneous telephone polls (mobile telephone and landline) in Argentina, Japan, Mexico, the UK, and the USA. In each country, interviews were done in a nationally representative sample of adults, who were selected by the use of random digit dial techniques. The questionnaire asked people whether or not they had adopted each of various preventive behaviours (non-pharmaceutical--such as personal protective and social distancing behaviour--or vaccinations) to protect themselves or their family from H1N1 at any point during the pandemic. Two-tailed t tests were used for statistical analysis.
900 people were surveyed in each country except the USA where 911 people were contacted. There were wide differences in the adoption of preventive behaviours between countries, although certain personal protective behaviours (eg, handwashing) were more commonly adopted than social distancing behaviours (eg, avoiding places where many people gather) across countries (53-89%vs 11-69%). These non-pharmaceutical behaviours did not reduce the likelihood of getting vaccinated in any country. There was also support across all countries for government recommendations related to school closure, avoiding places where many people gather, and wearing masks in public.
There is a need for country-specific approaches in pandemic policy planning that use both non-pharmaceutical approaches and vaccination.
US Centers for Disease Control and Prevention and the National Public Health Information Coalition.
许多减少大流行性流感传播的重要策略需要公众参与。为了评估公众对这些策略的接受程度，我们比较了五个国家的公众在应对 2009 年 H1N1 流感大流行时采取预防措施的情况，并研究了某些非药物行为（如洗手）是否会对疫苗接种产生抵触。我们还评估了公众对相关公共卫生建议的支持程度。
我们使用了来自阿根廷、日本、墨西哥、英国和美国同时进行的电话调查（移动电话和固定电话）的数据。在每个国家，通过随机数字拨号技术对具有代表性的成年人样本进行了访谈。问卷询问了人们在大流行期间是否采取了各种预防措施（非药物措施，如个人保护和社会隔离措施，或疫苗接种）来保护自己或家人免受 H1N1 的侵害。使用双尾 t 检验进行统计分析。
除美国外，每个国家都调查了 900 人，而美国则联系了 911 人。各国之间采取预防措施的情况存在很大差异，尽管某些个人保护行为（如洗手）比社会隔离行为（如避免人群聚集的地方）更为常见（53-89%比 11-69%）。这些非药物行为在任何国家都不会降低接种疫苗的可能性。所有国家都支持与关闭学校、避免人群聚集的地方和在公共场所戴口罩相关的政府建议。
大流行政策规划需要采取特定国家的方法，同时使用非药物方法和疫苗接种。
美国疾病控制与预防中心和国家公共卫生信息联盟。
