Kim Soo Jeong, Han Jin A, Lee Tae-Yong, Hwang Tae-Yoon, Kwon Keun-Sang, Park Ki Soo, Lee Kyung Jong, Kim Moon Shik, Lee Soon Young
Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea.
Department of Preventive Medicine and Public Health, School of Medicine, Chungnam National University, Gwangju, Korea.
Osong Public Health Res Perspect. 2014 Feb;5(1):9-19. doi: 10.1016/j.phrp.2013.12.001. Epub 2014 Jan 10.
The present study aimed to investigate the prevalence of and factors associated with H1N1 preventive behaviors in a community-based population.
A cross-sectional study was conducted in three urban and two rural communities in Korea. Interviews were conducted with 3462 individuals (1608 men and 1854 women) aged ≥ 19 years during February-March 2010. Influenza-related information including anxiety, preventive behaviors and their perceived effectiveness, vaccination status, past influenza-like illness symptoms, and sources of and trust in information was obtained.
Among 3462 participants, 173 reported experiencing influenza-like illness symptoms within the past 12 months. The mean H1N1 preventive behavior score was 25.5 ± 5.5 (out of a possible 40). The percent of participants reporting high perceived effectiveness and high anxiety was 46.2% and 21.4%, respectively. After controlling for potential confounders, H1N1 preventive behavior scores were predicted by a high (β = 3.577, p < 0.001) or moderate (β = 2.529, p < 0.001) perception of their effectiveness. Similarly, moderate (β = 1.516, p < 0.001) and high (β = 4.103, p < 0.001) anxiety scores predicted high preventive behavior scores.
Effective methods of promoting population behavior change may be nationwide campaigns through mass media, as well as education and promotion by health care providers and broadcasters.
本研究旨在调查社区人群中甲型H1N1流感预防行为的流行情况及相关因素。
在韩国的三个城市社区和两个农村社区进行了一项横断面研究。2010年2月至3月期间,对3462名年龄≥19岁的个体(1608名男性和1854名女性)进行了访谈。获取了与流感相关的信息,包括焦虑、预防行为及其感知效果、疫苗接种状况、过去的流感样疾病症状以及信息来源和对信息的信任度。
在3462名参与者中,173人报告在过去12个月内出现过流感样疾病症状。甲型H1N1流感预防行为的平均得分是25.5±5.5(满分40分)。报告感知效果高和焦虑程度高的参与者比例分别为46.2%和21.4%。在控制了潜在混杂因素后,甲型H1N1流感预防行为得分可通过对其效果的高(β = 3.577,p < 0.001)或中度(β = 2.529,p < 0.001)感知来预测。同样,中度(β = 1.516,p < 0.001)和高度(β = 4.103,p < 0.001)焦虑得分可预测高预防行为得分。
促进人群行为改变的有效方法可能是通过大众媒体开展全国性运动,以及由医疗保健提供者和广播公司进行教育和推广。