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人类心理学:传染病的反动行为方面。

Homo-psychologicus: Reactionary behavioural aspects of epidemics.

机构信息

Wolfson Centre for Mathematical Biology, Mathematical Institute, University of Oxford, Oxford OX2 6GG, UK.

Simon A. Levin Mathematical, Computational and Modeling Sciences Center, Arizona State University, Tempe, AZ 85287-3901, United States.

出版信息

Epidemics. 2016 Mar;14:45-53. doi: 10.1016/j.epidem.2015.09.003. Epub 2015 Oct 14.

Abstract

We formulate an in silico model of pathogen avoidance mechanism and investigate its impact on defensive behavioural measures (e.g., spontaneous social exclusions and distancing, crowd avoidance and voluntary vaccination adaptation). In particular, we use SIR(B)S (e.g., susceptible-infected-recovered with additional behavioural component) model to investigate the impact of homo-psychologicus aspects of epidemics. We focus on reactionary behavioural changes, which apply to both social distancing and voluntary vaccination participations. Our analyses reveal complex relationships between spontaneous and uncoordinated behavioural changes, the emergence of its contagion properties, and mitigation of infectious diseases. We find that the presence of effective behavioural changes can impede the persistence of disease. Furthermore, it was found that under perfect effective behavioural change, there are three regions in the response factor (e.g., imitation and/or reactionary) and behavioural scale factor (e.g., global/local) factors ρ-α behavioural space. Mainly, (1) disease is always endemic even in the presence of behavioural change, (2) behavioural-prevalence plasticity is observed and disease can sometimes be eradication, and (3) elimination of endemic disease under permanence of permanent behavioural change is achieved. These results suggest that preventive behavioural changes (e.g., non-pharmaceutical prophylactic measures, social distancing and exclusion, crowd avoidance) are influenced by individual differences in perception of risks and are a salient feature of epidemics. Additionally, these findings indicates that care needs to be taken when considering the effect of adaptive behavioural change in predicting the course of epidemics, and as well as the interpretation and development of the public health measures that account for spontaneous behavioural changes.

摘要

我们构建了病原体规避机制的计算模型,并研究了它对防御性行为措施(例如,自发的社会排斥和隔离、人群回避和自愿接种疫苗的适应)的影响。特别是,我们使用 SIR(B)S(例如,易感-感染-恢复,加上行为成分)模型来研究传染病中人类心理学方面的影响。我们关注的是反应性的行为变化,这些变化既适用于社交距离,也适用于自愿接种疫苗的参与。我们的分析揭示了自发和不协调的行为变化之间的复杂关系,以及其传染性的出现和传染病的缓解。我们发现,有效的行为变化的存在可以阻碍疾病的持续存在。此外,我们还发现,在完美的有效行为变化下,在响应因子(例如,模仿和/或反应性)和行为规模因子(例如,全局/局部)的 ρ-α 行为空间中存在三个区域。主要有:(1)即使存在行为变化,疾病也总是地方性的;(2)观察到行为流行率的可塑性,疾病有时可以被消除;(3)通过永久性的行为变化维持,消除地方性疾病。这些结果表明,预防性行为变化(例如,非药物预防措施、社会隔离和排斥、人群回避)受到个体对风险感知的差异的影响,这是传染病的一个显著特征。此外,这些发现表明,在预测传染病的过程中,需要谨慎考虑适应性行为变化的影响,以及解释和制定考虑自发行为变化的公共卫生措施。

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