A Social‐Cognitive Model of Pandemic Influenza H1N1 Risk Perception and Recommended Behaviors in Italy

Prati, Gabriele; Zani, Bruna

doi:10.1111/j.1539-6924.2010.01529.x

Cited by 171 publications

(211 citation statements)

References 41 publications

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“…Existing research on the public's response to pandemic influenza emphasises compliance with PARs and assesses measures for dealing with the problem of noncompliance with warnings (Casman and Fischhoff, ; Wein and Atkinson, ; Balkhy et al, ; Prati, Pietrantoni, and Zani, ). A few studies have looked at how and why people adopt PARs in the context of a pandemic.…”

Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

Compliance with recommended protective actions during an H7N9 emergency: a risk perception perspective

2017

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This study investigates the factors determining an individual's response to official recommended protective measures, based on the Health Belief Model and the Protective Action Decision Model, to understand the adoption of protective behaviour during an H7N9 (Avian Influenza A) emergency. A public survey involving 1,375 respondents was conducted in Anhui Province, China, during the 2013 H7N9 outbreak to test the research model and hypotheses. The results indicate that protective, stakeholder, and risk perceptions influence positively an individual's willingness to take recommended actions. Protective and stakeholder perceptions also have a positive bearing on lay people's risk perceptions. A stakeholder perception is a vital determinant of a protective perception. More importantly, the effects of protective and stakeholder perceptions on behavioural responses to recommendations are mediated in part by risk perception. These findings can help public health officials to develop messages to encourage members of the population to protect themselves effectively during an influenza crisis.

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Section: Literature Review and Theoretical Frameworkmentioning

confidence: 99%

Compliance with recommended protective actions during an H7N9 emergency: a risk perception perspective

2017

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“…However, few studies have tested these hypotheses within any theoretical frameworks. Studies of pandemic influenza A/H1N1 found that older respondents perceived greater severity of, but lower personal susceptibility to the disease while males generally perceived lower severity of and personal susceptibility to the disease [15, 17]. Few studies reported the relationships between educational attainment and risk perception of influenza.…”

Section: Introductionmentioning

confidence: 99%

Avian influenza A/H7N9 risk perception, information trust and adoption of protective behaviours among poultry farmers in Jiangsu Province, China

et al. 2017

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BackgroundPoultry farmers are at high-risk from avian influenza A/H7N9 infection due to sustained occupational exposures to live poultry. This study examined factors associated with poultry farmers’ adoption of personal protective behaviours (PPBs) based on Protection Motivation Theory (PMT).MethodsTotally, 297 poultry farmers in three cities of Jiangsu Province, China were interviewed during November 2013-January 2014. Data on PMT constructs, perceived trustworthiness of A/H7N9 information from mass media (formal sources), friends and family (informal sources), intention to adopt and actual adoption of PPBs and respondents’ demographics were collected. Structural equation modeling (SEM) identified associations between demographic factors and PMT constructs associated with A/H7N9-oriented PPB intention. Moderated mediation analysis examined how demographics moderated the effects of information trust on PPB intention via risk perceptions of A/H7N9.ResultsRespondents generally perceived low vulnerability to A/H7N9 infection. The SEM found that male respondents perceived lower severity of (β = −0.23), and lower vulnerability to (β = -0.15) A/H7N9 infection; age was positively associated with both perceived personal vulnerability to (β = 0.21) and perceived self-efficacy (β = 0.24) in controlling A/H7N9; education was positively associated with perceived response efficacy (β = 0.40). Furthermore, perceived vulnerability (β = 0.16), perceived self-efficacy (β = 0.21) and response efficacy (β = 0.67) were positively associated with intention to adopt PPBs against A/H7N9. More trust in informal information (TII) was only significantly associated with greater PPB intention through its positive association with perceived response efficacy. Age significantly moderated the associations of TII with perceived Self-efficacy and perceived response efficacy, with younger farmers who had greater TII perceiving lower self-efficacy but higher response efficacy.ConclusionPoultry farmers perceive A/H7N9 as a personally-irrelevant risk. Interventions designed to enhance perceived response efficacy, particularly among lower educated respondents may effectively motivate adoption of PPBs. Informal information may be an important resource for enhancing response efficacy.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4364-y) contains supplementary material, which is available to authorized users.

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“…In October 2009 (four months after the start of the Level 6 alert) we modified a previously implemented survey and conducted a second national Canadian survey on pandemic preparedness and management ethics [9] which remained in the field until May 2010 during considerable fluctuations in risk perceptions, influenced by personal experiences and media reports on during the outbreak [10,11]. Survey responses were likely influenced by these socio-environmental fluctuations [12]. …”

Section: Introductionmentioning

confidence: 99%

Canadian national surveys on pandemic influenza preparations: pre-pandemic and peri-pandemic findings

et al. 2013

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BackgroundPrior to the 2009 H1N1 Influenza pandemic, public health authorities in Canada and elsewhere prepared for the future outbreak, partly guided by an ethical framework developed within the Canadian Program of Research on Ethics in a Pandemic (CanPREP). We developed a telephone-based survey based on that framework, which was delivered across Canada in late 2008. In June, 2009, the WHO declared pandemic Phase 6 status and from the subsequent October (2009) until May 2010, the CanPREP team fielded a second (revised) survey, collecting another 1,000 opinions from Canadians during a period of pre-pandemic anticipation and peri-pandemic experience.MethodsSurveys were administered by telephone with random sampling achieved via random digit dialing. Eligible participants were adults, 18 years or older, with per province stratification approximating provincial percentages of national population. Descriptive results were tabulated and logistic regression analyses used to assess whether demographic factors were significantly associated with outcomes, and to identify divergences (between the pre-pandemic and intra-pandemic surveys).ResultsN = 1,029 interviews were completed from 1,986 households, yielding a gross response rate of 52% (AAPOR Standard Definition 3). Over 90% of subjects indicated the most important goal of pandemic influenza preparations was saving lives, with 41% indicating that saving lives solely in Canada was the highest priority and 50% indicating saving lives globally was the highest priority. About 90% of respondents supported the obligation of health care workers to report to work and face influenza pandemic risks excepting those with serious health conditions which that increased risks. Strong majorities favoured stocking adequate protective antiviral dosages for all Canadians (92%) and, if effective, influenza vaccinations (95%). Over 70% agreed Canada should provide international assistance to poorer countries for pandemic preparation, even if resources for Canadians were reduced.ConclusionsResults suggest Canadians trust public health officials to make difficult decisions, providing emphasis is maintained on reciprocity and respect for individual rights. Canadians also support international obligations to help poorer countries and associated efforts to save lives outside the country, even if intra-national efforts are reduced.

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A Social‐Cognitive Model of Pandemic Influenza H1N1 Risk Perception and Recommended Behaviors in Italy

Cited by 171 publications

References 41 publications

Compliance with recommended protective actions during an H7N9 emergency: a risk perception perspective

Compliance with recommended protective actions during an H7N9 emergency: a risk perception perspective

Avian influenza A/H7N9 risk perception, information trust and adoption of protective behaviours among poultry farmers in Jiangsu Province, China

Canadian national surveys on pandemic influenza preparations: pre-pandemic and peri-pandemic findings

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