Knowledge, Attitudes and Practices (KAP) related to the Pandemic (H1N1) 2009 among Chinese General Population: a Telephone Survey

Abstract

BackgroundChina is at greatest risk of the Pandemic (H1N1) 2009 due to its huge population and high residential density. The unclear comprehension and negative attitudes towards the emerging infectious disease among general population may lead to unnecessary worry and even panic. The objective of this study was to investigate the Chinese public response to H1N1 pandemic and provide baseline data to develop public education campaigns in response to future outbreaks.MethodsA close-ended questionnaire developed by the Chinese Center for Disease Control and Prevention was applied to assess the knowledge, attitudes and practices (KAP) of pandemic (H1N1) 2009 among 10,669 responders recruited from seven urban and two rural areas of China sampled by using the probability proportional to size (PPS) method.Results30.0% respondents were not clear whether food spread H1N1 virusand. 65.7% reported that the pandemic had no impact on their life. The immunization rates of the seasonal flu and H1N1vaccine were 7.5% and 10.8%, respectively. Farmers and those with lower education level were less likely to know the main transmission route (cough or talk face to face). Female and those with college and above education had higher perception of risk and more compliance with preventive behaviors. Relationships between knowledge and risk perception (OR = 1.69; 95%CI 1.54-1.86), and knowledge and practices (OR = 1.57; 95%CI 1.42-1.73) were found among the study subjects. With regard to the behavior of taking up A/H1N1 vaccination, there are several related factors found in the current study population, including the perception of life disturbed (OR = 1.29; 95%CI 1.11-1.50), the safety of A/H1N1 vaccine (OR = 0.07; 95%CI 0.04-0.11), the knowledge of free vaccination policy (OR = 7.20; 95%CI 5.91-8.78), the state's priority vaccination strategy(OR = 1.33; 95%CI 1.08-1.64), and taking up seasonal influenza vaccine behavior (OR = 4.69; 95%CI 3.53-6.23).ConclusionsThis A/H1N1 epidemic has not caused public panic yet, but the knowledge of A/H1N1 in residents is not optimistic. Public education campaign may take the side effects of vaccine and the knowledge about the state's vaccination strategy into account.

Determinants of the public intent to receive the seasonal influenza vaccine and protective behaviors: A population-based study in Taiwan

“…Our findings indicated that knowledge was the most common predictor for these four protective behaviors. Knowledge of protective behaviors against influenza was associated with perceived changes in protective behaviors and an intent to receive an influenza vaccine, which is similar to the study among lay people and nurses [34,35], but inconsistent with previous findings regarding the intent to receive the H1N1 vaccine [4,36]. Although educational level was not associated with perceived changes in protective behaviors, similar to the H1N1 outbreak in Sweden [20], this finding contrasts with those of other studies [32,34,37].…”

“…Additionally, age was collapsed into three groups (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49), and 50 and above), and educational level was measured with four levels (primary and under, junior high school, senior high school, and college and above).…”

Knowledge, Attitude and Practice of Village Midwives Regarding Hepatitis B Virus in Khartoum State, Sudan- 2014

“…This study result has a clear significance association between illiteracy of village midwives and general knowledge and attitude regarding Hepatitis B virus. Usually knowledge, attitude and practices regarding health subjects are associated with literacy [19,20]. A study in Sudan among health care workers reflected that educated health care workers have adequate level of knowledge about Hepatitis B virus, while the illiterate labors have very low level of knowledge [21].…”

Acceptance on the move: Public reaction to shifting vaccination realities

“…61,71-73 Slightly higher levels were reported outside Europe, 74,75 and coverage in the US reached about 25%. 76 As a consequence of all these factors many countries were left with large stockpiles of unused vaccine, and health authorities were blamed for mismanaging the preparedness efforts and for wasting public funds.…”