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Yin Q, Shao X, Zhang R, Fan J, Dong W, Deng G. Psychophysical Risk Perceptions and Sleep Quality of Medical Assistance Team Members in Square Cabin Hospitals: A Repeated Cross-Sectional Study. Healthcare (Basel) 2022; 10:2048. [PMID: 36292495 PMCID: PMC9602534 DOI: 10.3390/healthcare10102048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2022] [Revised: 10/08/2022] [Accepted: 10/13/2022] [Indexed: 11/21/2022] Open
Abstract
Objective: This study aimed to evaluate the association between the perceptions of psychophysical risks and sleep quality of Medical Assistance Team Members (MATMs) in Square Cabin Hospitals. Methods: Repeated cross-sectional data collection was conducted in Square Cabin Hospitals during two large-scale lockdowns. The first wave was sampled from MATMs dispatched to Wuhan and the second was from MATMs dispatched to Shanghai. Participants completed online questionnaires comprised of the Risk Perception Questionnaire (RPQ), Positive and negative emotions scale (PANAS), and Sleep Quality Scale (SQS), measuring the psychophysical risk perceptions about the MATMs' current work, emotional states, and sleep quality. Changes across two waves of data collection were statistically parsed using the exploratory factor analysis and regression models. Results: Data of 220 participants from first-wave samples [S1] and 300 from second-wave samples [S2] were analyzed. Participants reported more worries about physical risks, such as inadequate protection methods and being infected, and S1 rated higher on all risks compared with S2 (as the biggest p-value was 0.021). Across the different situations, the dominant emotional states of MATMs were positive; a higher level of psychophysical risk perceptions, negative emotional states, and poor sleep quality were consistently interrelated. The psychophysical risk perceptions predicted sleep quality. Negative emotions as a state variable intensified the relationship between physical risk perceptions and sleep quality (bindirect effect = 1.084, bootstrapped CI = [0.705, 1.487]). Conclusions: The results provide important evidence that MATMs' higher level of psychophysical risk perceptions associated with negative emotions could indicate worse sleep quality.
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Affiliation(s)
- Qianlan Yin
- Department of Psychology, Navy Medical University, Shanghai 200433, China
| | - Xiaoqin Shao
- Department of Psychology, Navy Medical University, Shanghai 200433, China
| | - Rong Zhang
- Department of Nursing, No. 989 Hospital of Joint Logistics Support Forces of PLA, Luoyang 471031, China
| | - Jiemei Fan
- Department of Critical Care Medicine, Jinling Hospital, Nanjing 210002, China
| | - Wei Dong
- Department of Psychology, Navy Medical University, Shanghai 200433, China
- Department of Psychology, Fudan University, Shanghai 200011, China
| | - Guanghui Deng
- Department of Psychology, Navy Medical University, Shanghai 200433, China
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Wiwattanapantuwong J, Tuicomepee A, Suttiwan P, Watakakosol R, Ben-Ezra M, Goodwin R. For better or worse: Relationship change in Thailand during COVID-19. PLoS One 2022; 17:e0264614. [PMID: 35613113 PMCID: PMC9132297 DOI: 10.1371/journal.pone.0264614] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Accepted: 02/15/2022] [Indexed: 11/19/2022] Open
Abstract
Objective Novel infectious diseases have the potential to both strengthen or weaken interpersonal relationships within a society. In a collectivist setting such as Thailand amplification of relationships may be particularly marked, but may be associated with individual factors, including personal values and perceived control over the virus. Methods A national on-street survey in Thailand (April 2020, N = 1,000), collected data from five regions across the country (response rate 82.6%). Participants reported demographics, anxiety, perceived control, and personal values of security and universalism, and indicated changes, from negative to positive, across four relationship types (relationship partners, family, friendships and neighbourhood). Results While relationship changes were small overall, there was an improvement in close relations (partners, family members) but not amongst friends and neighbours. Respondents who were married without children recorded less enhancement of partnerships, friendships and neighbourhood relations. Those with less perceived control over the infection reported relationship decline, while single people reported fewer positive changes in their partnership or family relations. Multiple regression analyses demonstrated the prioritisation of security was associated with a decline in each of the relationships, while universalism was positively associated with change in the family, in friendships and neighbourly relations. Conclusions Personal values and marital status may impact on relationship functioning during a national health crisis. These issues should be considered by clinicians and health practitioners when trying to assist those struggling with interpersonal relations during a pandemic.
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Affiliation(s)
- Juthatip Wiwattanapantuwong
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
- Department of Psychology, Graduate School of Arts and Letters, Tohoku University, Sendai, Miyagi, Japan
| | | | - Panrapee Suttiwan
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
- LIFE Di Centre, Chulalongkorn University, Bangkok, Thailand
| | - Rewadee Watakakosol
- Faculty of Psychology, Chulalongkorn University, Bangkok, Thailand
- LIFE Di Centre, Chulalongkorn University, Bangkok, Thailand
- * E-mail:
| | - Menachem Ben-Ezra
- School of Social Work, Faculty of Social Science and Humanities, Ariel University, Ariel, Israel
| | - Robin Goodwin
- Department of Psychology, Faculty of Science, Engineering and Medicine, University of Warwick, Coventry, United Kingdom
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Yang L, Song D, Fan M, Gao L. Transmission dynamics and optimal control of H7N9 in China. INT J BIOMATH 2021. [DOI: 10.1142/s1793524522500073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
H7N9 avian influenza is a highly pathogenic zoonotic disease. In order to control the disease, many strategies have been adopted in China such as poultry culling, the closure of live poultry markets (LPMs), the vaccination of poultry, and the treatment for humans. Due to the limited resource, it is of paramount significance to achieve the optimal control. In this paper, an epidemic model incorporating the selective culling rate is formulated to investigate the transmission mechanism of H7N9. The threshold dynamics and bifurcation analyses of the model are well investigated. Furthermore, the problem of optimal control is explored in line with Pontryagin’s Maximum Principle, with consideration given to the comprehensive measures. The numerical simulations suggest that the vaccination of poultry and the closure of LPMs are the two most economical and effective measures.
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Affiliation(s)
- Liu Yang
- School of Mathematics and Statistics, Northeast Normal University 5268 Renmin Street, Changchun, Jilin 130024, P. R. China
| | - Da Song
- School of Mathematics Science, Fudan University, 220 Handan Road, Shanghai 200433, P. R. China
| | - Meng Fan
- School of Mathematics and Statistics, Northeast Normal University 5268 Renmin Street, Changchun, Jilin 130024, P. R. China
| | - Lu Gao
- China Animal Health and Epidemiology Center, Qingdao 266032, P. R. China
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Anxiety, perceived control and pandemic behaviour in Thailand during COVID-19: Results from a national survey. J Psychiatr Res 2021; 135:212-217. [PMID: 33497875 PMCID: PMC7826082 DOI: 10.1016/j.jpsychires.2021.01.025] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 11/21/2020] [Accepted: 01/16/2021] [Indexed: 01/29/2023]
Abstract
Anxiety, perceived control and trust in information sources have all been shown to significantly influence health and social behaviours during pandemics. We measured these factors in a nationally representative on-street survey collected across five regions of Thailand (N = 1000, May 2020, response rate 82.6%). Anxiety was positively associated with stocking up on food (OR 2.62 (95% CI 1.88-3.66)) and taking vitamins (OR 2.37 (1.59-3.54)); perceived control with (recommended) coughing into an elbow (OR 2.42 (1.80-3.26)), checking on others (OR 1.52 (1.00-2.31)), and negatively with stockpiling (OR 0.72 (0.55-0.96)). Those relying on family/friends, doctors online or foreign sources were more likely to take vitamins (ORs 4.11, 2.88. 2.82), respondents using TV news less likely to stock up on food (OR 0.57 (0.37-0.86)) and to wear a mask for self-protection (OR 0.27 (0.10-0.73)). Comparing findings with analogous cross-sectional data on anxiety collected at the start of the pandemic (Feb 2020, Goodwin et al., 2020) there was no significant difference between personal anxiety in the two surveys (F (1, 1197) = 0.72, p = .40)) but perceived control was lower in the later survey (F (1, 1197) = 6.72 p = .01)). Findings suggest reduced perceived control as the pandemic developed and illuminate possible negative impacts of anxiety and low sense of control on pandemic behaviours.
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Baghernezhad Hesary F, Salehiniya H, Miri M, Moodi M. Investigating Preventive Behaviors Toward COVID-19 Among Iranian People. Front Public Health 2021; 9:590105. [PMID: 33665183 PMCID: PMC7921153 DOI: 10.3389/fpubh.2021.590105] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Accepted: 01/18/2021] [Indexed: 12/22/2022] Open
Abstract
Background: Considering the importance of preventive behaviors in reducing the transmission of COVID-19, this study was conducted to determine the preventive behaviors toward the spread of COVID-19. Methods: This cross-sectional study was performed 7 weeks after the confirmation of the first case of Covid-19 by the Ministry of Health and Medical Education in Iran. Data were completed online using a researcher-made questionnaire, the validity and reliability of which were confirmed, for 1,200 Iranians from 8 April 2020 to 9 May 2020. Results: The mean age of study participants was 37.77 ± 11.20 years. The mean score of preventive behaviors was 62.67 ± 8.53. The results showed that there was a significant relationship between the variables of gender, education, economic status, and preventive behaviors of COVID-19. The highest frequency is related to not using hookah and cigarettes and then avoiding losing and rubbing (78%) and the lowest percentage is related to exercising behavior (16%). Conclusion: Due to the low level of prevention behaviors during the outbreak of the disease, it is important to design educational and supportive interventions to improve and perform coronavirus prevention behaviors with more focus on men, illiterate people, and poor economic status.
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Affiliation(s)
| | - Hamid Salehiniya
- Department of Epidemiology and Biostatistics, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
| | - Mohammadreza Miri
- Social Determinants of Health Research Center, Department of Health Education and Health Promotion, School of Health, Birjand University of Medical Sciences, Birjand, Iran
| | - Mitra Moodi
- Social Determinants of Health Research Center, Department of Health Education and Health Promotion, School of Health, Birjand University of Medical Sciences, Birjand, Iran
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Atchison C, Bowman LR, Vrinten C, Redd R, Pristerà P, Eaton J, Ward H. Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults. BMJ Open 2021. [PMID: 33397669 DOI: 10.1101/2020.04.01.20050039v1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/22/2023] Open
Abstract
OBJECTIVE To examine risk perceptions and behavioural responses of the UK adult population during the early phase of the COVID-19 epidemic in the UK. DESIGN A cross-sectional survey. SETTING Conducted with a nationally representative sample of UK adults within 48 hours of the UK Government advising the public to stop non-essential contact with others and all unnecessary travel. PARTICIPANTS 2108 adults living in the UK aged 18 years and over. Response rate was 84.3% (2108/2500). Data collected between 17 March and 18 March 2020. MAIN OUTCOME MEASURES Descriptive statistics for all survey questions, including number of respondents and weighted percentages. Robust Poisson regression used to identify sociodemographic variation in: (1) adoption of social distancing measures, (2) ability to work from home, and (3) ability and (4) willingness to self-isolate. RESULTS Overall, 1992 (94.2%) respondents reported at least one preventive measure: 85.8% washed their hands with soap more frequently; 56.5% avoided crowded areas and 54.5% avoided social events. Adoption of social distancing measures was higher in those aged over 70 years compared with younger adults aged 18-34 years (adjusted relative risk/aRR: 1.2; 95% CI: 1.1 to 1.5). Those with lowest household income were three times less likely to be able to work from home (aRR: 0.33; 95% CI: 0.24 to 0.45) and less likely to be able to self-isolate (aRR: 0.92; 95% CI: 0.88 to 0.96). Ability to self-isolate was also lower in black and minority ethnic groups (aRR: 0.89; 95% CI: 0.79 to 1.0). Willingness to self-isolate was high across all respondents. CONCLUSIONS Ability to adopt and comply with certain non-pharmaceutical interventions (NPIs) is lower in the most economically disadvantaged in society. Governments must implement appropriate social and economic policies to mitigate this. By incorporating these differences in NPIs among socioeconomic subpopulations into mathematical models of COVID-19 transmission dynamics, our modelling of epidemic outcomes and response to COVID-19 can be improved.
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Affiliation(s)
- Christina Atchison
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Leigh Robert Bowman
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Charlotte Vrinten
- Centre for Health Economics & Policy Innovation, Department of Economics & Public Policy, Imperial College Business School, Imperial College London, London, UK
| | - Rozlyn Redd
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Philippa Pristerà
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Jeffrey Eaton
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Helen Ward
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
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Atchison C, Bowman LR, Vrinten C, Redd R, Pristerà P, Eaton J, Ward H. Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults. BMJ Open 2021; 11:e043577. [PMID: 33397669 PMCID: PMC7783373 DOI: 10.1136/bmjopen-2020-043577] [Citation(s) in RCA: 106] [Impact Index Per Article: 35.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Revised: 12/11/2020] [Accepted: 12/20/2020] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE To examine risk perceptions and behavioural responses of the UK adult population during the early phase of the COVID-19 epidemic in the UK. DESIGN A cross-sectional survey. SETTING Conducted with a nationally representative sample of UK adults within 48 hours of the UK Government advising the public to stop non-essential contact with others and all unnecessary travel. PARTICIPANTS 2108 adults living in the UK aged 18 years and over. Response rate was 84.3% (2108/2500). Data collected between 17 March and 18 March 2020. MAIN OUTCOME MEASURES Descriptive statistics for all survey questions, including number of respondents and weighted percentages. Robust Poisson regression used to identify sociodemographic variation in: (1) adoption of social distancing measures, (2) ability to work from home, and (3) ability and (4) willingness to self-isolate. RESULTS Overall, 1992 (94.2%) respondents reported at least one preventive measure: 85.8% washed their hands with soap more frequently; 56.5% avoided crowded areas and 54.5% avoided social events. Adoption of social distancing measures was higher in those aged over 70 years compared with younger adults aged 18-34 years (adjusted relative risk/aRR: 1.2; 95% CI: 1.1 to 1.5). Those with lowest household income were three times less likely to be able to work from home (aRR: 0.33; 95% CI: 0.24 to 0.45) and less likely to be able to self-isolate (aRR: 0.92; 95% CI: 0.88 to 0.96). Ability to self-isolate was also lower in black and minority ethnic groups (aRR: 0.89; 95% CI: 0.79 to 1.0). Willingness to self-isolate was high across all respondents. CONCLUSIONS Ability to adopt and comply with certain non-pharmaceutical interventions (NPIs) is lower in the most economically disadvantaged in society. Governments must implement appropriate social and economic policies to mitigate this. By incorporating these differences in NPIs among socioeconomic subpopulations into mathematical models of COVID-19 transmission dynamics, our modelling of epidemic outcomes and response to COVID-19 can be improved.
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Affiliation(s)
- Christina Atchison
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Leigh Robert Bowman
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Charlotte Vrinten
- Centre for Health Economics & Policy Innovation, Department of Economics & Public Policy, Imperial College Business School, Imperial College London, London, UK
| | - Rozlyn Redd
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Philippa Pristerà
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Jeffrey Eaton
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Helen Ward
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
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Atchison C, Bowman LR, Vrinten C, Redd R, Pristerà P, Eaton J, Ward H. Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults. BMJ Open 2021; 11:e043577. [PMID: 33397669 DOI: 10.1101/2020.04.01.20050039] [Citation(s) in RCA: 53] [Impact Index Per Article: 17.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
OBJECTIVE To examine risk perceptions and behavioural responses of the UK adult population during the early phase of the COVID-19 epidemic in the UK. DESIGN A cross-sectional survey. SETTING Conducted with a nationally representative sample of UK adults within 48 hours of the UK Government advising the public to stop non-essential contact with others and all unnecessary travel. PARTICIPANTS 2108 adults living in the UK aged 18 years and over. Response rate was 84.3% (2108/2500). Data collected between 17 March and 18 March 2020. MAIN OUTCOME MEASURES Descriptive statistics for all survey questions, including number of respondents and weighted percentages. Robust Poisson regression used to identify sociodemographic variation in: (1) adoption of social distancing measures, (2) ability to work from home, and (3) ability and (4) willingness to self-isolate. RESULTS Overall, 1992 (94.2%) respondents reported at least one preventive measure: 85.8% washed their hands with soap more frequently; 56.5% avoided crowded areas and 54.5% avoided social events. Adoption of social distancing measures was higher in those aged over 70 years compared with younger adults aged 18-34 years (adjusted relative risk/aRR: 1.2; 95% CI: 1.1 to 1.5). Those with lowest household income were three times less likely to be able to work from home (aRR: 0.33; 95% CI: 0.24 to 0.45) and less likely to be able to self-isolate (aRR: 0.92; 95% CI: 0.88 to 0.96). Ability to self-isolate was also lower in black and minority ethnic groups (aRR: 0.89; 95% CI: 0.79 to 1.0). Willingness to self-isolate was high across all respondents. CONCLUSIONS Ability to adopt and comply with certain non-pharmaceutical interventions (NPIs) is lower in the most economically disadvantaged in society. Governments must implement appropriate social and economic policies to mitigate this. By incorporating these differences in NPIs among socioeconomic subpopulations into mathematical models of COVID-19 transmission dynamics, our modelling of epidemic outcomes and response to COVID-19 can be improved.
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Affiliation(s)
- Christina Atchison
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Leigh Robert Bowman
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Charlotte Vrinten
- Centre for Health Economics & Policy Innovation, Department of Economics & Public Policy, Imperial College Business School, Imperial College London, London, UK
| | - Rozlyn Redd
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Philippa Pristerà
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
| | - Jeffrey Eaton
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
| | - Helen Ward
- Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK
- MRC Centre for Global Infectious Disease Analysis and Abdul Latif Jameel Institute for Disease and Emergency Analytics (J-IDEA), School of Public Health, Imperial College London, London, UK
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Wang X, Lin L, Xuan Z, Xu J, Wan Y, Zhou X. Risk communication on behavioral responses during COVID-19 among general population in China: A rapid national study. J Infect 2020; 81:911-922. [PMID: 33144190 PMCID: PMC7605843 DOI: 10.1016/j.jinf.2020.10.031] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 09/22/2020] [Accepted: 10/29/2020] [Indexed: 12/05/2022]
Abstract
Exposed to risk communication messages were positively associated with engaging in preventive behaviors. Believing in misinformation were negatively associated with wearing masks. Inadequate supplies of personal protection materials were negatively associated with outdoor hygiene behaviors.
Objectives To describe the risk perception and behavioral responses among Chinese adults and to assess the associations of risk communication, risk perception, and behavioral adherence during the COVID-19 epidemic. Methods A national cross-sectional survey was conducted in 31 provinces in China with a total number of 5039 effective questionnaires collected. The questionnaire included sociodemographic characteristics, COVID-19 risk communication factors, mask and soap supply, and engagement in preventive behaviors during the epidemic. Multivariable Logistic regression was used. Results An overwhelmingly high prevalence of Chinese people was exposed to COVID-19 related risk communication messages (86.5%) and an overwhelming majority of respondents reported engagement in preventive behaviors (88.3%). Exposed to risk communication messages were positively associated with engaging in preventive behaviors, whereas, believing in misinformation were negatively associated with wearing masks when in public (p < 0.01). Respondents encountered an inadequate supplies of personal protection materials were negatively associated with their outdoor hygiene behaviors. People who were male, in an older age group, minorities, with lower education, with lower income, and lived in rural area showed lower exposures to risk communication messages. Conclusions Future risk communication practices are recommended to better monitor population risk perceptions and pay attention to socio-demographically disadvantaged people.
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Affiliation(s)
- Xiaomin Wang
- Institute of Social Medicine, School of Medicine, Zhejiang University, 866 Yuhangtang Road, Hangzhou 310058, China.
| | - Leesa Lin
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7TH, UK.
| | - Ziming Xuan
- Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave, Boston, MA 02118, USA.
| | - Jiayao Xu
- Institute of Social Medicine, School of Medicine, Zhejiang University, 866 Yuhangtang Road, Hangzhou 310058, China.
| | - Yuling Wan
- School of Public Health, Dalian Medical University, 9 West Section of Lvshun South Road, Dalian 116044, China
| | - Xudong Zhou
- Institute of Social Medicine, School of Medicine, Zhejiang University, 866 Yuhangtang Road, Hangzhou 310058, China.
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Ben-Ezra M, Sun S, Hou WK, Goodwin R. The association of being in quarantine and related COVID-19 recommended and non-recommended behaviors with psychological distress in Chinese population. J Affect Disord 2020; 275:66-68. [PMID: 32658825 PMCID: PMC7329674 DOI: 10.1016/j.jad.2020.06.026] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 05/25/2020] [Accepted: 06/23/2020] [Indexed: 11/23/2022]
Abstract
•The world health organization (WHO) guidelines needs to be empirically examined. •The study sought to look at the recommended and non-recommended behaviors. •The results of the study show that psychological distress was negatively associated with recommended behaviors and positively with non-recommended behaviors.
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Affiliation(s)
| | - Shaojing Sun
- Department of Communication, Fudan University, Shanghai, China
| | - Wai Kai Hou
- Department of Psychology, Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, China
| | - Robin Goodwin
- Department of Psychology, University of Warwick, Coventry, United Kingdom
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Epidemiological features and trends of influenza incidence in mainland China: A population-based surveillance study from 2005 to 2015. Int J Infect Dis 2019; 89:12-20. [PMID: 31491557 DOI: 10.1016/j.ijid.2019.08.028] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Accepted: 08/26/2019] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES To investigate epidemiological features and trends of influenza incidence with 1,173,640 cases in mainland China from 2005 to 2015. METHODS Incidence and mortality data for influenza from 2005 to 2015 were provided by the data-center of China public health science and covered a population of about 1.3 billion people from 31 provinces and regions in mainland China. Joinpoint regression and exploratory spatial data analyses were used to examine the incidence trends from 2005 to 2015. RESULTS The first upsurge in influenza cases occurred in 2009, and the highest incidence of influenza occurred in 2014 (15.9045 cases/100,000 people). The average incidence per year from 2009 to 2015 was threefold higher than that from 2005 to 2008 (10.5308 vs 3.4589 cases/100,000 people; incidence rate ratio=3.0446). The joinpoint regression results showed that there was an increasing influenza incidence trend from 2005 to 2015 (annual change in percentage=13.6%, 95%CI 2.2-26.3, p=0.0236). The seasonal pattern analysis showed that influenza typically occurred in winter and spring during each monitoring year, peaking from November to March the next year. CONCLUSIONS This study will help governments to make valuable decisions in allocating scarce resources and providing strategies to limit the spread of influenza.
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Wu S, Su J, Yang P, Zhang H, Li H, Chu Y, Hua W, Li C, Tang Y, Wang Q. Willingness to accept a future influenza A(H7N9) vaccine in Beijing, China. Vaccine 2017; 36:491-497. [PMID: 29246476 PMCID: PMC7115431 DOI: 10.1016/j.vaccine.2017.12.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Revised: 11/21/2017] [Accepted: 12/04/2017] [Indexed: 01/11/2023]
Abstract
To optimize coverage, public willingness of H7N9 vaccination needs to be understood. 59.5% of the general adults would be willing to accept a future H7N9 vaccine. Demographics and public perceptions are the predictors of vaccination willingness. Many people doubt about vaccine’s effectiveness and don’t concern about disease risk. Targeted education programs on disease risk and vaccine’s effectiveness are needed.
Background The present study aimed to estimate residents’ willingness to accept a future H7N9 vaccine and its determinants in the general adult population in Beijing, China. Methods We conducted a multi-stage sampling, cross-sectional survey using self-administered anonymous questionnaires from May to June, in 2014. The main outcome variable was residents’ willingness to accept a future H7N9 vaccine. Logistic regression was used to identify the predictors of vaccination willingness. Results Of the 7264 eligible participants, 14.5% of Beijing residents reported that they had not heard of H7N9. Among those who had heard of H7N9, 59.5% of the general adult population would be willing to accept a future H7N9 vaccine, and approximately half of them reported ‘I am afraid of being infected by H7N9’ and ‘H7N9 vaccine can prevent infections’, and 28.1% reported ‘my daily life is affected by H7N9’. The variables that were significantly associated with a higher likelihood of reporting willingness were being younger adults (aged 18–29 years: OR = 1.52, 95% CI: 1.17–1.97; aged 30–39 years: OR = 1.39, 95% CI: 1.08–1.78), being farmers (OR = 1.61; 95% CI: 1.32–1.96), being unemployed people (OR = 1.36; 95% CI: 1.04–1.78), living in suburban areas (OR = 2.18; 95% CI: 1.89–2.51), having ≥2 children in the family (OR = 1.41; 95% CI: 1.03–1.92), perceived risk in China (OR = 1.30; 95% CI: 1.15–1.48), perceived susceptibility to disease (OR = 3.13; 95% CI: 2.73–3.58), perceived negative effect on daily life (OR = 1.32; 95% CI: 1.13–1.55), perceived effectiveness of vaccination (OR = 2.34; 95% CI: 2.07–2.64), and recent uptake of influenza vaccine (OR = 2.26; 95% CI: 1.92–2.66). Conclusions A great number of Beijing residents had doubts about the vaccine’s effectiveness and were not concerned about disease risk, which were the factors affecting willingness to be vaccinated. Targeted education programs on disease risk as well as vaccine’s effectiveness are needed to improve the willingness of vaccination for potential H7N9 pandemic preparedness.
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Affiliation(s)
- Shuangsheng Wu
- Beijing Center for Disease Prevention and Control, Beijing, China; Beijing Research Center for Preventive Medicine, Beijing, China
| | - Jianting Su
- Beijing Center for Disease Prevention and Control, Beijing, China; Beijing Research Center for Preventive Medicine, Beijing, China
| | - Peng Yang
- Beijing Center for Disease Prevention and Control, Beijing, China; Beijing Research Center for Preventive Medicine, Beijing, China; School of Public Health, Capital Medical University, Beijing, China.
| | - Haiyan Zhang
- Dongcheng District Center for Disease Prevention and Control, Beijing, China
| | - Hongjun Li
- Tongzhou District Center for Disease Prevention and Control, Beijing, China
| | - Yanhui Chu
- Xicheng District Center for Disease Prevention and Control, Beijing, China
| | - Weiyu Hua
- Haidian District Center for Disease Prevention and Control, Beijing, China
| | - Chao Li
- Huairou District Center for Disease Prevention and Control, Beijing, China
| | - Yaqing Tang
- Changping District Center for Disease Prevention and Control, Beijing, China
| | - Quanyi Wang
- Beijing Center for Disease Prevention and Control, Beijing, China; Beijing Research Center for Preventive Medicine, Beijing, China.
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Zhao X, Davey G. Limited awareness of animal influenza prevention and control among Dai Lue smallholder farmers in Southwest China. Trop Anim Health Prod 2017. [PMID: 28624926 PMCID: PMC7089078 DOI: 10.1007/s11250-017-1335-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Awareness of animal influenza and its prevention and control is important for ensuring livestock health, production and welfare. In China, a country stereotyped as a major source of emerging zoonotic infectious diseases, research on the public understanding of animal influenza is limited to the Han, the main ethnic group. The present qualitative study in Southwest China investigated awareness of animal influenza among the Dai, an ethnic minority. The participants (15 men and 10 women, ages 18–83) were smallholder farmers of pigs and poultry in rural areas of Jinghong, Xishuangbanna, Yunnan Province. A mixture of interviews and group discussions took place in homes and villages. The participants were asked about their knowledge of avian influenza (H7N9), swine influenza (H1N1), precautions taken to protect against influenza, procedures when animals were sick and perceived risk of animal influenza. The data were analysed following coding and thematic analysis. The findings demonstrated a limited understanding of animal health and welfare among participants. Specifically, they were largely unaware of animal influenza (H7N9, H1N1) including its causes, symptoms, prevention and treatment. The farmers were also uninformed of the risks they faced and unknowingly engaged in behaviours which increased direct or indirect exposure to infected animals, a risk factor for human infection. They also reported poor usage of veterinary services. In order to guarantee the health, welfare and production of their livestock, immediate action is needed to enable Dai smallholder farmers to prevent and respond to animal influenza effectively and timely.
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Affiliation(s)
- Xiang Zhao
- Research Centre for Languages and Cultures, School of Foreign Languages and Literature, Yunnan Normal University, Kunming, Yunnan, 650500, China.
| | - Gareth Davey
- Research Centre for Languages and Cultures, School of Foreign Languages and Literature, Yunnan Normal University, Kunming, Yunnan, 650500, China
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14
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Sun M, Zhang H, Kang H, Zhu G, Fu X. Epidemic spreading on adaptively weighted scale-free networks. J Math Biol 2016; 74:1263-1298. [PMID: 27639702 DOI: 10.1007/s00285-016-1057-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Indexed: 11/28/2022]
Abstract
We introduce three modified SIS models on scale-free networks that take into account variable population size, nonlinear infectivity, adaptive weights, behavior inertia and time delay, so as to better characterize the actual spread of epidemics. We develop new mathematical methods and techniques to study the dynamics of the models, including the basic reproduction number, and the global asymptotic stability of the disease-free and endemic equilibria. We show the disease-free equilibrium cannot undergo a Hopf bifurcation. We further analyze the effects of local information of diseases and various immunization schemes on epidemic dynamics. We also perform some stochastic network simulations which yield quantitative agreement with the deterministic mean-field approach.
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Affiliation(s)
- Mengfeng Sun
- Department of Mathematics, Shanghai University, Shanghai, 200444, China
| | - Haifeng Zhang
- School of Mathematical Science, Anhui University, Hefei, 230039, China
| | - Huiyan Kang
- School of Mathematics and Physics, Changzhou University, Changzhou, 213016, China
| | - Guanghu Zhu
- School of Mathematics and Computing Science, Guilin University of Electronic Technology, Guilin, 541004, China
| | - Xinchu Fu
- Department of Mathematics, Shanghai University, Shanghai, 200444, China.
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15
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Perceptions on the risk communication strategy during the 2013 avian influenza A/H7N9 outbreak in humans in China: a focus group study. Western Pac Surveill Response J 2016; 7:21-28. [PMID: 27757257 PMCID: PMC5053133 DOI: 10.5365/wpsar.2016.7.1.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective To identify the general public’s perceptions of the overall risk communication strategy carried out by Chinese public health agencies during the first wave of avian influenza A(H7N9) outbreak in humans in 2013. Methods Participants were recruited from communities in Beijing, Lanzhou and Hangzhou, China in May and June 2013 by convenience sampling. Demographics and other relevant information were collected using a self-administered questionnaire. Focus group interviews were conducted using a set of nine pre-developed questions and a tested moderator guide. The interviews were audio recorded and were transcribed verbatim. The constant comparative method was used to identify trends and themes. Results A total of nine focus group interviews, with 94 participants recruited from nine communities, were conducted. Most participants received H7N9 information via television and the Internet. Most the participants appreciated the transparency and timeliness of the information released by the government. They expressed a sense of trust in the recommended public health advice and followed most of them. The participants suggested that the government release more information about clinical treatment outcomes, have more specific health recommendations that are practical to their settings and expand the use of new media channels for risk communication. Conclusion The public perceived the overall risk communication strategy by the Chinese public health agencies as effective, though the moderator had a governmental agency title that might have biased the results. There is a need to expand the use of social media for risk communication in the future.
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Rumor-Related and Exclusive Behavior Coverage in Internet News Reports Following the 2009 H1N1 Influenza Outbreak in Japan. Disaster Med Public Health Prep 2016; 9:459-63. [PMID: 26186580 DOI: 10.1017/dmp.2015.57] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE We sought to elucidate news article reporting of adverse public psychosocial behaviors, in particular, rumor-related coverage (eg, panic, demagoguery) and exclusive behavior coverage (negative behaviors, eg, discrimination, bullying) during the 2009 influenza A (H1N1) influenza pandemic in Japan. METHODS We examined 154 Internet news-site articles reporting adverse public psychosocial responses in the first 60 days of the outbreak. Rumor-related coverage and exclusive behavior coverage were dichotomously coded as included or not. Moreover, we assessed whether or not health information (eg, coping methods, virus toxicity information) or emphasis on information quality (eg, importance of information, cautions about overreactions) were simultaneously reported. RESULTS Rumor-related coverage (n=120, 77.9%) was less likely to simultaneously report public health information (eg, toxicity information, health support information, and cautions about overreactions; P<.05). Conversely, exclusive behavior coverage (n=41, 26.6%) was more likely to report public health information (P<.05). CONCLUSIONS Rumor-related coverage was less likely to have accompanying public health information, whereas exclusive behavior coverage was more likely to include it. During public health crises, it is essential to understand that rumors and exclusive behaviors have adverse effects on the public and that accompanying public health information may help people take proactive coping actions.
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