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Who Cares? A Pilot Study of Pandemic Influenza Risk Perception in an Urban Population

Published online by Cambridge University Press:  02 September 2021

Tecwyn Davies*
Affiliation:
Global Health Section, Department of Public Health, University of Copenhagen, Denmark
Dan Wolf Meyrowitsch
Affiliation:
Global Health Section, Department of Public Health, University of Copenhagen, Denmark
*
Corresponding author: Tecwyn Davies, Email: [email protected].

Abstract

Objective:

The association of urban population sociodemographic factors and components of pandemic influenza risk perception were studied.

Methods:

A prospective questionnaire-based study was undertaken between March 14, 2019 and October 18, 2019. A total of 464 questionnaires were distributed to 4 primary medical centers in 2 cities in England and Wales. Persons aged over 16 years presenting to the medical centers were asked to participate.

Results:

A total of 222 questionnaires were completed (return rate 47.8%). Participants were aged 16-84 years, with a median age of 45.5 years. Prevalence of 1 or more chronic diseases was 29.1%. Seasonal flu vaccination within 5 years was reported by 58.9%. Bivariate analyses of chronic disease and influenza vaccination observed a statistically significant association with influenza personal susceptibility expression (OR = 0.45; 95% CI: 0.22 - 0.94) and (OR = 0.50; 95% CI: 0.25 - 0.99) respectively. Multivariate analysis observed a statistically significant association between the presence of chronic disease and low comparative risk expression (OR = 0.33; 95% CI: 0.15 – 0.74) (P = 0.007).

Conclusions:

Respondents identifying as ‘healthy’ are more likely to express lower risk perception of pandemic influenza. Importantly, this target group is not the usual focus of influenza campaigns and are perhaps more likely to disregard health advice. Factors influencing perceptions of this target group could be an important focus of future pandemic risk perception research.

Type
Original Research
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Paules, C, Subbarao, K. Influenza. Lancet. 2017;390(10095):697-708.CrossRefGoogle ScholarPubMed
Arbeitskreis, Blut, Untergruppe, «Bewertung Blutassoziierter Krankheitserreger». Influenza virus. Transfus Med Hemother. 2009;36(1):32-39.Google Scholar
Green, HK, Andrews, N, Fleming, D, Zambon, M, Pebody, R. Mortality attributable to influenza in England and Wales prior to, during, and after the 2009 pandemic. PLoS One. 2013;8(12):e79360.CrossRefGoogle ScholarPubMed
Murray, CJ, Lopez, AD, Chin, B, Feehan, D, Hill, KH. Estimation of potential global pandemic influenza mortality on the basis of vital registry data from the 1918-20 pandemic: A quantitative analysis. Lancet. 2006;368(9554):2211-2218.CrossRefGoogle ScholarPubMed
CRED. The human cost of natural disasters: A global perspective [Internet]. Centre for Research on the Epidemiology of Disasters; 2015. https://www.preventionweb.net/files/42895_cerdthehumancostofdisastersglobalpe.pdf.Google Scholar
World Health Organization (WHO). Pandemic influenza preparedness framework. World Health Organization; 2011. https://www.who.int/initiatives/pandemic-influenza-preparedness-framework.Google Scholar
World Health Organization (WHO). Global Influenza Strategy 2019-2030. Geneva; 2019. https://apps.who.int/iris/bitstream/handle/10665/311184/9789241515320-eng.pdf?ua=1.Google Scholar
Jacobs, J, Taylor, M, Agho, K, Stevens, G, Barr, M, Raphael, B. Factors associated with increased risk perception of pandemic influenza in Australia. Influenza Res Treat. 2010;2010:947906.Google ScholarPubMed
Birks, F, Prater, K. Adapting to Global Change: Ageing, urbanisation and resilience. Archit Des. 2014;84(2):28-35.Google Scholar
Wu, T, Perrings, C, Kinzig, A, Collins, JP, Minteer, BA, Daszak, P. Economic growth, urbanization, globalization, and the risks of emerging infectious diseases in China: A review. Ambio. 2017;46(1):18-29.Google ScholarPubMed
United Nations International Strategy for Disaster Reduction (UNISDR). Sendai Framework for Disaster Risk Reduction 2015-2030. Third World Conference on Disaster Risk Reduction. Sendai, Japan: UNISDR; 14-18 March 2015.Google Scholar
World Health Organization (WHO). WHO public health research agenda for influenza: 2017 update. Geneva; 2017. https://apps.who.int/iris/handle/10665/259892.Google Scholar
Sadique, MZ, Edmunds, WJ, Smith, RD, et al. Precautionary behavior in response to perceived threat of pandemic influenza. Emerg Infect Dis. 2007;13(9):1307-1313.CrossRefGoogle ScholarPubMed
Kasperson, JX, Kasperson, RE, Pidgeon, N, Slovic, P. The social amplification of risk: Assessing fifteen years of research and theory. In: Pidgeon N, Kasperson RE, Slovic P, eds. The social amplification of risk [Internet]. ed. Cambridge: University of Cambridge Press; 2003:13–46.Google Scholar
Wisner, B, Blaikie, P, Cannon, T, Davis, I. At risk: Natural hazards, people’s vulnerability and disasters [Internet]. 2nd eds. At risk. London: Taylor & Francis; 2003. http://www.tandfebooks.com/action/showBook?doi=10.4324/9780203428764.Google Scholar
Bish, A, Yardley, L, Nicoll, A, Michie, S. Factors associated with uptake of vaccination against pandemic influenza: A systematic review. Vaccine. 2011;29(38):6472-6484.CrossRefGoogle ScholarPubMed
Panagopoulou, E, Montgomery, A, Benos, A. Health promotion as a behavioural challenge: Are we missing attitudes? Glob Health Promot [Internet]. 2011;18(2):54–7. http://journals.sagepub.com/doi/10.1177/1757975911404770.Google Scholar
Gilbert, JA. Seasonal and pandemic influenza: Global fatigue versus global preparedness. Lancet Respir Med. 2018;6(2):94-95.CrossRefGoogle ScholarPubMed
United Nations International Strategy for Disaster Reduction (UNISDR). UNISDR terminology on disaster risk reduction [Internet]. United Nations International Stratergy for Disaster Reduction (UNISDR); 2009. https://www.unisdr.org/files/7817_UNISDRTerminologyEnglish.pdf.Google Scholar
Rosa, EA. The logical structure of the social amplification of risk framework (SARF): Meta theoretical foundations and policy implications. In: Pidgeon N, Kasperson RE, Slovic P, eds. The Social Amplification of Risk [Internet]. Cambridge: Cambridge University Press; 2003:47–79. https://doi.org/10.1017/CBO9780511550461.003.CrossRefGoogle Scholar
de Vries, H, van Osch, L, Eijmael, K, Smerecnik, C, Candel, M. The role of risk perception in explaining parental sunscreen use. Psychol Health [Internet]. 2012;27(11):1342-58. http://www.tandfonline.com/doi/abs/10.1080/08870446.2012.684059.Google ScholarPubMed
Leppin, A, Aro, AR. Risk perceptions related to SARS and avian influenza: Theoretical foundations of current empirical research. Int J Behav Med. 2009;16(1):7-29.CrossRefGoogle ScholarPubMed
Norman, P, Boer, H, Seydel, E. Protection Motivation Theory. In: Conner M, Norman P, eds. Predicting health behaviour: Research and practice with social cognition models. Maidenhead: Open University Press; 2005:81–126.Google Scholar
Ali Morowatisharifabad, M, Abdolkarimi, M, Asadpour, M, Fathollahi, MS, Balaee, P. The predictive effects of protection motivation theory on intention and behaviour of physical activity in patients with type 2 diabetes. Open Access Maced J Med Sci. 2018;6(4):709-714.CrossRefGoogle ScholarPubMed
Abraham, C, Sheeran, P. The health belief model. In: Ayers S, Baum A, McManus C, et al., eds. Cambridge Handbook of Psychology, Health and Medicine [Internet]. Cambridge: Cambridge University Press; 2001:97–102. https://doi.org/10.1017/CBO9780511543579.022.Google Scholar
Orji, R, Vassileva, J, Mandryk, R. Towards an effective health interventions design: An extension of the health belief model. Online J Public Health Inform. 2012;4(3):ojphi.v4i3.4321.CrossRefGoogle Scholar
ECOM. Standard questionnaire on risk perception of an infectious disease outbreak [Internet]. Rotterdam; 2015. http://ecomeu.info/wp-content/uploads/2015/11/Standard-questionnaire-risk-perception-ECOM-november-2015.pdf.Google Scholar
de Zwart, O. Exploring Risk Perceptions of Emerging Infectious Diseases. Int J Behav Nutr Phys Act. 2009;9-176.Google Scholar
Eastwood, K, Durrheim, DN, Jones, A, Butler, M. Acceptance of pandemic (H1N1) 2009 influenza vacciantion by the Australian public. MJA. 2010;192(1):33-6.Google Scholar
Kok, G, Jonkers, R, Gelissen, R, Meertens, R, Schaalma, H, de Zwart, O. Behavioural intentions in response to an influenza pandemic. BMC Public Health. 2010;10:174.Google Scholar
Goodwin, R, Gaines, SO Jr, Myers, L, Neto, F. Initial psychological responses to swine flu. Int J Behav Med. 2011;18(2):88-92.CrossRefGoogle ScholarPubMed
Weinstein, ND. The precaution adoption process. Health Psychol. 1988;7(4):355-386.Google ScholarPubMed
van der Weerd, W, Timmermans, DR, Beaujean, DJ, Oudhoff, J, van Steenbergen, JE. Monitoring the level of government trust, risk perception and intention of the general public to adopt protective measures during the influenza A (H1N1) pandemic in The Netherlands. BMC Public Health. 2011;11:575.Google ScholarPubMed
Seale, H, Heywood, AE, McLaws, ML, et al. Why do I need it? I am not at risk! Public perceptions towards the pandemic (H1N1) 2009 vaccine. BMC Infect Dis. 2010;10:99.Google Scholar
Hagan, P, Maguire, B, Bopping, D. Public Behaviour during a pandemic. Aust J Emerg Manag. 2008;23(3):35.Google Scholar
World Health Organization (WHO). Tailoring immunization programmes for seasonal influenza (tip flu). World Heal Organ [Internet]. 2015; pp78. http://www.euro.who.int/__data/assets/pdf_file/0007/290851/TIPGUIDEFINAL.pdf.Google Scholar
Aven, T, Renn, O. On risk defined as an event where the outcome is uncertain. J Risk Res. 2009;12(1):1-11.CrossRefGoogle Scholar
Hahn, RA, Truman, BI. Education Improves Public Health and Promotes Health Equity. Int J Health Serv. 2015;45(4):657-678.CrossRefGoogle ScholarPubMed
Brownson, RC, Eyler, AA, Harris, JK, Moore, JB, Tabak, RG. Getting the word out: New approaches for disseminating public health science. J Public Heal Manag Pract. 2018;24(2):102-11.Google ScholarPubMed
World Health Organization (WHO). Pandemic influenza risk management: A WHO guide to inform and harmonize national and international pandemic preparedness and response. https://www.who.int/publications/i/item/WHO-WHE-IHM-GIP-017-1.Google Scholar
Madsen, W. People’s past experiences and personal stories can influence risk-taking behaviour. Aust J Emerg Manag. [Internet]. 2019;34(3):47-51. https://knowledge.aidr.org.au/media/7023/ajem-201902-22-dr-wendy-madsen.pdf Google Scholar
Fielding, JE, Grant, KA, Garcia, K, Kelly, HA. Effectiveness of seasonal influenza vaccine against pandemic (H1N1) 2009 virus, Australia, 2010. Emerg Infect Dis. 2011;17(7):1181-1187.CrossRefGoogle Scholar
Johns, MC, Eick, AA, Blazes, DL, et al. Seasonal influenza vaccine and protection against pandemic (H1N1) 2009-associated illness among US military personnel. PLoS One. 2010;5(5):e10722.CrossRefGoogle ScholarPubMed
Yin, JK, Wang, H, Skinner, SR, Salkeld, G, Booy, R. Assessing seasonal vaccine-related cross-protection from 2009 pandemic H1N1 influenza through teacher absenteeism. Aust N Z J Public Health. 2011;35(4):393-4. http://doi.wiley.com/10.1111/j.1753-6405.2011.00748.x.CrossRefGoogle ScholarPubMed
Troko, J, Myles, P, Gibson, J, et al. Is public transport a risk factor for acute respiratory infection? BMC Infect Dis. 2011;11(16):2-7.CrossRefGoogle ScholarPubMed
UK Department of Health. UK Influenza Pandemic Preparedness Strategy 2011. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_125346.pdf.Google Scholar
Hagar, C. Information needs and seeking during the 2001 UK foot-and-mouth crisis. Crisis information management: Communication and technologies. Cambridge, England: Woodhead Publishing Limited; 2011:87–101. http://doi.org/10.1016/B978-1-84334-647-0.50005-9.Google Scholar
Vaughan, E, Tinker, T. Effective health risk communication about pandemic influenza for vulnerable populations. Am J Public Health. 2009;99 Suppl 2(Suppl 2):S324-S332.Google Scholar
van Voorst, R, Wisner, B, Hellman, J, Nooteboom, G. Introduction to the “risky everyday.” Disaster Prev Manag. 2015;24(4).CrossRefGoogle Scholar
Wachinger, G, Renn, O, Begg, C, Kuhlicke, C. The risk perception paradox--implications for governance and communication of natural hazards. Risk Anal. 2013;33(6):1049-1065.CrossRefGoogle ScholarPubMed
Taleb, NN. The black swan: The impact of the highly improbable. 2nd eds. London: Penguin; 2008.Google Scholar
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