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Adherence to Emergency Public Health Measures for Bioevents: Review of US Studies

  • Robyn R. Gershon (a1), Qi Zhi (a2), Alexander F. Chin (a3), Ezinne M. Nwankwo (a4) and Lisa M. Gargano (a5)...

Abstract

The frequency of bioevents is increasing worldwide. In the United States, as elsewhere, control of contagion may require the cooperation of community members with emergency public health measures. The US general public is largely unfamiliar with these measures, and our understanding of factors that influence behaviors in this context is limited. The few previous reviews of research on this topic focused on non-US samples. For this review, we examined published research on the psychosocial influences of adherence in US sample populations. Of 153 articles identified, only 9 met the inclusion criteria. Adherence behaviors were categorized into 2 groups: self-protective behaviors (personal hygiene, social distancing, face mask use, seeking out health care advice, and vaccination) and protecting others (isolation, temperature screening, and quarantine). A lack of uniformity across studies regarding definitions and measures was noted. Only 5 of the 9 articles reported tests of association between adherence with emergency measures and psychosocial factors; perceived risk and perceived seriousness were found to be significantly associated with adherence or adherence intentions. Although it is well documented that psychosocial factors are important predictors of protective health behaviors in general, this has not been rigorously studied in the context of bioevents. (Disaster Med Public Health Preparedness. 2018;12:528–535)

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Corresponding author

Correspondence and reprint requests to Robyn R. Gershon, DrPH, Department of Environmental Health Sciences, College of Global Public Health, New York University, New York, NY 10003. (email: rg184@NYU.edu).

References

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1. Jones, KE, Patel, NG, Levy, MA, et al. Global trends in emerging infectious diseases. Nature. 2008;451(7181):990-993. https://doi.org/10.1038/nature06536.
2. Morse, SS. Factors in the emergence of infectious diseases. Emerg Infect Dis. 1995;1(1):7-15. https://doi.org/10.3201/eid0101.950102.
3. The Henry J. Kaiser Family Foundation. The U.S. Government & Global Emerging Infectious Disease Preparedness and Response. http://kff.org/global-health-policy/fact-sheet/the-u-s-government-global-emerging-infectious-disease-preparedness-and-response/. Published December 8, 2014. Accessed March 3, 2017.
4. Centers for Disease Control and Prevention. Zika Virus in Brazil. CDC website. http://wwwnc.cdc.gov/travel/notices/alert/zika-brazil. Published 2016. Accessed June 24, 2016.
5. Centers for Disease Control and Prevention. Measles Cases and Outbreaks. CDC website. https://www.cdc.gov/measles/cases-outbreaks.html. Published 2017. Accessed March 3, 2017.
6. The National Academies Press. Global Climate Change and Extreme Weather Events: Understanding the Contributions to Infectious Disease Emergence: Workshop Summary. https://www.nap.edu/catalog/12435/global-climate-change-and-extreme-weather-events-understanding-the-contributions. Published 2008. Accessed December 8, 2016.
7. Arkin, J. Growing number of biosafety labs raises public health concern. https://www.publicintegrity.org/2014/08/20/15307/growing-number-biosafety-labs-raises-public-health-concern. Published 2014. Accessed October 9, 2017.
8. World Health Organization. Public health measures. http://www.who.int/influenza/preparedness/measures/en/. Accessed September 26, 2017.
9. Centers for Disease Control and Prevention. Healthcare Infection Control Practices Advisory Committee (HICPAC). http://www.cdc.gov/hicpac/2007IP/2007ip_part3.html#a. Accessed December 8, 2016.
10. Ejeta, L, Ardalan, A, Paton, D. Application of behavioral theories to disaster and emergency health preparedness: a systematic review [published online July 1, 2015]. PLoS Curr. doi: 10.1371/currents.dis.31a8995ced321301466db400f1357829.
11. 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. https://doi.org/10.1007/s12529-008-9002-8.
12. Bish, A, Michie, S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 2010;15(4):797-824. https://doi.org/10.1348/135910710X485826.
13. Bults, M, Beaujean, DJMA, Richardus, JH, Voeten, HACM. Perceptions and behavioral responses of the general public during the 2009 influenza A (H1N1) pandemic: a systematic review. Disaster Med Public Health Prep. 2015;9(2):207-219. https://doi.org/10.1017/dmp.2014.160.
14. Moher, D, Liberati, A, Tetzlaff, J, Altman, DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg (London). 2010;8(5):336-341. https://doi.org/10.1016/j.ijsu.2010.02.007.
15. Yanni, EA, Marano, N, Han, P, et al. Knowledge, attitudes, and practices of US travelers to Asia regarding seasonal influenza and H5N1 avian influenza prevention measures. J Travel Med. 2010;17(6):374-381. https://doi.org/10.1111/j.1708-8305.2010.00458.x.
16. Kim, Y, Zhong, W, Jehn, M, Walsh, L. Public risk perceptions and preventive behaviors during the 2009 H1N1 influenza pandemic. Disaster Med Public Health Prep. 2015;9(2):145-154. https://doi.org/10.1017/dmp.2014.87.
17. Loustalot, F, Silk, BJ, Gaither, A, et al. Household transmission of 2009 pandemic influenza A (H1N1) and nonpharmaceutical interventions among households of high school students in San Antonio, Texas. Clin Infect Dis. 2011;52(suppl 1):S146-S153. https://doi.org/10.1093/cid/ciq057.
18. SteelFisher, GK, Blendon, RJ, Bekheit, MM, Lubell, K. The public’s response to the 2009 H1N1 influenza pandemic. N Engl J Med. 2010;362:e65.
19. Blendon, RJ, Benson, JM, DesRoches, CM, Weldon, KJ. Using opinion surveys to track the public’s response to a bioterrorist attack. J Health Commun. 2004;8(S1):83-92.
20. Blendon, RJ, DesRoches, CM, Cetron, MS, Benson, JM, Meinhardt, T, Pollard, W. Attitudes toward the use of quarantine in a public health emergency in four countries. Health Aff (Millwood). 2006;25(2):w15-w25. https://doi.org/10.1377/hlthaff.25.w15.
21. Ibuka, Y, Chapman, GB, Meyers, LA, Li, M, Galvani, AP. The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza. BMC Infect Dis. 2010;10:296. https://doi.org/10.1186/1471-2334-10-296.
22. Jones, JH, Salathe, M. Early assessment of anxiety and behavioral response to novel swine-origin influenza A(H1N1). PLoS One. 2009;4(12):e8032. https://doi.org/10.1371/journal.pone.0008032.
23. Horney, JA, Moore, Z, Davis, M, MacDonald, PDM. Intent to receive pandemic influenza A (H1N1) vaccine, compliance with social distancing and sources of information in NC, 2009. PLoS One. 2010;5(6):e11226. https://doi.org/10.1371/journal.pone.0011226.
24. Centers for Disease Control and Prevention. CDC Interim Recommendations for Facemask and Respirator Use for Home, Community, and Occupational Settings for Non-Ill Persons to Prevent Infection with 2009 H1N1. https://www.cdc.gov/h1n1flu/masks.htm#table1. Accessed December 12, 2016.
25. Centers for Disease Control and Prevention. Quarantine and Isolation. CDC website. https://www.cdc.gov/quarantine/. Published 2016. Accessed October 26, 2016.
26. Davila-Payan, C, Swann, J, Wortley, PM. System factors to explain H1N1 state vaccination rates for adults in US emergency response to pandemic. Vaccine. 2014;32(25):3088-3093. https://doi.org/10.1016/j.vaccine.2013.05.069.
27. Blake, KD, Blendon, RJ, Viswanath, K. Employment and compliance with pandemic influenza mitigation recommendations. Emerg Infect Dis. 2010;16(2):212-218. https://doi.org/10.3201/eid1602.090638.
28. Priest, PC, Duncan, AR, Jennings, LC, Baker, MG. Thermal image scanning for influenza border screening: results of an airport screening study. PLoS One. 2011;6(1):e14490. https://doi.org/10.1371/journal.pone.0014490.
29. Centers for Disease Control and Prevention. Enhanced Ebola Screening to Start at Five U.S. Airports and New Tracking Program for all People Entering U.S. from Ebola-affected Countries. https://www.cdc.gov/media/releases/2014/p1008-ebola-screening.html. Published 2014. Accessed March 3, 2017.
30. Ajzen, I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211.
31. RAND Corporation. Community Resilience. http://www.rand.org/topics/community-resilience.html#page-content. Accessed December 12, 2016.

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