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Perceptions and Behavioral Responses of the General Public During the 2009 Influenza A (H1N1) Pandemic: A Systematic Review

Published online by Cambridge University Press:  17 April 2015

Marloes Bults ,
Desirée J.M.A. Beaujean ,
Jan Hendrik Richardus  and
Hélène A.C.M. Voeten
Marloes Bults*
Affiliation:
Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, and Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands
Desirée J.M.A. Beaujean
Affiliation:
National Institute of Public Health and the Environment, Centre for Infectious Disease Control, Bilthoven, The Netherlands
Jan Hendrik Richardus
Affiliation:
Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, and Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands
Hélène A.C.M. Voeten
Affiliation:
Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, and Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands
*
Correspondence and reprint requests to Marloes Bults, Municipal Public Health Service Rotterdam-Rijnmond, P.O. Box 70032, 3000 LP Rotterdam, The Netherlands (e-mail: [email protected]).
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Abstract

The public plays an important role in controlling the spread of a virus by adopting preventive measures. This systematic literature review aimed to gain insight into public perceptions and behavioral responses to the 2009 influenza A (H1N1) pandemic, with a focus on trends over time and regional differences. We screened 5498 articles and identified 70 eligible studies from PubMed, Embase, and PsychINFO. Public misconceptions were apparent regarding modes of transmission and preventive measures. Perceptions and behaviors evolved during the pandemic. In most countries, perceived vulnerability increased, but perceived severity, anxiety, self-efficacy, and vaccination intention decreased. Improved hygienic practices and social distancing were practiced most commonly. However, vaccination acceptance remained low. Marked regional differences were noted. To prevent misconceptions, it is important that health authorities provide up-to-date information about the virus and possible preventive measures during future outbreaks. Health authorities should continuously monitor public perceptions and misconceptions. Because public perceptions and behaviors varied between countries during the pandemic, risk communication should be tailored to the specific circumstances of each country. Finally, the use of health behavior theories in studies of public perceptions and behaviors during outbreaks would greatly facilitate the development of effective public health interventions that counter the effect of an outbreak. (Disaster Med Public Health Preparedness. 2015;9:207-219)

Keywords

communicationinfection controlmass vaccinationpandemicspublic health
Type
Systematic Reviews
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Supplement 2 , April 2015 , pp. 207 - 219
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Global Alert and Response (GAR), Swine influenza - Statement by WHO Director-General, Dr Margaret Chan, 25 April 2009. World Health Organization website. http://www.who.int/csr/don/2009_04_25/en/. Published April 25, 2009. Accessed January 6, 2015.Google Scholar
2. Global Alert and Response (GAR), Swine influenza - update 3. World Health Organization website. http://www.who.int/csr/don/2009_04_27/en/index.html. Published April 27, 2009. Accessed January 6, 2015.Google Scholar
3. Swine influenza. Statement by WHO Director-General, Dr Margaret Chan, 27 April 2009.World Health Organization website. http://www.who.int/mediacentre/news/statements/2009/h1n1_20090427/en/index.html. Published April 27, 2009. Accessed January 6, 2015.Google Scholar
4. Global Alert and Response (GAR), Influenza A(H1N1) - update 5. World Health Organization website. http://www.who.int/csr/don/2009_04_29/en/index.html. Published April 29, 2009. Accessed January 6, 2015.Google Scholar
5. Influenza A(H1N1). Statement by WHO Director-General, Dr Margaret Chan, 29 April 2009. World Health Organization website. http://www.who.int/mediacentre/news/statements/2009/h1n1_20090429/en/. Published April 29, 2009. Accessed January 6, 2015.Google Scholar
6. Global Alert and Response (GAR), Influenza A(H1N1) - update 46.World Health Organization website. http://www.who.int/csr/don/2009_06_10a/en/index.html. Published June 10, 2009. Accessed January 6, 2015.Google Scholar
7. World now at the start of 2009 influenza pandemic. Statement to the press by WHO Director-General, Dr Margaret Chan, 11 June 2009. World Health Organization website. http://www.who.int/mediacentre/news/statements/2009/h1n1_pandemic_phase6_20090611/en/. Published June 11, 2009. Accessed January 6, 2015.Google Scholar
8. European Centre for Disease Prevention and Control. ECDC Threat Assessment: First isolation of a secondary oseltamivir-resistant A(H1N1)v strain in Denmark. http://www.ecdc.europa.eu/en/publications/Publications/090701_TER_Influenza_AH1N1_ECDC_Threat_Assessment_First_isolation_of_a_secondary_oseltamivir_resistant_strain_in_Denmark.pdf. Published July 1, 2009. Accessed January 6, 2015.Google Scholar
9. Global Alert and Response (GAR), Influenza A(H1N1) - update 53. World Health Organization website. http://www.who.int/csr/don/2009_06_24/en/index.html. Published June 24, 2009. Accessed January 6, 2015.Google Scholar
10. Global Alert and Response (GAR), Pandemic (H1N1) 2009 - update 60.World Health Organization website. http://www.who.int/csr/don/2009_08_04/en/index.html. Published July 31, 2009. Accessed January 6, 2015.Google Scholar
11. H1N1 in post-pandemic period. Director-General’s opening statement at virtual press conference, 10 August 2009.World Health Organization website. http://www.who.int/mediacentre/news/statements/2010/h1n1_vpc_20100810/en/. Published August 10, 2010. Accessed January 6, 2015.Google Scholar
12. Norman, P, Boer, H, Seydel, ER. Protection motivation theory. In Predicting Health Behaviour. Conner M, Norman P, eds. Berkshire, UK: Open University Press; 2005:81-126.Google Scholar
13. Rogers, RW. Cognitive and psychological processes in attitude change: a revised theory of protection motivation. In Cacioppo J, Petty R, eds. Social Psychophysiology. New York, NY: Guildford Press; 1983:153-176.Google Scholar
14. Chapman, GB, Coups, EJ. Emotions and preventive health behavior: worry, regret, and influenza vaccination. Health Psychol. 2006;25:82-90.CrossRefGoogle ScholarPubMed
15. Bish, A, Michie, S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 2010;15:797-824.Google Scholar
16. Bish, A, Yardley, L, Nicoll, A, et al. Factors associated with uptake of vaccination against pandemic influenza: a systematic review. Vaccine. 2011;29:6472-6484.CrossRefGoogle ScholarPubMed
17. Blasi, F, Aliberti, S, Mantero, M, et al. Compliance with anti-H1N1 vaccine among healthcare workers and general population. Clin Microbiol Infect. 2012;18:37-41.Google Scholar
18. Brien, S, Kwong, JC, Buckeridge, DL. The determinants of 2009 pandemic A/H1N1 influenza vaccination: a systematic review. Vaccine. 2012;30:1255-1264.Google Scholar
19. Nguyen, T, Henningsen, KH, Brehaut, JC, et al. Acceptance of a pandemic influenza vaccine: a systematic review of surveys of the general public. Infect Drug Resist. 2011;4:197-207.Google Scholar
20. Moher, D, Liberati, A, Tetzlaff, J, et al. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. PLOS Med. 2009;6:e1000097.CrossRefGoogle ScholarPubMed
21. About WHO., WHO. regional offices. World Health Organization website. http://www.who.int/about/regions/en/index.html. Accessed July 2012.Google Scholar
22. Aburto, NJ, Pevzner, E, Lopez-Ridaura, R, et al. Knowledge and adoption of community mitigation efforts in Mexico during the 2009 H1N1 pandemic. Am J Prev Med. 2010;39:395-402.Google Scholar
23. Aguero, F, Adell, MN, Perez Gimenez, A, et al. Adoption of preventive measures during and after the 2009 influenza A (H1N1) virus pandemic peak in Spain. Prev Med. 2011;53:203-206.Google Scholar
24. Balkhy, HH, Abolfotouh, MA, Al-Hathlool, RH, et al. Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public. BMC Infect Dis. 2010;10:42.Google Scholar
25. Bangerter, A, Krings, F, Mouton, A, et al. Longitudinal investigation of public trust in institutions relative to the 2009 H1N1 pandemic in Switzerland. PLoS ONE. 2012;7:e49806.Google Scholar
26. Blank, PR, Bonnelye, G, Ducastel, A, et al. Attitudes of the General Public and General Practitioners in Five Countries towards Pandemic and Seasonal Influenza Vaccines during Season 2009/2010. PLoS ONE. 2012;7:e45450.CrossRefGoogle ScholarPubMed
27. Bohmer, MM, Walter, D, Falkenhorst, G, et al. Barriers to pandemic influenza vaccination and uptake of seasonal influenza vaccine in the post-pandemic season in Germany. BMC Public Health. 2012;12:938.Google Scholar
28. Brown, LH, Aitken, P, Leggat, PA, et al. Self-reported anticipated compliance with physician advice to stay home during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey. BMC Public Health. 2010;10:138.CrossRefGoogle ScholarPubMed
29. Bults, M, Beaujean, DJ, de Zwart, O, et al. Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC Public Health. 2011;11:2.Google Scholar
30. Centers for Disease Control Prevention. Intent to receive influenza A (H1N1) 2009 monovalent and seasonal influenza vaccines - two counties, North Carolina. August 2009. MMWR Morb Mortal Wkly Rep. 2009;58:1401-1405.Google Scholar
31. Cowling, BJ, Ng, DM, Ip, DK, et al. Community psychological and behavioral responses through the first wave of the 2009 influenza A(H1N1) pandemic in Hong Kong. J Infect Dis. 2010;202:867-876.Google Scholar
32. Dhand, NK, Hernandez-Jover, M, Taylor, M, et al. Public perceptions of the transmission of pandemic influenza A/H1N1 2009 from pigs and pork products in Australia. Prev Vet Med. 2011;98:165-175.Google Scholar
33. Eastwood, K, Durrheim, DN, Jones, A, et al. Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public. Med J Aust. 2010;192:33-36.Google Scholar
34. Ferrante, G, Baldissera, S, Moghadam, PF, et al. Surveillance of perceptions, knowledge, attitudes and behaviors of the Italian adult population (18-69 years) during the 2009-2010 A/H1N1 influenza pandemic. Eur J Epidemiol. 2011;26:211-219.Google Scholar
35. Galarce, EM, Minsky, S, Viswanath, K. Socioeconomic status, demographics, beliefs and A(H1N1) vaccine uptake in the United States. Vaccine. 2011;29:5284-5289.Google Scholar
36. Gaygisiz, U, Gaygisiz, E, Ozkan, T, et al. Individual differences in behavioral reactions to H1N1 during a later stage of the epidemic. J Infect Public Health. 2012;5:9-21.Google Scholar
37. Gidengil, CA, Parker, AM, Zikmund-Fisher, BJ. Trends in risk perceptions and vaccination intentions: a longitudinal study of the first year of the H1N1 pandemic. Am J Public Health. 2012;102:672-679.Google Scholar
38. Gilles, I, Bangerter, A, Clemence, A, et al. Trust in medical organizations predicts pandemic (H1N1) 2009 vaccination behavior and perceived efficacy of protection measures in the Swiss public. Eur J Epidemiol. 2011;26:203-210.Google Scholar
39. Goodwin, R, Haque, S, Neto, F, et al. Initial psychological responses to influenza A, H1N1 ("Swine flu"). BMC Infect Dis. 2009;9:166.Google Scholar
40. Goodwin, R, Gaines, SO Jr, Myers, L, et al. Initial psychological responses to swine flu. Int J Behav Med. 2011;18:88-92.CrossRefGoogle ScholarPubMed
41. Horney, JA, Moore, Z, Davis, M, et al. Intent to receive pandemic influenza A (H1N1) vaccine, compliance with social distancing and sources of information in NC. 2009 PLoS One. 2010;5:e11226.Google Scholar
42. Huang, JH, Miao, YY, Kuo, PC. Pandemic influenza H1N1 vaccination intention: psychosocial determinants and implications from a national survey, Taiwan. Eur J Public Health. 2012;22:796-801.Google Scholar
43. Ibuka, Y, Chapman, GB, Meyers, LA, et al. The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza. BMC Infect Dis. 2010;10:296.Google Scholar
44. Jehn, M, Kim, Y, Bradley, B, et al. Community knowledge, risk perception, and preparedness for the 2009 influenza A/H1N1 pandemic. J Public Health Manag Pract. 2011;17:431-438.Google Scholar
45. Jones, JH, Salathe, M. Early assessment of anxiety and behavioral response to novel swine-origin influenza A(H1N1). PLoS One. 2009;4:e8032.Google Scholar
46. Kamate, SK, Agrawal, A, Chaudhary, H, et al. Public knowledge, attitude and behavioural changes in an Indian population during the Influenza A (H1N1) outbreak. J Infect Dev Ctries. 2010;4:7-14.Google Scholar
47. Kiviniemi, MT, Ram, PK, Kozlowski, LT, et al. Perceptions of and willingness to engage in public health precautions to prevent 2009 H1N1 influenza transmission. BMC Public Health. 2011;11:152.CrossRefGoogle ScholarPubMed
48. Kumar, N, Sood, S, Singh, M, et al. Knowledge of swine flu among health care workers and general population of Haryana, India during 2009 pandemic. Australas Med J. 2010;3:614-617.CrossRefGoogle Scholar
49. Kumar, S, Quinn, SC, Kim, KH, et al. The social ecological model as a framework for determinants of 2009 H1N1 influenza vaccine uptake in the United States. Health Educ Behav. 2012;39(2):229-243, doi: 10.1177/1090198111415105.Google Scholar
50. Kwon, Y, Cho, HY, Lee, YK, et al. Relationship between intention of novel influenza A (H1N1) vaccination and vaccination coverage rate. Vaccine. 2010;29:161-165.Google Scholar
51. Lau, JT, Griffiths, S, Choi, KC, et al. Widespread public misconception in the early phase of the H1N1 influenza epidemic. J Infect. 2009;59:122-127.Google Scholar
52. Lau, JT, Griffiths, S, Au, DW, et al. Changes in knowledge, perceptions, preventive behaviours and psychological responses in the pre-community outbreak phase of the H1N1 epidemic. Epidemiol Infect. 2011;139:80-90.Google Scholar
53. Lau, JT, Yeung, NC, Choi, KC, et al. Acceptability of A/H1N1 vaccination during pandemic phase of influenza A/H1N1 in Hong Kong: population based cross sectional survey. BMJ. 2009;339:b4164.Google Scholar
54. Lau, JT, Yeung, NC, Choi, KC, et al. Factors in association with acceptability of A/H1N1 vaccination during the influenza A/H1N1 pandemic phase in the Hong Kong general population. Vaccine. 2010;28:4632-4637.Google Scholar
55. La Torre, G, Semyonov, L, Mannocci, A, et al. Knowledge, attitude, and behaviour of public health doctors towards pandemic influenza compared to the general population in Italy. Scand J Public Health. 2012;40:69-75.CrossRefGoogle Scholar
56. Leggat, PA, Brown, LH, Aitken, P, et al. Level of concern and precaution taking among Australians regarding travel during pandemic (H1N1) 2009: results from the 2009 Queensland Social Survey. J Travel Med. 2010;17:291-295.Google Scholar
57. Li, M, Chapman, GB, Ibuka, Y, et al. Who got vaccinated against H1N1 pandemic influenza? A longitudinal study in four US cities. Psychol Health. 2012;27(1):101-115, doi: 10.1080/08870446.2011.554833.Google Scholar
58. Liao, Q, Cowling, BJ, Lam, WW, et al. Factors affecting intention to receive and self-reported receipt of 2009 pandemic (H1N1) vaccine in Hong Kong: a longitudinal study. PLoS One. 2011;6:e17713.Google Scholar
59. Lin, Y, Huang, L, Nie, S, et al. Knowledge, attitudes and practices (KAP) related to the pandemic (H1N1) 2009 among Chinese general population: a telephone survey. BMC Infect Dis. 2011;11:128.Google Scholar
60. Marshall, H, Tooher, R, Collins, J, et al. Awareness, anxiety, compliance: community perceptions and response to the threat and reality of an influenza pandemic. Am J Infect Control. 2012;40:270-272.CrossRefGoogle Scholar
61. Maurer, J, Uscher-Pines, L, Harris, KM. Perceived seriousness of seasonal and A(H1N1) influenzas, attitudes toward vaccination, and vaccine uptake among U.S. adults: does the source of information matter? Prev Med. 2010;51:185-187.CrossRefGoogle Scholar
62. Maurer, J, Harris, KM, Parker, A, et al. Does receipt of seasonal influenza vaccine predict intention to receive novel H1N1 vaccine: evidence from a nationally representative survey of U.S. adults. Vaccine. 2009;27:5732-5734.Google Scholar
63. Miao, YY, Huang, JH. Prevalence and associated psychosocial factors of increased hand hygiene practice during the influenza A/H1N1 pandemic: findings and prevention implications from a national survey in Taiwan. Trop Med Int Health. 2012;17:604-612.Google Scholar
64. Myers, LB, Goodwin, R. Determinants of adults' intention to vaccinate against pandemic swine flu. BMC Public Health. 2011;11:15.Google Scholar
65. Naing, C, Tan, RYP, Soon, WC, et al. Preventive behaviours towards influenza A(H1N1)pdm09 and factors associated with the intention to take influenza A(H1N1)pdm09 vaccination. J Infect Public Health. 2012;5:412-419, http://dx.doi.org/10.1016/j.jiph.2012.07.005.CrossRefGoogle ScholarPubMed
66. Prati, G, Pietrantoni, L, Zani, B. Compliance with recommendations for pandemic influenza H1N1 2009: the role of trust and personal beliefs. Health Educ Res. 2011;26:761-769.Google Scholar
67. Quinn, SC, Kumar, S, Freimuth, VS, et al. Public willingness to take a vaccine or drug under Emergency Use Authorization during the 2009 H1N1 pandemic. Biosecur Bioterror. 2009;7:275-290.Google Scholar
68. Raude, J, Caille-Brillet, AL, Setbon, M. The 2009 pandemic H1N1 influenza vaccination in France: who accepted to receive the vaccine and why? PLoS Curr. 2010;2:RRN1188.Google Scholar
69. Renner, B, Reuter, T. Predicting vaccination using numerical and affective risk perceptions: the case of A/H1N1 influenza. Vaccine. 2012;30:7019-7026.Google Scholar
70. Reuter, T, Renner, B. Who takes precautionary action in the face of the new H1N1 influenza? Prediction of who collects a free hand sanitizer using a health behavior model. PLoS One. 2011;6:e22130.Google Scholar
71. Rubin, G, Amlot, R, Page, L, et al. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ. 2009;339:b2651.Google Scholar
72. Rubin, GJ, Potts, HWW, Michie, S. The impact of communications about swine flu (influenza A HINIv) on public responses to the outbreak: Results from 36 national telephone surveys in the UK. Health Technol Assess (Rockv). 2010;14:183-266.Google Scholar
73. Schwarzinger, M, Flicoteaux, R, Cortarenoda, S, et al. Low acceptability of A/H1N1 pandemic vaccination in French adult population: did public health policy fuel public dissonance? PLoS One. 2010;5:e10199.Google Scholar
74. Seale, H, McLaws, ML, Heywood, AE, et al. The community's attitude towards swine flu and pandemic influenza. Med J Aust. 2009;191:267-269.Google Scholar
75. 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.CrossRefGoogle Scholar
76. Setbon, M, Raude, J. Factors in vaccination intention against the pandemic influenza A/H1N1. Eur J Public Health. 2010;20:490-494.Google Scholar
77. Setbon, M, Le Pape, MC, Letroublon, C, et al. The public's preventive strategies in response to the pandemic influenza A/H1N1 in France: distribution and determinants. Prev Med. 2011;52:178-181.Google Scholar
78. SteelFisher, GK, Blendon, RJ, Bekheit, MM, et al. The public's response to the 2009 H1N1 influenza pandemic. N Engl J Med. 2010;362:e65.Google Scholar
79. SteelFisher, GK, Blendon, RJ, Ward, JRM, et al. Public response to the 2009 influenza A H1N1 pandemic: a polling study in five countries. Lancet Infect Dis. 2012;12:845-850.Google Scholar
80. Sypsa, V, Livanios, T, Psichogiou, M, et al. Public perceptions in relation to intention to receive pandemic influenza vaccination in a random population sample: evidence from a cross-sectional telephone survey. Euro Surveill. 2009;14(49), pii 19437.Google Scholar
81. Taylor, MR, Stevens, GJ, Agho, KE, et al. Crying wolf? Impact of the H1N1 2009 influenza pandemic on anticipated public response to a future pandemic. Med J Aust. 2012;197:561-564.Google Scholar
82. Vaux, S, Van Cauteren, D, Guthmann, JP, et al. Influenza vaccination coverage against seasonal and pandemic influenza and their determinants in France: a cross-sectional survey. BMC Public Health. 2011;11:30.Google Scholar
83. Velan, B, Kaplan, G, Ziv, A, et al. Major motives in non-acceptance of A/H1N1 flu vaccination: the weight of rational assessment. Vaccine. 2011;29:1173-1179.CrossRefGoogle ScholarPubMed
84. Walter, D, Bohmer, MM, Reiter, S, et al. Risk perception and information-seeking behaviour during the 2009/10 influenza a(H1N1)pdm09 pandemic in Germany. Euro Surveill. 2012;17, pii 201313.Google Scholar
85. Walter, D, Bohmer, MM, Heiden, M, et al. Monitoring pandemic influenza A(H1N1) vaccination coverage in Germany 2009/10 - results from thirteen consecutive cross-sectional surveys. Vaccine. 2011;29:4008-4012.CrossRefGoogle Scholar
86. van der Weerd, W, Timmermans, DR, Beaujean, DJ, et al. 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 Scholar
87. Wong, LP, Sam, IC. Temporal changes in psychobehavioral responses during the 2009 H1N1 influenza pandemic. Prev Med. 2010;51:92-93.Google Scholar
88. Wong, LP, Sam, IC. Knowledge and attitudes in regard to pandemic influenza A(H1N1) in a multiethnic community of Malaysia. Int J Behav Med. 2011;18:112-121.Google Scholar
89. Wong, LP, Sam, IC. Behavioral responses to the influenza A(H1N1) outbreak in Malaysia. J Behav Med. 2011;34:23-31.Google Scholar
90. Wong, LP, Sam, IC. Factors influencing the uptake of 2009 H1N1 influenza vaccine in a multiethnic Asian population. Vaccine. 2010;28:4499-4505.Google Scholar
91. Yi, S, Nonaka, D, Nomoto, M, et al. Predictors of the uptake of A (H1N1) influenza vaccine: findings from a population-based longitudinal study in Tokyo. PLoS One. 2011;6:e18893.Google Scholar
92. Leung, GM, Lam, TH, Ho, LM, et al. The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong. J Epidemiol Community Health. 2003;57:857-863.Google Scholar
93. Lau, JT, Tsui, H, Kim, JH, et al. Perceptions about status and modes of H5N1 transmission and associations with immediate behavioral responses in the Hong Kong general population. Prev Med. 2006;43:406-410.Google Scholar
94. Bell, DM. Non-pharmaceutical interventions for pandemic influenza, national and community measures. Emerg Infect Dis. 2006;12:81-87.Google Scholar
95. Balinska, M, Rizzo, C. Behavioural responses to influenza pandemics: what do we know? PLoS Curr. 2009:1, RRN1037.Google Scholar
96. Brienen, NC, Timen, A, Wallinga, J, et al. The effect of face mask use on the spread of influenza during a pandemic. Risk Anal. 2010;30:1210-1218.Google Scholar
97. Aledort, JE, Lurie, N, Wasserman, J, et al. Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base. BMC Public Health. 2007;7:208.Google Scholar
98. Connor, M, Sparks, P. Theory of planned behaviour and health behaviour. In Connor M, ed. Predicting Health Behaviour, 2nd edition. McGraw-Hill; 2005:170-222.Google Scholar
99. Mereckiene, J CS, D'Ancona, F, Giambi, C, et al. VENICE Project Gatekeepers Group. Differences in national influenza vaccination policies across the European Union, Norway and Iceland 2008-2009. Euro Surveill. 2010;15, pii 19700.Google Scholar
100. Condon, BJ, Sinha, T. Who is that masked person: the use of face masks on Mexico City public transportation during the Influenza A (H1N1) outbreak. Health Policy. 2010;95:50-56.CrossRefGoogle ScholarPubMed
101. Champion, VL. The health belief model. In Glanz K, Viswanath K, eds. Health Behaviour and Health Education; Theory, Research, and Practice. San Francisco, CA: Jossey Bass; 2008.Google Scholar
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