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If You Ask Them, Will They Come? Predictors of Quarantine Compliance During a Hypothetical Avian Influenza Pandemic: Results From a Statewide Survey

Published online by Cambridge University Press:  08 April 2013

Sarah Bauerle Bass ,
Sheryl Burt Ruzek ,
Lawrence Ward ,
Thomas F. Gordon ,
Alexandra Hanlon ,
Alice J. Hausman  and
Michael Hagen
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Abstract

Background: An influenza pandemic, such as that of the H1N1 virus, raises questions about how to respond effectively to a lethal outbreak. Most plans have focused on minimizing impact by containing the virus through quarantine, but quarantine has not been used widely in the United States and little is known about what would be the public's response. The purpose of this study was to investigate factors that influence an individual's decision to comply with a hypothetical avian influenza quarantine order.

Methods: A total of 1204 adult Pennsylvania residents participated in a random digit dial telephone sample. The residents were interviewed regarding their attitudes about and knowledge of avian influenza and about compliance with quarantine orders, including staying at home or traveling to a government-designated facility.

Results: Analysis of variance showed differences among demographic groups in willingness to comply with quarantine orders, with women and individuals not presently employed more willing to stay at home or to travel to a government-designated facility if ordered. Those who did not regularly attend religious services were significantly less willing than those who did attend regularly to comply with any type of quarantine order. Regression analysis indicated that demographic variables, overall knowledge of avian influenza, attitudes about its severity, and the belief that the respondent and/or his or her significant other(s) may contract it were predictive.

Conclusions: The results of this study can provide health planners and policy makers with information for improving their efforts to conduct a quarantine successfully, including crafting messages and targeting information to certain groups of people to communicate risk about the epidemic.

(Disaster Med Public Health Preparedness. 2010;4:135-144)

Keywords

disease outbreakscommunicable diseasesquarantinecommunicationinfluenza, avianinfluenza, humanpublic health practicecommunicable diseases, emergingpublic opinioncommunications media
Type
Original Articles
Information
Disaster Medicine and Public Health Preparedness , Volume 4 , Issue 2 , June 2010 , pp. 135 - 144
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2010

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References

REFERENCES

1.Fauci, AS.Pandemic influenza threat and preparedness. Emerg Infect Dis. 2006;12:73–77.Google Scholar
2.Holmberg, SD, Layton, CM, Ghneim, GS, Wagener, DK.State plans for containment of pandemic influenza. Emerg Infect Dis. 2006;12:1414–1417.Google Scholar
3.Thomas, JC, Dasgupta, N, Marinot, A.Ethics in a pandemic: a survey of the state pandemic influenza plans. Am J Public Health. 2007;197 (S1):S26–S31.Google Scholar
4.National Strategy for Pandemic Influenza. http://www.flu.gov/professional/federal/pandemic-influenza.pdf. Accessed March 11, 2008.Google Scholar
5.US Department of Health and Human Services. Pandemic influenza. http://www.pandemicflu.gov. Accessed March 11, 2008.Google Scholar
6.Centers for Disease Control and Prevention. CDC cumulative estimates of 2009 H1N1 cases and related hospitalizations and deaths from April-November 13, 2009, by age group. http://www/cdc.gov/h1n1flu/pdf/december10.pdf. Accessed January 8, 2010.Google Scholar
7.Centers for Disease Control and Prevention. Update: Influenza Activity—United States, Aug. 30 - Oct. 31, 2009. MMWR Morb Mortal Wkly Rep. 2009;58:1236–1241.Google Scholar
8.Monto, AS.The threat of an avian flu pandemic. N Engl J Med. 2005;352:323–325.CrossRefGoogle Scholar
9.Juckett, G.Avian influenza: preparing for a pandemic. Am Fam Physician. 2006;74:783–790.Google ScholarPubMed
10.Iwami, S, Takeuchi, Y, Liu, X.Avian flu pandemic: can we prevent it? J Theor Biol. 2008;257:181–190.Google Scholar
11.Centers for Disease Control and Prevention. Transmission of influenza A viruses between animals and people. http://www.cdc.gov/flu/avian/gen-info/pdf/spread.pdf. Published October 14, 2005. Accessed September 24, 2009.Google Scholar
12.Oshitani, H.Potential benefits and limitations of various strategies to mitigate the impact of an influenza pandemic. J Infect Chemother. 2006;12:167–171.Google Scholar
13.Enserink, M.Drugs, quarantine might stop a pandemic before it starts. Science. 2005;309:870–871.Google Scholar
14.World Health Organization. Nonpharmaceutical interventions for pandemic influenza, national and community measures. Emerg Infect Dis. 2006;12:88–94.Google Scholar
15.Gostin, L.Public health strategies for pandemic influenza. JAMA. 2006;295:1700–1704.CrossRefGoogle ScholarPubMed
16.Toner, E.Do public health and infection control measures prevent the spread of flu? Biosecur Bioterror. 2006;4:84–86.CrossRefGoogle ScholarPubMed
17.Svoboda, T, Henry, B, Shulman, L.Public health measures to control the spread of severe acute respiratory syndrome during the outbreak in Toronto. N Engl J Med. 2004;350:2352–2361.CrossRefGoogle ScholarPubMed
18.Bell, DMWorld Health Organization Working Group on International and Community Transmission of SARS. Public health interventions and SARS spread, 2003. Emerg Infect Dis. 2004;10:1900–1906.Google Scholar
19.Gernhart, G.A forgotten enemy: PHS's fight against the 1918 influenza pandemic. Public Health Rep. 1999;114:559–561.Google Scholar
20.Barbera, J, Macintyre, A, Gostin, L.Large-scale quarantine following biological terrorism in the United States: scientific examination, logistic and legal limits, and possible consequences. JAMA. 2001;286:2711–2717.Google Scholar
21.Daubert, M.Pandemic fears and contemporary quarantine: protecting liberty through a continuum of due process rights. Buff L Rev. 2007;54:1313–1314.Google Scholar
22.Swendiman, K, Elsea, JFederal and State Quarantine and Isolation Authority. RL33201. January 23, 2007. Washington, DC: Congressional Research Service.Google Scholar
23.Federal and State Isolation and Quarantine Authority. §264(e) and 42 C.F.R §70.2 (2001).Google Scholar
24.Brown, M.Reconsidering the Model State Emergency Health Powers Act: toward state regionalization in bioterrorism response. Ann Health Law. 2005;14:95–96.Google Scholar
25. Executive Order 13295, as amended by Executive Order 13375, signed on April 1, 2005 at http://edocket.access.gpo.gov/2005/pdf/05-6907.pdf. Accessed September 25, 2009.Google Scholar
26.Erickson, D, Gostin, L, Street, J, Mills, SP.New models for prevention systems: the power to act. J Law Med Ethics. 2002;30(suppl)57–62.Google Scholar
27.Markel, H, Lipman, HB, Navarro, JA.Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic. JAMA. 2007;298:644–654.CrossRefGoogle ScholarPubMed
28.Schabas, R.Is the quarantine act relevant? CMAJ. 2007;176:1840–1842.Google Scholar
29.Hawryluck, L, Gold, WL, Robinson, S.SARS control and psychological effects of quarantine, Toronto, Canada. Emerg Infect Dis. 2004;10:1206–1212.Google Scholar
30.Cava, MA, Fay, KE, Beanlands, HJ.Risk perception and compliance with quarantine during the SARS outbreak. J Nurs Scholarship. 2005;37:343–347.Google Scholar
31.DiGiovanni, C, Conley, J, Chiu, D, Zaborski, J.Factors influencing compliance with quarantine in Toronto during the 2003 SARS outbreak. Biosecur Bioterror. 2004;2:265–272.Google Scholar
32.Blendon, RJ, DesRoches, CM, Cetron, MS.Attitudes towards the use of quarantine in a public health emergency in four countries. Health Aff (Millwood). 2006;25:w15–w25.Google Scholar
33.Gostin, LO, Gravely, SD, Shakman, S, Markel, H, Cetron, M.Quarantine: voluntary or not? J Law Med Ethics. 2004(Suppl 4)83–86.Google Scholar
34.Blendon, RJ, Benson, JM, DesRoches, CM, Hermann, MJ, Weldon, KJ.Working Paper 19: Avian Flu Survey. Working Papers, Project on the Public and Biological Security. Harvard School of Public Health. February 2006. www.hsph.harvard.edu/research/horp/files/WP19AvianFlu.pdf. Published on February 23, 2006. Accessed March 3, 2010.Google Scholar
35.Centers for Disease Control and Prevention. Interim pre-pandemic planning guidance: Community strategy for pandemic influenza mitigation. February 2007. www.flu.gov/professional/community/commitigation.html. Accessed March 3, 2010.Google Scholar
36.Blendon, RJ, Koonin, LM, Benson, JM, Cetron, MS.Public response to community mitigation measures for pandemic influenza. Emerg Infect Dis. 2008;14:778–786.Google Scholar
37.Janssen, AP, Tardif, RR, Landry, SR, Warner, JE.Why tell me now? The public and healthcare providers weigh in on pandemic influenza messages. J Public Health Manag Pract. 2006;12:388–394.CrossRefGoogle Scholar
38.Aledort, JE, Lurie, N, Wasserman, J, Bozzette, SA.Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base. BMC Public Health. 2007;7:208.CrossRefGoogle ScholarPubMed
39.Richards, EP, Burris, S, McNelis, RP.Quarantine laws and public health realities. J Law Med Ethics. 2005;33 (4 Suppl):69–72.Google ScholarPubMed
40.Centers for Disease Control and Prevention. Racial/ethnic disparities in influenza and pneumococcal vaccination levels among persons aged or =65 years—United States, 1989-2001. MMWR Morb Mortal Wkly Rep. 2003;52:958–962.Google Scholar
41.Egede, LE, Zheng, D.Racial/ethnic differences in influenza vaccination coverage in high-risk adults. Am J Public Health. 2003;93:2074–2078.Google Scholar
42.Ehart, W, Geracimos, A.“Anti-vaccine attitude” hampers H1N1 effort. The Washington Times. November 10, 2009. http://www.washingtontimes.com/news/2009/nov/10/anti-vaccine-attitude-hampers-h1n1-effort. Accessed January 11, 2010.Google Scholar