Communications in public health emergency preparedness: a systematic review of the literature
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During a public health crisis, public health agencies engage in a variety of public communication efforts to inform the population, encourage the adoption of preventive behaviors, and limit the impact of adverse events. Given the importance of communication to the public in public health emergency preparedness, it is critical to examine the extent to which this field of study has received attention from the scientific community. We conducted a systematic literature review to describe current research in the area of communication to the public in public health emergency preparedness, focusing on the association between sociodemographic and behavioral factors and communication as well as preparedness outcomes. Articles were searched in PubMed and Embase and reviewed by 2 independent reviewers. A total of 131 articles were included for final review. Fifty-three percent of the articles were empirical, of which 74% were population-based studies, and 26% used information environment analysis techniques. None had an experimental study design. Population-based studies were rarely supported by theoretical models and mostly relied on a cross-sectional study design. Consistent results were reported on the association between population socioeconomic factors and public health emergency preparedness communication and preparedness outcomes. Our findings show the need for empirical research to determine what type of communication messages can be effective in achieving preparedness outcomes across various population groups. They suggest that a real-time analysis of the information environment is valuable in knowing what is being communicated to the public and could be used for course correction of public health messages during a crisis.
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Previous studies have suggested negative associations between the extent of communication inequality and countries' outbreak preparedness, hindering the effectiveness of containment efforts and weakening societies' capability in response to health emergencies.
“Previous studies have suggested negative associations between the extent of communication inequality and countries’ outbreak preparedness,49,52 hindering the effectiveness of containment efforts and weakening societies’ capability in response to health emergencies.53–55”
From Social consequences of mass quarantine during epidemics: a systematic review with implications for the COVID-19 response (2020) · cites this paper as [55]
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Flagged first, then by citations
Cited by
Sorted by citations
Chu, I. Y.-H., Alam, P., Larson, H. J., & Lin, L. (2020) · Journal of Travel Medicine · doi:10.1093/jtm/taaa192 · Cited by 247 · see citing works
Self-citationLin, L., Savoia, E., Agboola, F., & Viswanath, K. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-484 · Cited by 228 · see citing works
Self-citationLin, L., Jung, M., McCloud, R. F., & Viswanath, K. (2014) · Public Health Reports® · doi:10.1177/00333549141296s408 · Cited by 94 · see citing works
Self-citation
- Authors
- Savoia, E., Lin, L., & Viswanath, K.
- Affiliations
- Harvard University (US)
- Venue
- Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science
- Publisher
- SAGE Publications
- Published
- 2013-09-01
- Volume
- 11
- Issue
- 3
- Pages
- 170-184
- ISSN
- 1538-7135 (ISSN-L)
- 1557-850X
- PMC
- PMC3778998
- OpenAlex
- W1973086421
- Cited by
- 120
- References
- 139
- Citations by year
- 2026: 4 · 2025: 13 · 2024: 24 · 2023: 8 · 2022: 10 · 2021: 16 · 2020: 15 · 2019: 7 · 2018: 3 · 2017: 9 · 2016: 6 · 2015: 2 · 2014: 3
- FWCI
- 5.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biosecurity and Bioterrorism Biodefense Strategy Practice and Science (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Health and Human Services
- Centers for Disease Control and Prevention (5PO1TP000307-05, 5p01tp000307-05)
- Topics
- Social Sciences › Communication › Public Relations and Crisis Communication
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Social Sciences › Sociology and Political Science › Disaster Management and Resilience
- Keywords
- public health emergency preparedness, public communication, health communication, sociodemographic factors, socioeconomic factors, preventive behavior, public health messages, crisis communication
- MeSH terms
- Communication, Disaster Planning, Research, Public Health Practice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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