Cited by 508Risk Perception and ManagementInfluenza Virus Research StudiesCOVID-19 and Mental Health

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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

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Bults, Marloes, Beaujean, Desirée JMA, de Zwart, Onno, Kok, Gerjo, van Empelen, Pepijn, van Steenbergen, Jim E, Richardus, Jan Hendrik, Voeten, Hélène ACM·2011·BMC Public Health

DOI 10.1186/1471-2458-11-2PMC PMC3091536

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Abstract

BACKGROUND: Research into risk perception and behavioural responses in case of emerging infectious diseases is still relatively new. The aim of this study was to examine perceptions and behaviours of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands. METHODS: Two cross-sectional and one follow-up online survey (survey 1, 30 April-4 May; survey 2, 15-19 June; survey 3, 11-20 August 2009). Adults aged 18 years and above participating in a representative Internet panel were invited (survey 1, n = 456; survey 2, n = 478; follow-up survey 3, n = 934). Main outcome measures were 1) time trends in risk perception, feelings of anxiety, and behavioural responses (survey 1-3) and 2) factors associated with taking preventive measures and strong intention to comply with government-advised preventive measures in the future (survey 3). RESULTS: Between May and August 2009, the level of knowledge regarding Influenza A (H1N1) increased, while perceived severity of the new flu, perceived self-efficacy, and intention to comply with preventive measures decreased. The perceived reliability of information from the government decreased from May to August (62% versus 45%). Feelings of anxiety decreased from May to June, and remained stable afterwards. From June to August 2009, perceived vulnerability increased and more respondents took preventive measures (14% versus 38%). Taking preventive measures was associated with no children in the household, high anxiety, high self-efficacy, more agreement with statements on avoidance, and paying much attention to media information regarding Influenza A (H1N1). Having a strong intention to comply with government-advised preventive measures in the future was associated with higher age, high perceived severity, high anxiety, high perceived efficacy of measures, high self-efficacy, and finding governmental information to be reliable. CONCLUSIONS: Decreasing trends over time in perceived severity and anxiety are consistent with the reality: the clinical picture of influenza turned out to be mild in course of time. Although (inter)national health authorities initially overestimated the case fatality rate, the public stayed calm and remained to have a relatively high intention to comply with preventive measures.

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Authors: Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A.
Affiliations: GGD Rotterdam-Rijnmond (NL)
National Institute for Public Health and the Environment (NL)
Maastricht University (NL)
Erasmus MC (NL)
Corresponding author: Bults, Marloes
ORCID: Bults, Marloes
Beaujean, Desirée JMA
Kok, Gerjo
Richardus, Jan Hendrik
Voeten, Hélène ACM
Venue: BMC Public Health
Publisher: Springer Science and Business Media LLC
Published: 2011-01-03
Volume: 11
Issue: 1
Pages: 2-2
ISSN: 1471-2458 (ISSN-L)
DOI: 10.1186/1471-2458-11-2
PMC: PMC3091536
OpenAlex: W2160326461
Cited by: 508
References: 29
Citations by year: 2026: 9 · 2025: 19 · 2024: 30 · 2023: 35 · 2022: 87 · 2021: 125 · 2020: 108 · 2019: 14 · 2018: 9 · 2017: 9 · 2016: 13 · 2015: 10 · 2014: 10 · 2013: 13 · 2012: 14
FWCI: 42.86
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/2.0 (tdm)
Locations: BMC Public Health (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Research Publications (Maastricht University) (publishedVersion, cc-by)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
RePub (Erasmus University Rotterdam) (submittedVersion)
Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
Research Publications (Maastricht University) (submittedVersion, other-oa)
Funders: ZonMw
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Topics: Social Sciences › Sociology and Political Science › Risk Perception and Management
Health Sciences › Medicine › Epidemiology › Influenza Virus Research Studies
Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords: influenza A (H1N1) pandemic, risk perception, anxiety, preventive behavior, self-efficacy, perceived severity, perceived susceptibility, media attention, compliance with preventive measures, emerging infectious diseases, public health communication, temporal trends
MeSH terms: Adult, Aged, Aged, 80 and over, Anxiety, Female, Follow-Up Studies, Humans, Influenza, Human, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Netherlands, Surveys and Questionnaires, Risk, Socioeconomic Factors, Health Behavior, Multivariate Analysis, Logistic Models, Internet, Influenza A Virus, H1N1 Subtype, Pandemics

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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

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