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Demographic and attitudinal determinants of protective behaviours during a pandemic: a review.
Br J Health Psychol. 2010 Nov; 15(Pt 4):797-824.BJ

Abstract

PURPOSE

A new strain of H1N1 influenza, also known as swine flu was confirmed in the UK in May 2009 and has spread to over 100 countries around the world causing the World Health Organization to declare a global flu pandemic. The primary objectives of this review are to identify the key demographic and attitudinal determinants of three types of protective behaviour during a pandemic: preventive, avoidant, and management of illness behaviours, in order to describe conceptual frameworks in which to better understand these behaviours and to inform future communications and interventions in the current outbreak of swine flu and subsequent influenza pandemics.

METHODS

Web of Science and PubMed databases were searched for references to papers on severe acute respiratory syndrome, avian influenza/flu, H5N1, swine influenza/flu, H1N1, and pandemics. Forward searching of the identified references was also carried out. In addition, references were gleaned from an expert panel of the Behaviour and Communications sub-group of the UK Scientific Pandemic Influenza Advisory Group. Papers were included if they reported associations between demographic factors, attitudes, and a behavioural measure (reported, intended, or actual behaviour).

RESULTS

Twenty-six papers were identified that met the study inclusion criteria. The studies were of variable quality and most lacked an explicit theoretical framework. Most were cross-sectional in design and therefore not predictive over time. The research shows that there are demographic differences in behaviour: being older, female and more educated, or non-White, is associated with a higher chance of adopting the behaviours. There is evidence that greater levels of perceived susceptibility to and perceived severity of the diseases and greater belief in the effectiveness of recommended behaviours to protect against the disease are important predictors of behaviour. There is also evidence that greater levels of state anxiety and greater trust in authorities are associated with behaviour.

CONCLUSIONS

The findings from this review can be broadly explained by theories of health behaviour. However, theoretically driven prospective studies are required to further clarify the relationship between demographic factors, attitudes, and behaviour. The findings suggest that intervention studies and communication strategies should focus on particular demographic groups and on raising levels of perceived threat of the pandemic disease and belief in the effectiveness of measures designed to protect against it.

Authors+Show Affiliations

Centre for Outcome Research and Effectiveness, University College London, UK. alisonbish@onetel.comNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20109274

Citation

Bish, Alison, and Susan Michie. "Demographic and Attitudinal Determinants of Protective Behaviours During a Pandemic: a Review." British Journal of Health Psychology, vol. 15, no. Pt 4, 2010, pp. 797-824.
Bish A, Michie S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol. 2010;15(Pt 4):797-824.
Bish, A., & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. British Journal of Health Psychology, 15(Pt 4), 797-824. https://doi.org/10.1348/135910710X485826
Bish A, Michie S. Demographic and Attitudinal Determinants of Protective Behaviours During a Pandemic: a Review. Br J Health Psychol. 2010;15(Pt 4):797-824. PubMed PMID: 20109274.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. AU - Bish,Alison, AU - Michie,Susan, Y1 - 2010/01/28/ PY - 2010/1/30/entrez PY - 2010/1/30/pubmed PY - 2010/12/16/medline SP - 797 EP - 824 JF - British journal of health psychology JO - Br J Health Psychol VL - 15 IS - Pt 4 N2 - PURPOSE: A new strain of H1N1 influenza, also known as swine flu was confirmed in the UK in May 2009 and has spread to over 100 countries around the world causing the World Health Organization to declare a global flu pandemic. The primary objectives of this review are to identify the key demographic and attitudinal determinants of three types of protective behaviour during a pandemic: preventive, avoidant, and management of illness behaviours, in order to describe conceptual frameworks in which to better understand these behaviours and to inform future communications and interventions in the current outbreak of swine flu and subsequent influenza pandemics. METHODS: Web of Science and PubMed databases were searched for references to papers on severe acute respiratory syndrome, avian influenza/flu, H5N1, swine influenza/flu, H1N1, and pandemics. Forward searching of the identified references was also carried out. In addition, references were gleaned from an expert panel of the Behaviour and Communications sub-group of the UK Scientific Pandemic Influenza Advisory Group. Papers were included if they reported associations between demographic factors, attitudes, and a behavioural measure (reported, intended, or actual behaviour). RESULTS: Twenty-six papers were identified that met the study inclusion criteria. The studies were of variable quality and most lacked an explicit theoretical framework. Most were cross-sectional in design and therefore not predictive over time. The research shows that there are demographic differences in behaviour: being older, female and more educated, or non-White, is associated with a higher chance of adopting the behaviours. There is evidence that greater levels of perceived susceptibility to and perceived severity of the diseases and greater belief in the effectiveness of recommended behaviours to protect against the disease are important predictors of behaviour. There is also evidence that greater levels of state anxiety and greater trust in authorities are associated with behaviour. CONCLUSIONS: The findings from this review can be broadly explained by theories of health behaviour. However, theoretically driven prospective studies are required to further clarify the relationship between demographic factors, attitudes, and behaviour. The findings suggest that intervention studies and communication strategies should focus on particular demographic groups and on raising levels of perceived threat of the pandemic disease and belief in the effectiveness of measures designed to protect against it. SN - 1359-107X UR - https://www.unboundmedicine.com/medline/citation/20109274/Demographic_and_attitudinal_determinants_of_protective_behaviours_during_a_pandemic:_a_review_ L2 - https://doi.org/10.1348/135910710X485826 DB - PRIME DP - Unbound Medicine ER -