Sources of Information and Health Beliefs Related to SARS and Avian Influenza among Chinese Communities in the United Kingdom and The Netherlands, Compared to the General Population in these Countries
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Ethnic minorities in Europe such as the Chinese may need a special strategy with regard to risk communication about emerging infectious diseases. To engage them in precautionary actions, it is important to know their information sources, knowledge, and health beliefs.
This study’s purpose is to study the use of information sources, knowledge, and health beliefs related to SARS and avian flu of Chinese people in the UK and The Netherlands, and to make comparisons with the general population in these countries.
Results of a self-administered questionnaire among 300 British/Dutch Chinese were compared to data obtained from a computer-assisted phone survey among the general population (n = 800).
British/Dutch Chinese got most information about emerging diseases from family and friends, followed by Chinese media and British/Dutch TV. They had less confidence than general groups in their doctor, government agencies, and consumer/patient interest groups. Their knowledge of SARS was high. They had a lower perceived threat than general populations with regard to SARS and avian flu due to a lower perceived severity. They had higher self-efficacy beliefs regarding SARS and avian flu.
In case of new outbreaks of SARS/avian flu in China, local authorities in the UK and The Netherlands can best reach Chinese people through informal networks and British/Dutch TV, while trying to improve confidence in information from the government. In communications, the severity of the disease rather than the susceptibility appears to need most attention.
- World Health Organization. Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003. http://www.who.int/csr/sars/country/table2004_04_21/en/index.html, 2004.
- Svoboda T, Henry B, Shulman L, Kennedy E, Rea E, Ng W, et al. Public health measures to control the spread of the severe acute respiratory syndrome during the outbreak in Toronto. N Engl J Med 2004;350:2352–61. CrossRef
- World Health Organization. Cumulative number of confirmed human cases of avian influenza A/(H5N1) Reported to WHO, 25 July 2007. http://www.who.int/csr/disease/avian_influenza/country/cases_table_2007_07_25/en/index.html, 2008.
- Colizza V, Barrat A, Barthelemy M, Valleron AJ, Vespignani A. Modeling the worldwide spread of pandemic influenza: baseline case and containment interventions. PLoS Med 2007;4(1):e13. CrossRef
- Saif LJ. Animal coronavirus vaccines: lessons for SARS. Dev Biol 2004;119:129–40.
- Smith RD. Responding to global infectious disease outbreaks: lessons from SARS on the role of risk perception, communication and management. Soc Sci Med 2006;63:3113–23. CrossRef
- Jiang X, Elam G, Yuen C, Voeten H, de Zwart O, Veldhuijzen I, et al. The perceived threat of SARS and its impact on precautionary actions and adverse consequences: a qualitative study among Chinese communities in the United Kingdom and The Netherlands. Int J Behav Med. 2009;this issue. doi:10.1007/s12529-008-9005-5.
- Person B, Sy F, Holton K, Govert B, Liang A, NCID/SARS Community Outreach Team. Fear and stigma: the epidemic within the SARS outbreak. Emerg Infect Dis. 2004;10:358–63.
- Rogers RW. A protection motivation theory of fear appeals and attitude change. J Psychol 1975;91:93–114.
- Rogers RW. Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation. In: Cacioppo J, Petty R, editors. SocPsychophysiology. New York: Guilford; 1983.
- Weinstein ND. The precaution adoption process. Health Psychol 1988;7:355–86. CrossRef
- Overseas Compatriotic Affairs Commission R.O.C. Taiwan (2008) Statistics: the ranking of ethnic Chinese population 2005. http://www.ocac.gov.tw/english/public/public.asp?selno=1163&no=1163&level=B.
- de Zwart O, Veldhijzen IK, Elam G, Aro AR, Abraham T, Bishop G., et al. Perceived threat, risk perception, and efficacy beliefs related to SARS and other (emerging) infectious diseases: results of an international survey. Int J Behav Med. 2009;this issue. doi:10.1007/s12529-008-9008-2.
- de Zwart O, Veldhuijzen IK, Elam G, Aro AR, Abraham T, Bishop GD, et al. Avian influenza risk perception, Europe and Asia. Emerg Infect Dis 2007;13:288–91.
- Brug J, Aro AR, Oenema A, de Zwart O, Richardus JH, Bishop GD. SARS risk perception, knowledge, precautions, and information sources, The Netherlands. Emerg Infect Dis 2004;10:1486–9.
- Groves RM, Mathiowetz NA. Computer assisted telephone interviewing: effects on interviewers and respondents. Public Opin Q 1984;48:356–69. CrossRef
- Groves RM, Mathiowetz NA. Chapter V. A comparison of CATI and non-CATI questionnaires. Vital Health Stat 2 1987;106:33–9.
- Haomiao J, Santana A, Lubetkin EI. Measuring risk perception among low-income minority primary care patients. J Ambul Care Manage 2004;27:314–27.
- Chang ED, Asawaka K. Cultural variations in optimistic bias: do Easterns really expect the worst and Westerns really expect the best when predicting future life events? J Pers Soc Psychol 2001;81:476–91. CrossRef
- Chang ED, Asawaka K. Cultural variations on optimistic and pessimistic bias for self versus a sibling: is there evidence for self-enhancement in the West and for self-criticism in the East when the referent group is specified. J Pers Soc Psychol 2003;84:569–81. CrossRef
- Renn O, Rohrmann B. Cross-cultural risk perception: a survey of empirical studies. Dordrecht: Kluwer; 2000.
- Sources of Information and Health Beliefs Related to SARS and Avian Influenza among Chinese Communities in the United Kingdom and The Netherlands, Compared to the General Population in these Countries
International Journal of Behavioral Medicine
Volume 16, Issue 1 , pp 49-57
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Avian flu
- Perceived threat
- Risk perception
- Information sources
- Author Affiliations
- 1. Department of Public Health, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands
- 2. Division of Infectious Disease Control, Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, The Netherlands
- 3. Centre for Infections, Health Protection Agency, London, UK
- 4. Journalism and Media Study Centre, The University of Hong Kong, Pokfulam, Hong Kong
- 5. EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands