Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public

BackgroundDuring an infectious disease outbreak, it is critical to learn as much as possible about the concerns, knowledge, attitudes, and behavior of the public. Such information can be crucial to the improvement of communication efforts by public health officials and clinicians. The aim of this study was to identify awareness, attitudes, and practices related to influenza A (H1N1) among the Saudi public.MethodsA cross-sectional study of 1,548 adult subjects recruited from various shopping malls in Riyadh and Jeddah was conducted. All of the subjects were interviewed using a questionnaire that tested their knowledge, attitudes, and use of precautionary measures in relation to the H1N1 influenza pandemic.ResultsMore than half (54.3%, 840/1548) of the participants showed high concern, 43.7%(677/1548) showed a low level of knowledge, and 60.8%(941/1548) had taken minimal or no precautionary measures. After adjusting for other variables, education level was the only significant predictor of the level of concern (p < 0.001), while greater precautionary measures were taken by participants who were male (p < 0.001), older (p = 0.047), better educated (p = 0.04), and more knowledgeable (p < 0.001). More than one-third (38.3%) of participants were not convinced that the MOH reports about the disease were true, and only 16.1% of the participants reported receiving information from health providers.ConclusionsHigh concern did not translate into a higher compliance with precautionary recommendations, possibly due to the low level of knowledge about the disease among the public. Frequent communication between physicians and the public is recommended to help dispel myths about the disease and to spread better information about the role that the public can play in limiting the spread of the disease.

[1]  W. Edmunds,et al.  Precautionary Behavior in Response to Perceived Threat of Pandemic Influenza , 2007, Emerging infectious diseases.

[2]  A. A. Machado.  How to prevent, recognize and diagnose infection with the swine-origin Influenza A (H1N1) virus in humans. , 2009, Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia.

[3]  J. Leavitt.  Public resistance or cooperation? A tale of smallpox in two cities. , 2003, Biosecurity and bioterrorism : biodefense strategy, practice, and science.

[4]  S. Ear.  Swine flu , 2012, Politics and the Life Sciences.

[5]  Arja R. Aro,et al.  Avian Influenza Risk Perception, Europe and Asia , 2007, Emerging infectious diseases.

[6]  L. Gostin,et al.  Large-scale quarantine following biological terrorism in the United States: scientific examination, logistic and legal limits, and possible consequences. , 2001, JAMA.

[7]  S. Mossad,et al.  The First Pandemic of the 21st Century: Review of the 2009 Pandemic Variant Influenza A (H1N1) Virus , 2009, Postgraduate medicine.

[8]  C. DesRoches,et al.  The public's response to severe acute respiratory syndrome in Toronto and the United States. , 2004, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[9]  Shamsul Haque,et al.  Initial psychological responses to Influenza A, H1N1 ("Swine flu") , 2009, BMC infectious diseases.

[10]  Julia E. Aledort,et al.  Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base , 2007, BMC public health.

[11]  A. Hedley,et al.  Avian Influenza Risk Perception , 2005 .

[12]  Melanie R Taylor,et al.  Pandemic influenza in Australia: Using telephone surveys to measure perceptions of threat and willingness to comply , 2008, BMC infectious diseases.

[13]  J. A. Navarro,et al.  Nonpharmaceutical interventions implemented by US cities during the 1918-1919 influenza pandemic. , 2007, JAMA.

[14]  H. Seale,et al.  The community's attitude towards swine flu and pandemic influenza , 2009, The Medical journal of Australia.

[15]  Brenda L. Elledge,et al.  Implications of Public Understanding of Avian Influenza for Fostering Effective Risk Communication , 2008, Health promotion practice.

[16]  G. Rubin,et al.  Health Protection Agency, , 2011 .

[17]  David N Durrheim,et al.  Acceptance of pandemic (H1N1) 2009 influenza vaccination by the Australian public , 2010, The Medical journal of Australia.

[18]  C. Tang,et al.  An outbreak of the severe acute respiratory syndrome: predictors of health behaviors and effect of community prevention measures in Hong Kong, China. , 2003, American journal of public health.

[19]  L. Ho,et al.  The impact of community psychological responses on outbreak control for severe acute respiratory syndrome in Hong Kong , 2003, Journal of epidemiology and community health.

[20]  I. Angelillo,et al.  A survey of knowledge, attitudes and practices towards avian influenza in an adult population of Italy , 2008, BMC infectious diseases.

[21]  C. Tang,et al.  Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong , 2004, Preventive Medicine.