BMC Public Health, July 28, 2010, Vol.10, p.442
Background Effective influenza pandemic management requires understanding of the factors influencing behavioral changes. We aim to determine the differences in knowledge, attitudes and practices in various different cohorts and explore the pertinent factors that influenced behavior in tropical Singapore. Methods We performed a cross-sectional knowledge, attitudes and practices survey in the Singapore military from mid-August to early-October 2009, among 3054 personnel in four exposure groups - laboratory-confirmed H1N1-2009 cases, close contacts of cases, healthcare workers, and general personnel. Results 1063 (34.8%) participants responded. The mean age was 21.4 (SE 0.2) years old. Close contacts had the highest knowledge score (71.7%, p = 0.004) while cases had the highest practice scores (58.8%, p [less than] 0.001). There was a strong correlation between knowledge and practice scores (r = 0.27, p [less than] 0.01) and knowledge and attitudes scores (r = 0.21, p [less than] 0.01). The significant predictors of higher practice scores were higher knowledge scores (p [less than] 0.001), Malay ethnicity (p [less than] 0.001), exposure group (p [less than] 0.05) and lower education level (p [less than] 0.05). The significant predictors for higher attitudes scores were Malay ethnicity (p = 0.014) and higher knowledge scores (p [less than] 0.001). The significant predictor for higher knowledge score was being a contact (p = 0.007). Conclusion Knowledge is a significant influence on attitudes and practices in a pandemic, and personal experience influences practice behaviors. Efforts should be targeted at educating the general population to improve practices in the current pandemic, as well as for future epidemics.
Influenza -- Risk Factors ; Influenza -- Prevention ; Influenza -- Research ; Health Behavior -- Surveys ; Medical Personnel -- Surveys
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