title: Pandemic influenza in Australia: using telephone surveys to measure perceptions of threat and willingness to comply.
abstract: BACKGROUND
  Baseline data is necessary for monitoring how a population perceives the threat of pandemic influenza, and perceives how it would behave in the event of pandemic influenza. Our aim was to develop a module of questions for use in telephone health surveys on perceptions of threat of pandemic influenza, and on preparedness to comply with specific public health behaviours in the event of pandemic influenza.
  
  
  METHODS
  A module of questions was developed and field tested on 192 adults using the New South Wales Department of Health's in-house Computer Assisted Telephone Interviewing (CATI) facility. The questions were then modified and re field tested on 202 adults. The module was then incorporated into the New South Wales Population Health Survey in the first quarter of 2007. A representative sample of 2,081 adults completed the module. Their responses were weighted against the state population.
  
  
  RESULTS
  The reliability of the questions was acceptable with kappa ranging between 0.25 and 0.51. Overall 14.9% of the state population thought pandemic influenza was very or extremely likely to occur; 45.5% were very or extremely concerned that they or their family would be affected by pandemic influenza if it occurred; and 23.8% had made some level of change to the way they live their life because of the possibility of pandemic influenza. In the event of pandemic influenza, the majority of the population were willing to: be vaccinated (75.4%), be isolated (70.2%), and wear a face mask (59.9%). People with higher levels of threat perception are significantly more likely to be willing to comply with specific public health behaviours.
  
  
  CONCLUSIONS
  While only 14.9% of the state population thought pandemic influenza was very or extremely likely to occur, a significantly higher proportion were concerned for self and family should a pandemic actually occur. The baseline data collected in this survey will be useful for monitoring changes over time in the population's perceptions of threat, and preparedness to comply with specific public health behaviours.
authors.affiliation: Centre for Epidemiology and Research, New South Wales Department of Health, Sydney, Australia. meyes@doh.health.nsw.gov.au
authors.forename: Margo
authors.initials: M
authors.lastname: Barr
authors.forename: Beverley
authors.initials: B
authors.lastname: Raphael
authors.forename: Melanie
authors.initials: M
authors.lastname: Taylor
authors.forename: Garry
authors.initials: G
authors.lastname: Stevens
authors.forename: Louisa
authors.initials: L
authors.lastname: Jorm
authors.forename: Michael
authors.initials: M
authors.lastname: Giffin
authors.forename: Sanja
authors.initials: S
authors.lastname: Lujic
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007251:Influenza, Human / Q000517:prevention & control*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009517:New South Wales; D010465:Perception
references.citation: BMC Infect Dis. 2007 Mar 15;7:18
references.pmid: 17359545
references.citation: Psychol Sci. 2003 Mar;14(2):144-50
references.pmid: 12661676
references.citation: J Epidemiol Community Health. 2003 Nov;57(11):864-70
references.pmid: 14600111
references.citation: N Engl J Med. 2004 Jun 3;350(23):2352-61
references.pmid: 15175437
references.citation: Emerg Infect Dis. 2007 Feb;13(2):290-3
references.pmid: 17479894
references.citation: J Nurs Scholarsh. 2005;37(4):343-7
references.pmid: 16396407
references.citation: BMC Infect Dis. 2008 Mar 17;8:36
references.pmid: 18366644
references.citation: J Epidemiol Community Health. 2003 Nov;57(11):857-63
references.pmid: 14600110
references.citation: Emerg Infect Dis. 2005 May;11(5):677-82
references.pmid: 15890118
references.citation: Br J Psychiatry. 2005 Jun;186:487-93
references.pmid: 15928359