title: Attitudes to living and working in pandemic conditions among emergency prehospital medical care personnel.
abstract: BACKGROUND
  Little is known about the risk perceptions and attitudes of healthcare personnel, especially of emergency prehospital medical care personnel, regarding the possibility of an outbreak or epidemic event.
  
  
  OBJECTIVE
  This study was designed to investigate pre-event knowledge and attitudes of a national sample of the emergency prehospital medical care providers in relation to a potential human influenza pandemic, and to determine predictors of these attitudes.
  
  
  METHODS
  Surveys were distributed to a random, cross-sectional sample of 20% of the Australian emergency prehospital medical care workforce (n = 2,929), stratified by the nine services operating in Australia, as well as by gender and location. The surveys included: (1) demographic information; (2) knowledge of influenza; and (3) attitudes and perceptions related to working during influenza pandemic conditions. Multiple logistic regression models were constructed to identify predictors of pandemic-related risk perceptions.
  
  
  RESULTS
  Among the 725 Australian emergency prehospital medical care personnel who responded, 89% were very anxious about working during pandemic conditions, and 85% perceived a high personal risk associated with working in such conditions. In general, respondents demonstrated poor knowledge in relation to avian influenza, influenza generally, and infection transmission methods. Less than 5% of respondents perceived that they had adequate education/training about avian influenza. Logistic regression analyses indicate that, in managing the attitudes and risk perceptions of emergency prehospital medical care staff, particular attention should be directed toward the paid, male workforce (as opposed to volunteers), and on personnel whose relationship partners do not work in the health industry.
  
  
  CONCLUSIONS
  These results highlight the potentially crucial role of education and training in pandemic preparedness. Organizations that provide emergency prehospital medical care must address this apparent lack of knowledge regarding infection transmission, and procedures for protection and decontamination. Careful management of the perceptions of emergency prehospital medical care personnel during a pandemic is likely to be critical in achieving an effective response to a widespread outbreak of infectious disease.
authors.affiliation: School of Population Health, University of Queensland, Brisbane. kwatt@emergency.qld.gov.au
authors.forename: Kerrianne
authors.initials: K
authors.lastname: Watt
authors.forename: Vivienne C
authors.initials: VC
authors.lastname: Tippett
authors.forename: Steven G
authors.initials: SG
authors.lastname: Raven
authors.forename: Konrad
authors.initials: K
authors.lastname: Jamrozik
authors.forename: Michael
authors.initials: M
authors.lastname: Coory
authors.forename: Frank
authors.initials: F
authors.lastname: Archer
authors.forename: Heath A
authors.initials: HA
authors.lastname: Kelly
mesh_terms: D000328:Adult; D001007:Anxiety; D001291:Attitude of Health Personnel; D001315:Australia / Q000453:epidemiology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D004196:Disease Outbreaks; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007251:Influenza, Human / Q000453:epidemiology* / Q000635:transmission; D016015:Logistic Models; D008297:Male; D016017:Odds Ratio; D011361:Professional Competence / Q000706:statistics & numerical data; D015980:Public Health Practice; D018570:Risk Assessment; D012938:Social Perception; D011795:Surveys and Questionnaires; D017132:Workplace