title: Perceptions of vulnerability to a future outbreak: a study of horse managers affected by the first Australian equine influenza outbreak.
abstract: BACKGROUND
  A growing body of work shows the benefits of applying social cognitive behavioural theory to investigate infection control and biosecurity practices. Protection motivation theory has been used to predict protective health behaviours. The theory outlines that a perception of a lack of vulnerability to a disease contributes to a reduced threat appraisal, which results in poorer motivation, and is linked to poorer compliance with advised health protective behaviours. This study, conducted following the first-ever outbreak of equine influenza in Australia in 2007, identified factors associated with horse managers' perceived vulnerability to a future equine influenza outbreak.
  
  
  RESULTS
  Of the 200 respondents, 31.9% perceived themselves to be very vulnerable, 36.6% vulnerable and 31.4% not vulnerable to a future outbreak of equine influenza. Multivariable logistic regression modelling revealed that managers involved in horse racing and those on rural horse premises perceived themselves to have low levels of vulnerability. Managers of horse premises that experienced infection in their horses in 2007 and those seeking infection control information from specific sources reported increased levels of perceived vulnerability to a future outbreak.
  
  
  CONCLUSIONS
  Different groups across the horse industry perceived differing levels of vulnerability to a future outbreak. Increased vulnerability contributes to favourable infection control behaviour and hence these findings are important for understanding uptake of recommended infection control measures. Future biosecurity communication strategies should be delivered through information sources suitable for the horse racing and rural sectors.
authors.affiliation: Faculty of Veterinary Science, The University of Sydney, Camden, NSW 2570, Australia.
authors.forename: Kathrin
authors.initials: K
authors.lastname: Schemann
authors.forename: Simon M
authors.initials: SM
authors.lastname: Firestone
authors.forename: Melanie R
authors.initials: MR
authors.lastname: Taylor
authors.forename: Jenny-Ann L M L
authors.initials: JA
authors.lastname: Toribio
authors.forename: Michael P
authors.initials: MP
authors.lastname: Ward
authors.forename: Navneet K
authors.initials: NK
authors.lastname: Dhand
mesh_terms: D000328:Adult; D000822:Animal Husbandry; D000818:Animals; D001294:Attitude to Health; D001315:Australia / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000453:epidemiology / Q000517:prevention & control*; D006736:Horses; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009042:Motivation; D015999:Multivariate Analysis; D009976:Orthomyxoviridae Infections / Q000453:epidemiology / Q000517:prevention & control / Q000662:veterinary*; D011795:Surveys and Questionnaires
references.citation: Vaccine. 2011 Sep 2;29(38):6472-84
references.pmid: 21756960
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:97-100
references.pmid: 21711302
references.citation: Prev Vet Med. 2008 May 15;84(3-4):310-23
references.pmid: 18282623
references.citation: Transbound Emerg Dis. 2012 Dec;59(6):503-16
references.pmid: 22247976
references.citation: J Clin Epidemiol. 1997 Jan;50(1):45-55
references.pmid: 9048689
references.citation: Science. 2005 Oct 21;310(5747):482-5
references.pmid: 16186182
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:158-9
references.pmid: 21711318
references.citation: Prev Vet Med. 2011 Dec 15;102(4):304-14
references.pmid: 21893356
references.citation: Prev Vet Med. 2009 Nov 1;92(1-2):60-70
references.pmid: 19748691
references.citation: Vet Microbiol. 2005 Aug 30;109(3-4):285-96
references.pmid: 16026939
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:113-6
references.pmid: 21711306
references.citation: Prev Vet Med. 2011 Jun 1;100(1):53-63
references.pmid: 21481961
references.citation: Prev Vet Med. 2011 Feb 1;98(2-3):165-75
references.pmid: 21146879
references.citation: Transbound Emerg Dis. 2014 Oct;61(5):449-63
references.pmid: 23279804
references.citation: Prev Vet Med. 2012 Sep 15;106(2):97-107
references.pmid: 22326045
references.citation: Prev Vet Med. 2012 Feb 1;103(2-3):120-35
references.pmid: 21968089
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:151-8
references.pmid: 21711317
references.citation: Emerg Infect Dis. 2010 Feb;16(2):219-23
references.pmid: 20113550
references.citation: BMC Public Health. 2008 Oct 03;8:347
references.pmid: 18831770
references.citation: Br J Health Psychol. 2010 Nov;15(Pt 4):797-824
references.pmid: 20109274
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:109-13
references.pmid: 21711305
references.citation: Prev Vet Med. 2008 Nov 17;87(3-4):358-72
references.pmid: 18692923
references.citation: Med J Aust. 2006 Nov 20;185(10):562-4
references.pmid: 17115969
references.citation: Vector Borne Zoonotic Dis. 2002 Fall;2(3):179-91
references.pmid: 12737547
references.citation: J Clin Microbiol. 1999 May;37(5):1459-63
references.pmid: 10203505
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:3-4
references.pmid: 21711267
references.citation: J Am Vet Med Assoc. 2001 Apr 1;218(7):1152-9, 1100
references.pmid: 11318368
references.citation: Aust Vet J. 2011 Jul;89 Suppl 1:147-50
references.pmid: 21711316