title: Communications in public health emergency preparedness: a systematic review of the literature.
abstract: During a public health crisis, public health agencies engage in a variety of public communication efforts to inform the population, encourage the adoption of preventive behaviors, and limit the impact of adverse events. Given the importance of communication to the public in public health emergency preparedness, it is critical to examine the extent to which this field of study has received attention from the scientific community. We conducted a systematic literature review to describe current research in the area of communication to the public in public health emergency preparedness, focusing on the association between sociodemographic and behavioral factors and communication as well as preparedness outcomes. Articles were searched in PubMed and Embase and reviewed by 2 independent reviewers. A total of 131 articles were included for final review. Fifty-three percent of the articles were empirical, of which 74% were population-based studies, and 26% used information environment analysis techniques. None had an experimental study design. Population-based studies were rarely supported by theoretical models and mostly relied on a cross-sectional study design. Consistent results were reported on the association between population socioeconomic factors and public health emergency preparedness communication and preparedness outcomes. Our findings show the need for empirical research to determine what type of communication messages can be effective in achieving preparedness outcomes across various population groups. They suggest that a real-time analysis of the information environment is valuable in knowing what is being communicated to the public and could be used for course correction of public health messages during a crisis.
authors.forename: Elena
authors.initials: E
authors.lastname: Savoia
authors.forename: Leesa
authors.initials: L
authors.lastname: Lin
authors.forename: Kasisomayajula
authors.initials: K
authors.lastname: Viswanath
mesh_terms: D003142:Communication; D004189:Disaster Planning; D015980:Public Health Practice; D012106:Research
references.citation: PLoS One. 2011 Jan 18;6(1):e14550
references.pmid: 21267450
references.citation: J Health Commun. 2003;8 Suppl 1:83-92; discussion 148-51
references.pmid: 14692573
references.citation: Disasters. 2012 Apr;36(2):195-211
references.pmid: 21995667
references.citation: Disaster Med Public Health Prep. 2010 Jun;4(2):129-34
references.pmid: 20526135
references.citation: Disasters. 2010 Apr;34(2):470-88
references.pmid: 19878261
references.citation: Am J Disaster Med. 2011 Jan-Feb;6(1):47-54
references.pmid: 21466029
references.citation: Am J Public Health. 2007 Apr;97 Suppl 1:S9-11
references.pmid: 17413078
references.citation: Risk Anal. 2010 Mar;30(3):501-11
references.pmid: 20136748
references.citation: Health Aff (Millwood). 2007 Sep-Oct;26(5):1269-79
references.pmid: 17848436
references.citation: J Public Health Manag Pract. 2011 Jan-Feb;17(1):20-7
references.pmid: 21135657
references.citation: BMC Infect Dis. 2008 Mar 17;8:36
references.pmid: 18366644
references.citation: Biosecur Bioterror. 2012 Dec;10(4):383-95
references.pmid: 23216210
references.citation: Am J Prev Med. 2009 Aug;37(2):150-6
references.pmid: 19524394
references.citation: Am J Public Health. 2008 Dec;98(12):2214-22
references.pmid: 18382011
references.citation: Biosecur Bioterror. 2005;3(3):235-45
references.pmid: 16181046
references.citation: BMC Infect Dis. 2010 May 12;10:114
references.pmid: 20462419
references.citation: J Health Commun. 2010 Jun;15(4):428-44
references.pmid: 20574880
references.citation: BMC Public Health. 2012 Mar 26;12:242
references.pmid: 22449137
references.citation: BMC Public Health. 2008 Jun 04;8:195
references.pmid: 18533010
references.citation: BMC Infect Dis. 2008 Sep 15;8:117
references.pmid: 18793441
references.citation: J Health Commun. 2007 Apr-May;12(3):217-32
references.pmid: 17497377
references.citation: PLoS One. 2008;3(10):e3552
references.pmid: 18958167
references.citation: Health Technol Assess. 2010 Jul;14(34):183-266
references.pmid: 20630124
references.citation: Am J Prev Med. 2010 Nov;39(5):395-402
references.pmid: 20965376
references.citation: Health Aff (Millwood). 2010 Dec;29(12):2294-301
references.pmid: 21134932
references.citation: Biosecur Bioterror. 2004;2(3):208-15
references.pmid: 15588059
references.citation: Health Commun. 2010 Apr;25(3):221-9
references.pmid: 20461607
references.citation: Prehosp Disaster Med. 2002 Apr-Jun;17(2):67-74
references.pmid: 12500729
references.citation: Fam Community Health. 2004 Jul-Sep;27(3):232-41
references.pmid: 15596970