hye-jin paek, ph.d. michigan state university presented at the national sophe webinar
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Hye-Jin Paek, Ph.D. Michigan State University Presented at the National SOPHE Webinar December 4, 2008. “Public Support for Government Actions During a Flu Pandemic: Lessons Learned from a Statewide Survey”. F unded by the Georgia Department of Human Resources. Objectives. - PowerPoint PPT PresentationTRANSCRIPT
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Hye-Jin Paek, Ph.D.Michigan State University
Presented atthe National SOPHE Webinar
December 4, 2008
Funded by the Georgia Department of Human Resources
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ObjectivesBy the end of this session, participants will be able to:
Articulate the implications for practice from a statewide telephone survey examining the knowledge and perceptions of adults about a flu pandemic
Understand considerations to be taken in order to gain more support for government actions during a pandemic flu outbreak
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Background:
Avian flu, bird flu, or H5N1 influenza Highly contagious Fist detected in Asia, Africa and the Middle
East
in 1997 with 62% death rate
Possibility of pandemic influenza and its potential consequences U.S. has spent more than $7.1 billion toward
preparedness (Morse, Garwin, & Olsiewski, 2006)
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Importance of Research
Federal strategy for pandemic flu: Isolation or quarantine Closing schools, stores and places of worship Closing borders, airports & limiting U.S. travel Home care instead of hospital care Rationing of vaccine & medicine stockpiles
Compliance requires public support of policies (McEntire & Myers, 2004)
To avoid “paper plan syndrome”
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Research Objectives Examine awareness of avian flu or bird flu
Assess knowledge and risk perceptions about flu pandemics
Examine residents’ trust of government ability to handle a flu pandemic
Investigate level of support for specific government actions during pan flu outbreak
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Literature Review
Demographics Race, gender, rural/ruban residence, and SES gap
Risk Perceptions Susceptibility & severity (PMT, EPPM, HBM) Optimistic bias (Weinstein, 1987)
Trust in government (McComas & Trumbo, 2001)
Knowledge (Bord & O'Connor, 1990)
Media Agenda setting and priming functions (McCombs &
Reynolds, 2002; Mutz, 1998)
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Method
15-minute statewide phone survey conducted July and August 2006
1602 participants (1,302 RDD + 300 Hispanic oversample)
Response rate = 40.5% (CASRO) Weighted by race, gender, age Measures: DV (10 support for government action items),
IV (demographics, urban/rural, risk perceptions, knowledge, index of trust in government, attention to emergency-news media)
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Awareness and Knowledge of Flu Pandemics
Georgians’ Knowledge about Flu Pandemics Correct
Bird flu and a flu pandemic are not necessarily the same thing (Correct answer is “true”)
54.0%
There is now a vaccine to protect people from getting bird flu (Correct answer is “false”)
57.7%
Contact with a person with bird flu will give you bird flu. (Correct answer is “true”)*
34.0%
It is possible that pets such as cats can get bird flu (Correct answer is “true”)
51.8%
Taking medicine will protect you from getting pandemic flu (Correct answer is “false”)
62.2%
*deleted for further analysis
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Who is More Knowledgeable?
Whites Economically well-off Better-educated
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Perception of a Flu Pandemic
Perceived susceptibility:About half of Georgia residents seem to think
they and their communities would be affected by a flu pandemic
Perceived severity:More than half of the respondents perceived that
the consequences would be severe
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Trust in Government’s Ability to Handle a Flu Pandemic
Types of Trust Yes
General Trust in Government 50.5%
Confidence 48.1%
Openness 55.6%
Benevolence 60.3%
Competence 56.7%
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Who Trusts the Government Less?
Whites and African-Americans than Hispanics
Females then males
People with higher than 25k income than those with lower than 25k
People older than 35 than the younger age group (18-34)
People with more than high school education
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Level of the Public Support for Government Actions
Border closing (81.7%) Quarantine (80.9%) Vaccine distributions at public places (80.6%) Encourage people to work at home/not go to work (74.1%) Using the National Guard/police to prevent movement (70.5%)
– Home health care to family members versus going to hospital (69.4%)
– Public school closings (67.7%)
– Limiting public transportation (65.7%)
– Setting priorities for vaccine distribution (60.8%)
– Offering investigational drugs (39.6%)
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Who Supports?
Offer drugs
at a public location
Health care at home
Set priorities for vaccine
Offer not-fully approved drugs
Income + + +Educ + + +Age +Race B < W B < W
Gender M < F
Rural R < U R < U R < U
Delivering Health Care/Resources
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Who Supports?
Quaran
-tine
Not go to
work
Police’
prevent move
Closing
border
Closing
Schools/
stores
Closing
transport
Income + + + +Educ + +Age + + +Race B <W B <W B <W B <W B <W
Gender M < F M < F M < F M < F
Rural
/Urban
R < U R < U
Restricting Movement
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Implications
Governmental risk communicators need:
To provide consistent, simple, and memorable messages
To build an understanding of investigational new drugs prior to any need to use them on a large scale
To inform more vulnerable groups with great care
To build trust in government, especially among vulnerable and minority populations