Individual and community influences on adherence to directives in the event of a plague attack : survey results
Objectives: During a public health emergency, public health officials issue directives with actions people need to take to protect themselves. Past research has shown that adherence to these directives depends on individual beliefs and circumstances. This report presents new research about the effec...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2014
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| Online Access: | https://hdl.handle.net/10356/102258 http://hdl.handle.net/10220/18935 |
| _version_ | 1811679191952785408 |
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| author | Wray, Ricardo J. Harris, Jenine K. Jupka, Keri Vijaykumar, Santosh Mitchell, Elizabeth W. Pollard, William Zielinski-Gutierrez, Emily Reissman, Dori Lubell, Keri |
| author2 | School of Humanities and Social Sciences |
| author_facet | School of Humanities and Social Sciences Wray, Ricardo J. Harris, Jenine K. Jupka, Keri Vijaykumar, Santosh Mitchell, Elizabeth W. Pollard, William Zielinski-Gutierrez, Emily Reissman, Dori Lubell, Keri |
| author_sort | Wray, Ricardo J. |
| collection | NTU |
| description | Objectives: During a public health emergency, public health officials issue directives with actions people need to take to protect themselves. Past research has shown that adherence to these directives depends on individual beliefs and circumstances. This report presents new research about the effects of community factors on adherence.
Methods: A random digit-dial survey of 936 residents in the St Louis, Missouri, area was conducted in 2008 to assess barriers to and facilitators of adherence to directives issued in response to a hypothetical scenario involving the intentional release of the bacterium that causes plague. Community factors were assessed using characteristics of census tracts for individual respondents. Multilevel modeling was used to understand how individual and community factors contributed to the likelihood of adherence.
Results: The majority of participants indicated that they would adhere to 3 distinct directives. Community poverty and ethnic homogeneity as well as individual-level barriers were negatively associated with adherence to a 6-day quarantine. Having children younger than 18 years and being away from home when the directive was called were negatively associated with adherence to a 10-hour quarantine. Logistical concerns were negatively associated with visiting a point of dispensing for prophylactic antibiotics.
Conclusions: Our findings establish an empirical basis for the influence of community factors on adherence to public health directives. The influence of community and individual factors on adherence varies across directives. Consequently, communication strategies to disseminate directives and organizational strategies to support them must vary according to the nature of the directives. |
| first_indexed | 2024-10-01T03:05:14Z |
| format | Journal Article |
| id | ntu-10356/102258 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T03:05:14Z |
| publishDate | 2014 |
| record_format | dspace |
| spelling | ntu-10356/1022582020-03-07T12:10:41Z Individual and community influences on adherence to directives in the event of a plague attack : survey results Wray, Ricardo J. Harris, Jenine K. Jupka, Keri Vijaykumar, Santosh Mitchell, Elizabeth W. Pollard, William Zielinski-Gutierrez, Emily Reissman, Dori Lubell, Keri School of Humanities and Social Sciences Objectives: During a public health emergency, public health officials issue directives with actions people need to take to protect themselves. Past research has shown that adherence to these directives depends on individual beliefs and circumstances. This report presents new research about the effects of community factors on adherence. Methods: A random digit-dial survey of 936 residents in the St Louis, Missouri, area was conducted in 2008 to assess barriers to and facilitators of adherence to directives issued in response to a hypothetical scenario involving the intentional release of the bacterium that causes plague. Community factors were assessed using characteristics of census tracts for individual respondents. Multilevel modeling was used to understand how individual and community factors contributed to the likelihood of adherence. Results: The majority of participants indicated that they would adhere to 3 distinct directives. Community poverty and ethnic homogeneity as well as individual-level barriers were negatively associated with adherence to a 6-day quarantine. Having children younger than 18 years and being away from home when the directive was called were negatively associated with adherence to a 10-hour quarantine. Logistical concerns were negatively associated with visiting a point of dispensing for prophylactic antibiotics. Conclusions: Our findings establish an empirical basis for the influence of community factors on adherence to public health directives. The influence of community and individual factors on adherence varies across directives. Consequently, communication strategies to disseminate directives and organizational strategies to support them must vary according to the nature of the directives. Published version 2014-03-21T05:59:22Z 2019-12-06T20:52:20Z 2014-03-21T05:59:22Z 2019-12-06T20:52:20Z 2012 2012 Journal Article Wray, R. J., Harris, J. K., Jupka, K., Vijaykumar, S., Mitchell, E. W., Pollard, W., et al. (2012). Individual and Community Influences on Adherence to Directives in the Event of a Plague Attack: Survey Results. Disaster Medicine and Public Health Preparedness, 6(03), 253-262. https://hdl.handle.net/10356/102258 http://hdl.handle.net/10220/18935 10.1001/dmp.2012.43 en Disaster medicine and public health preparedness © 2012 Cambridge University Press. This paper was published in Cambridge University Press. and is made available as an electronic reprint (preprint) with permission of Cambridge University Press. The paper can be found at the following official DOI: [http://dx.doi.org/10.1001/dmp.2012.43]. One print or electronic copy may be made for personal use only. Systematic or multiple reproduction, distribution to multiple locations via electronic or other means, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper is prohibited and is subject to penalties under law. application/pdf |
| spellingShingle | Wray, Ricardo J. Harris, Jenine K. Jupka, Keri Vijaykumar, Santosh Mitchell, Elizabeth W. Pollard, William Zielinski-Gutierrez, Emily Reissman, Dori Lubell, Keri Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title | Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title_full | Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title_fullStr | Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title_full_unstemmed | Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title_short | Individual and community influences on adherence to directives in the event of a plague attack : survey results |
| title_sort | individual and community influences on adherence to directives in the event of a plague attack survey results |
| url | https://hdl.handle.net/10356/102258 http://hdl.handle.net/10220/18935 |
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