Understanding health behaviour changes in response to outbreaks: Findings from a longitudinal study of a large epidemic of mosquito-borne disease
| Autor: | Thémis Apostolidis, Kathleen McColl, Jocelyn Raude, Claude Flamand |
|---|---|
| Přispěvatelé: | École des Hautes Études en Santé Publique [EHESP] (EHESP), Département des sciences humaines et sociales (SHS), Unité d'Epidémiologie, Institut Pasteur de la Guyane, Réseau International des Instituts Pasteur (RIIP)-Réseau International des Instituts Pasteur (RIIP), Laboratoire de Psychologie Sociale (LPS), Aix Marseille Université (AMU), Unité des Virus Emergents (UVE), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Unité d'Epidémiologie [Cayenne, Guyane française], Financial support for this study was provided in part by grants from the French National Institute of Health and Medical Research (under the agreement number IMMI2014001). The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report., CCSD, Accord Elsevier, Service d'Epidémiologie, Maternité Régionale Universitaire |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Longitudinal study Health Knowledge Attitudes Practice Risk perception Health (social science) [SHS.SOCIO] Humanities and Social Sciences/Sociology Health Behavior [SHS.PSY]Humanities and Social Sciences/Psychology Disease [SHS]Humanities and Social Sciences 0302 clinical medicine Surveys and Questionnaires Risk habituation Prevalence 030212 general & internal medicine Longitudinal Studies Habituation ComputingMilieux_MISCELLANEOUS [SHS.SOCIO]Humanities and Social Sciences/Sociology 030503 health policy & services Behaviour change Middle Aged 3. Good health French Guiana bepress|Social and Behavioral Sciences|Psychology|Health Psychology Preventive action Female 0305 other medical science Psychology Mosquito-borne diseases Adult PsyArXiv|Social and Behavioral Sciences|Health Psychology|Prevention Mosquito Vectors Risk Assessment 03 medical and health sciences PsyArXiv|Social and Behavioral Sciences|Health Psychology History and Philosophy of Science Intervention (counseling) Animals Humans Social determinants of health Epidemics Aged Outbreak Elasticity-prevalence PsyArXiv|Social and Behavioral Sciences|Health Psychology|Health-related Behavior PsyArXiv|Social and Behavioral Sciences [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie bepress|Social and Behavioral Sciences Chikungunya Fever [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Demography |
| Zdroj: | Social science & medicine Social science & medicine, Elsevier, 2019, 230, pp.184-193. ⟨10.1016/j.socscimed.2019.04.009⟩ |
| ISSN: | 0037-7856 |
| DOI: | 10.1016/j.socscimed.2019.04.009⟩ |
| Popis: | International audience; RATIONALE:Although greater attention has been recently given to the ecological determinants of health behaviours, we still do not know much about the behavioural changes induced by the spread of infectiousdiseases.OBJECTIVE:In this study, we took advantage of a large epidemic of chikungunya, an emerging mosquito-borne disease, in French Guiana to examine the dynamic interaction between risk-related perceptions and behaviours that occurs in response to a disease outbreak. In particular, we tested empirically the assumption that both risk perceptions and health behaviours were elastic with respect to prevalence of chikungunya.METHODS:A representative sample of French Guianan (N=434) was interviewed in January 2015 just after the peak of the epidemic, and again 2 months later. Participants were asked about their perceptions of the threat, as well as their engagement in a range of protective behaviours promoted by the regional health authorities to control the spread of the disease.RESULTS:The surveys showed that (1) the frequency of some health behaviours - those related to visible control methods - significantly increased with the subjective and objective prevalence of the disease, (2) perceived risk of infection for oneself tended to decrease considerably over time, and (3) the risk reappraisal hypothesis failed to account for this paradoxical trend in the people's response to the risk of contracting the disease.CONCLUSION:These findings suggest that people may fail to adjust their risk perceptions, and to a lesser extent their health protective behaviours, to the course of an epidemic. Notably, the prevalence elasticity of preventive action found in previous studies of behavioural response to infectious diseases differed substantially according to the type of intervention (personal versus environmental methods). This paradoxical trend may be attributed to risk habituation effects, which seem to vary significantly according to the social visibility of thepreventive actions. |
| Databáze: | OpenAIRE |
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