Early Assessment of Anxiety and Behavioral Response to Novel Swine-Origin Influenza A(H1N1)
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{"title"=>"Early assessment of anxiety and behavioral response to novel swine-origin influenza a(H1N1)", "type"=>"journal", "authors"=>[{"first_name"=>"James Holland", "last_name"=>"Jones", "scopus_author_id"=>"55725769400"}, {"first_name"=>"Marcel", "last_name"=>"Salathé", "scopus_author_id"=>"12780442200"}], "year"=>2009, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-77949532627", "pui"=>"359087430", "doi"=>"10.1371/journal.pone.0008032", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"77949532627", "pmid"=>"19997505"}, "id"=>"5d19b2dc-fb73-35a2-9a9a-2431b82c5c1b", "abstract"=>"BACKGROUND: Since late April, 2009, a novel influenza virus A (H1N1), generally referred to as the \"swine flu,\" has spread around the globe and infected hundreds of thousands of people. During the first few days after the initial outbreak in Mexico, extensive media coverage together with a high degree of uncertainty about the transmissibility and mortality rate associated with the virus caused widespread concern in the population. The spread of an infectious disease can be strongly influenced by behavioral changes (e.g., social distancing) during the early phase of an epidemic, but data on risk perception and behavioral response to a novel virus is usually collected with a substantial delay or after an epidemic has run its course.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: Here, we report the results from an online survey that gathered data (n = 6,249) about risk perception of the Influenza A(H1N1) outbreak during the first few days of widespread media coverage (April 28-May 5, 2009). We find that after an initially high level of concern, levels of anxiety waned along with the perception of the virus as an immediate threat. Overall, our data provide evidence that emotional status mediates behavioral response. Intriguingly, principal component analysis revealed strong clustering of anxiety about swine flu, bird flu and terrorism. All three of these threats receive a great deal of media attention and their fundamental uncertainty is likely to generate an inordinate amount of fear vis-a-vis their actual threat.\\n\\nCONCLUSIONS/SIGNIFICANCE: Our results suggest that respondents' behavior varies in predictable ways. Of particular interest, we find that affective variables, such as self-reported anxiety over the epidemic, mediate the likelihood that respondents will engage in protective behavior. Understanding how protective behavior such as social distancing varies and the specific factors that mediate it may help with the design of epidemic control strategies.", "link"=>"http://www.mendeley.com/research/early-assessment-anxiety-behavioral-response-novel-swineorigin-influenza-ah1n1", "reader_count"=>54, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>8, "Student > Doctoral Student"=>1, "Researcher"=>11, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>2, "Student > Master"=>9, "Other"=>1, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>8, "Student > Doctoral Student"=>1, "Researcher"=>11, "Student > Ph. D. Student"=>13, "Student > Postgraduate"=>2, "Student > Master"=>9, "Other"=>1, "Student > Bachelor"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>2, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Agricultural and Biological Sciences"=>7, "Philosophy"=>1, "Business, Management and Accounting"=>1, "Computer Science"=>4, "Decision Sciences"=>1, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>1, "Environmental Science"=>2, "Nursing and Health Professions"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Mathematics"=>2, "Medicine and Dentistry"=>10, "Sports and Recreations"=>1, "Physics and Astronomy"=>3, "Psychology"=>6, "Social Sciences"=>9, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>10}, "Social Sciences"=>{"Social Sciences"=>9}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Physics and Astronomy"=>{"Physics and Astronomy"=>3}, "Psychology"=>{"Psychology"=>6}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>2}, "Environmental Science"=>{"Environmental Science"=>2}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>7}, "Computer Science"=>{"Computer Science"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"United States"=>3, "United Kingdom"=>3, "Sierra Leone"=>1, "Portugal"=>1, "Germany"=>1}, "group_count"=>2}

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  • {"files"=>["https://ndownloader.figshare.com/files/873280"], "description"=>"<p>The pattern is significantly different from the expected pattern based on marginal frequencies (χ<sup>2</sup> = 113.1, <i>df</i> = 54, p<0.001).</p>", "links"=>[], "tags"=>["observed", "days"], "article_id"=>543747, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g007", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Changes_in_difference_between_observed_and_expected_values_of_the_protection_index_over_the_seven_days_of_the_survey_/543747", "title"=>"Changes in difference between observed and expected values of the protection index over the seven days of the survey.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:37:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/872954"], "description"=>"<p>Frequencies of the categories of respondents' contacts outside the home.</p>", "links"=>[], "tags"=>["categories", "contacts"], "article_id"=>543418, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g001", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Frequencies_of_the_categories_of_respondents_contacts_outside_the_home_/543418", "title"=>"Frequencies of the categories of respondents' contacts outside the home.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:35:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/873466"], "description"=>"<p>Variables of the form “Info: XYZ” refer to media source dummy variables that are 1 if the respondent gets information from that source very often or often and zero otherwise. See <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0008032#s2\" target=\"_blank\">Methods</a> section for definition of other variables. For the ordered factor, contacts,<5 is the reference category.</p>", "links"=>[], "tags"=>["binomial", "glm"], "article_id"=>543927, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.t002", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_the_binomial_GLM_for_the_protection_index_/543927", "title"=>"Results of the binomial GLM for the protection index.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:38:01"}
  • {"files"=>["https://ndownloader.figshare.com/files/873222"], "description"=>"<p>Bars show Bonferroni-corrected 95% confidence intervals. Codes: 1 = never use as source of information, 5 = very frequently use as a source of information.</p>", "links"=>[], "tags"=>["sources", "swine", "flu", "cited"], "article_id"=>543683, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g006", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mean_values_of_sources_of_information_on_swine_flu_cited_by_respondents_/543683", "title"=>"Mean values of sources of information on swine flu cited by respondents.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:36:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/873012"], "description"=>"<p>Bars show Bonferroni-corrected 95% confidence intervals. Codes: 1 = no risk, 5 = very high risk; “swine” = Novel Swine-Origin Influenza A(H1N1), “diabetes” = Diabetes mellitus, “HIV” = HIV/AIDS, “injury” = Unintentional injury, “terror” = Terrorism, “heart” = Heart Disease, “cancer” = Cancer, “H5N1” = Bird Flu, “H3N2” = Seasonal Flu.</p>", "links"=>[], "tags"=>["levels", "sources"], "article_id"=>543476, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g002", "stats"=>{"downloads"=>1, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Means_for_the_perceived_threat_levels_for_different_sources_of_risk_/543476", "title"=>"Means for the perceived threat levels for different sources of risk.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:35:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/873073"], "description"=>"<p>While most respondents rate their personal risk as low, note the pronounced second mode at the intermediate level of risk perception.</p>", "links"=>[], "tags"=>["infectious diseases/epidemiology and control of infectious diseases", "public health and epidemiology/infectious diseases", "public health and epidemiology/social and behavioral determinants of health"], "article_id"=>543535, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g003", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Frequency_distribution_of_personal_risk_perceptions_/543535", "title"=>"Frequency distribution of personal risk perceptions.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:35:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/873412"], "description"=>"<p>Summary statistics for survey sample.</p>", "links"=>[], "tags"=>["infectious diseases/epidemiology and control of infectious diseases", "public health and epidemiology/infectious diseases", "public health and epidemiology/social and behavioral determinants of health"], "article_id"=>543869, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.t001", "stats"=>{"downloads"=>1, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summary_statistics_for_survey_sample_/543869", "title"=>"Summary statistics for survey sample.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:37:44"}
  • {"files"=>["https://ndownloader.figshare.com/files/873435"], "description"=>"<p>Variable definitions as in <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0008032#pone-0008032-t002\" target=\"_blank\">table 2</a>.</p>", "links"=>[], "tags"=>["binomial", "glm"], "article_id"=>543900, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.t003", "stats"=>{"downloads"=>4, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Results_of_the_binomial_GLM_for_increased_hand_washing_/543900", "title"=>"Results of the binomial GLM for increased hand-washing.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 03:37:53"}
  • {"files"=>["https://ndownloader.figshare.com/files/873126"], "description"=>"<p>Again, while most respondents list a high level of personal empowerment, there is a decided second mode at the intermediate level (1 = “very high: I feel confident I can avoid infection”, 5 = “intermediate”, 9 = “very low: I feel I will not be able to avoid infection”).</p>", "links"=>[], "tags"=>["infectious diseases/epidemiology and control of infectious diseases", "public health and epidemiology/infectious diseases", "public health and epidemiology/social and behavioral determinants of health"], "article_id"=>543589, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g004", "stats"=>{"downloads"=>0, "page_views"=>3, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Frequency_distribution_of_personal_empowerment_/543589", "title"=>"Frequency distribution of personal empowerment.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:36:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/873346"], "description"=>"<p>The pattern is significantly different from the expected pattern based on marginal frequencies (χ<sup>2</sup> = 135.6, <i>df</i> = 48, <i>p</i><0.001).</p>", "links"=>[], "tags"=>["observed", "days"], "article_id"=>543813, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g008", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Changes_in_difference_between_observed_and_expected_values_of_the_emotional_status_over_the_seven_days_of_the_survey_/543813", "title"=>"Changes in difference between observed and expected values of the emotional status over the seven days of the survey.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:37:26"}
  • {"files"=>["https://ndownloader.figshare.com/files/873174"], "description"=>"<p>(“sneeze” = avoid people sneezing or coughing, “gathering” = avoid large gatherings, “wash” = wash hands more frequently, “shun” = avoid people perceived to be sick and potentially infectious, “public” = avoid public places, “school” = stay home from school or work, “Mexico” = avoid travel to affected foreign countries or states, “disinfectant” = use alcohol-based disinfectant, “mask” = wear a protective mask).</p>", "links"=>[], "tags"=>["measures", "undertaken"], "article_id"=>543638, "categories"=>["Cancer", "Medicine", "Computational Biology"], "users"=>["James Holland Jones", "Marcel Salathé"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0008032.g005", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Frequency_distribution_of_the_protection_measures_undertaken_by_respondents_/543638", "title"=>"Frequency distribution of the protection measures undertaken by respondents.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-02-21 03:36:28"}

PMC Usage Stats | Further Information

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  • {"scanned-page-browse"=>"0", "month"=>"12", "cited-by"=>"0", "abstract"=>"2", "full-text"=>"144", "unique-ip"=>"127", "pdf"=>"83", "year"=>"2009", "figure"=>"25", "scanned-summary"=>"0", "supp-data"=>"0"}
  • {"month"=>"6", "scanned-page-browse"=>"0", "cited-by"=>"0", "abstract"=>"0", "full-text"=>"6", "year"=>"2012", "pdf"=>"10", "unique-ip"=>"5", "figure"=>"0", "scanned-summary"=>"0", "supp-data"=>"0"}
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  • {"unique-ip"=>"7", "full-text"=>"9", "pdf"=>"4", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"1"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"3"}
  • {"unique-ip"=>"7", "full-text"=>"6", "pdf"=>"5", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"2"}
  • {"unique-ip"=>"8", "full-text"=>"5", "pdf"=>"7", "abstract"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"4"}
  • {"unique-ip"=>"3", "full-text"=>"3", "pdf"=>"0", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2012", "month"=>"11"}
  • {"unique-ip"=>"9", "full-text"=>"13", "pdf"=>"3", "abstract"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2013", "month"=>"5"}
  • {"unique-ip"=>"2", "full-text"=>"3", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"6"}
  • {"unique-ip"=>"6", "full-text"=>"7", "pdf"=>"1", "abstract"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2013", "month"=>"7"}
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