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Pandemic flu knowledge among dormitory housed university students: a need for informal social support and social networking strategies AUTHORS

机译：宿舍大学生中的大流行性流感知识：需要非正式的社会支持和社交网络策略

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Introduction: The declaration of a Phase 6 pandemic of influenza A (H1N1) by the World Health Organization in June 2009, triggered the activation of preparedness responses worldwide. During 2009 spring and fall, many US universities actuated their emergency pandemic preparedness plans. This article describes a research study that used a modified community based participatory research (CBPR) approach between August and November 2009 at New Mexico State University's main Las Cruces campus to determine influenza (pandemic influenza A (H1N1) 2009 and seasonal influenza knowledge, attitudes, and health communication (informal support networks and social networking) strategies specifically related to influenza among dormitory housed (on-campus living) undergraduate students. The goal was to produce data for use in the university's pandemic illness/disaster preparedness and response plans. Methods: Following activation of the university's campus-wide efforts to educate students about pandemic flu, university community partners were asked for input regarding information for flu preparedness for the university's undergraduate students. Student participants were recruited for the present study from those housed in four campus dormitories. A purposive convenience sample was used to collect survey data from 175 students during the peak week of reported flu cases on campus. Each participant was given an anonymous, face-to-face, self-administered survey and 167 surveys were able to be analyzed. A χ2 goodness of fit test was used to determine whether observed proportions of categorical variables differed from hypothesized proportions. Results: Four categorical data were analyzed by topics: (1) demographics; (2) flu awareness; (3) flu immunization knowledge and practices; and (4) communication and health information practices. The average age was 19.6 years (SD = 1.8), with no significant differences by sex (86 males and 76 females, 5 undisclosed) or race/ethnicity (57 White, 43 Hispanic, 44 Other). All questions were tested with χ2 against sex, race, and dormitory; however, only three questions revealed statistically significant differences by any of these demographic categories. Conclusions: Sex, race, age, and dormitory were demonstrated to have little impact on H1N1 health practices and knowledge. Three-quarters of students surveyed demonstrated awareness of the pandemic 2009 H1N1 flu. Despite public health and university health education campaigns, approximately 25% were not aware of the virus. Most students stated that they knew someone who had flu during the year, even if they had not. Students did not perceive (60%) dormitory living to be a greater health risk, even though the proximal distance among students diminishes by sharing bathrooms and sleeping quarters. Three main factors affected the students' knowledge, attitudes and behaviors: faculty attitudes and influenza knowledge; low levels of flu like illnesses at the university; and the utilization of health education strategies inconsistent with the mechanisms students use to gain health information (informal support networks and electronic social networking). Failure to utilize these student information mechanisms may result in less than optimal health education effectiveness. Health educators should ensure that identifiable intermediaries (eg faculty) understand and assist in health education efforts. However, the incidence of H1N1 at this university was relatively low, which may have affected the research results.
机译：导言：世界卫生组织于2009年6月宣布甲型流感（H1N1）处于6期大流行状态，引发了全球对备灾反应的激活。在2009年春季和秋季，美国许多大学启动了其紧急大流行防备计划。本文介绍了一项研究研究，该研究在2009年8月至11月之间使用改良的基于社区的参与性研究（CBPR）方法在新墨西哥州立大学的拉斯克鲁塞斯主校区确定流感（2009年甲型H1N1流感）以及季节性流感知识，态度，专门针对与流感有关的宿舍居住（在校生）的健康交流（非正式支持网络和社交网络）策略，目的是产生可用于大学大流行性疾病/灾难防范和应对计划的数据。在大学全校范围内开展教育大流行性流感的教育活动后，大学社区合作伙伴被要求提供有关为大学本科生准备流感的信息，并从四个校园宿舍中招募的学生参加了本研究。目的性便利样本已被使用d在校园内报告的流感病例高峰期收集来自175名学生的调查数据。每个参与者都获得了一个匿名的，面对面的自我管理的调查，并且能够分析167个调查。使用χ 2 拟合优度检验确定分类变量的观察比例是否与假设比例不同。结果：按主题分析了四种分类数据：（1）人口统计; （2）感冒意识; （3）流感免疫知识和实践; （4）沟通和健康信息实践。平均年龄为19.6岁（SD = 1.8），但性别（男性86位，女性76位，未公开5位）或种族/民族（57位白人，43位西班牙裔，44位其他）没有显着差异。所有问题均以χ 2 进行了针对性别，种族和宿舍的测试;但是，只有三个问题揭示了这些人口统计学类别中任何一个在统计上的显着差异。结论：性别，种族，年龄和宿舍对H1N1的健康习惯和知识影响不大。四分之三的接受调查的学生表现出对2009年H1N1流感大流行的认识。尽管开展了公共卫生和大学健康教育运动，但仍有大约25％的人不知道该病毒。大多数学生说，他们认识一年中有流感的人，即使没有。即使学生之间的近端距离因共用洗手间和就寝区而减少，学生也没有意识到（60％）宿舍生活会带来更大的健康风险。影响学生知识，态度和行为的三个主要因素是：教师的态度和流感知识;大学里像疾病一样的低水平流感;以及与学生用于获取健康信息的机制（非正式支持网络和电子社交网络）不一致的健康教育策略的使用。无法利用这些学生信息机制可能导致健康教育效果不佳。健康教育者应确保可识别的中介机构（例如，教职员工）了解并协助健康教育工作。然而，这所大学中H1N1的发病率相对较低，可能影响了研究结果。

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