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Hye-Jin Paek, Ph.D. Michigan State University Presented at the National SOPHE Webinar

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.

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Hye-Jin Paek, Ph.D. Michigan State University Presented at the National SOPHE Webinar

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  1. 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 Learnedfrom a Statewide Survey”. Funded by the Georgia Department of Human Resources

  2. Objectives • By 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

  3. 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)

  4. 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”

  5. 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

  6. 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)

  7. 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)

  8. Awareness and Knowledge of Flu Pandemics *deleted for further analysis

  9. Who is More Knowledgeable? • Whites • Economically well-off • Better-educated

  10. 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

  11. Trust in Government’s Ability to Handle a Flu Pandemic

  12. 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

  13. 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%)

  14. Who Supports? Delivering Health Care/Resources

  15. Who Supports? Restricting Movement

  16. 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

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