Abstract
Objectives: To investigate patterns of behaviours and attitudes related to SARS prevention in the Hong Kong cross border traveller population.
Settings: A survey was carried out at the Hong Kong-China cross border checkpoint in the middle of the epidemic.
Participants: A total of 839 Hong Kong adult residents returning to Hong Kong from mainland China were surveyed.
Main outcome measures: Practice of preventive measures and relevant behaviours and attitudes.
Results: Around 40% of the respondents were using masks all or most of the time in public places or washing their hands frequently (>10 times per day) and about one third avoided visiting crowded places in mainland China. Such figures were however lower than those practised by the general public in Hong Kong. SARS related perceptions, such as perceived risk of transmission and efficacy, etc, were associated with mask use and not visiting crowded places, but not with hand washing, which was associated with duration of stay. Gender differences were also observed. Around 70% of the travellers would have delayed medical consultation for influenza-like illness in China; 12.7% would not wear masks during such episodes of illness. Furthermore, about 30% of the respondents used to wear masks in Hong Kong but not in mainland China.
Conclusions: The findings have implications on cross border prevention of SARS. It seems that those travelling during the SARS epidemic were a "self selected" group, and they were using less preventive measures. Special attention and intervention need to be provided to travellers to prevent a second wave cross border transmission of the disease.
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Selected References
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- Guan Y., Zheng B. J., He Y. Q., Liu X. L., Zhuang Z. X., Cheung C. L., Luo S. W., Li P. H., Zhang L. J., Guan Y. J. Isolation and characterization of viruses related to the SARS coronavirus from animals in southern China. Science. 2003 Sep 4;302(5643):276–278. doi: 10.1126/science.1087139. [DOI] [PubMed] [Google Scholar]
- Lau J. T. F., Yang X., Tsui H., Kim J. H. Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health. 2003 Nov;57(11):864–870. doi: 10.1136/jech.57.11.864. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lau J. T., Thomas J. Risk behaviours of Hong Kong male residents travelling to mainland China: a potential bridge population for HIV infection. AIDS Care. 2001 Feb;13(1):71–81. doi: 10.1080/09540120020018198. [DOI] [PubMed] [Google Scholar]
- Lau J. T., Wong W. S. Behavioural surveillance of sexually-related risk behaviours for the cross-border traveller population in Hong Kong: the evaluation of the overall effectiveness of relevant prevention programmes by comparing the results of two surveillance surveys. Int J STD AIDS. 2000 Nov;11(11):719–727. doi: 10.1258/0956462001915138. [DOI] [PubMed] [Google Scholar]
- Lau Joseph T. F., Tsui Hiyi, Lau Mason, Yang Xilin. SARS transmission, risk factors, and prevention in Hong Kong. Emerg Infect Dis. 2004 Apr;10(4):587–592. doi: 10.3201/eid1004.030628. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee Nelson, Hui David, Wu Alan, Chan Paul, Cameron Peter, Joynt Gavin M., Ahuja Anil, Yung Man Yee, Leung C. B., To K. F. A major outbreak of severe acute respiratory syndrome in Hong Kong. N Engl J Med. 2003 Apr 7;348(20):1986–1994. doi: 10.1056/NEJMoa030685. [DOI] [PubMed] [Google Scholar]
- Riley Steven, Fraser Christophe, Donnelly Christl A., Ghani Azra C., Abu-Raddad Laith J., Hedley Anthony J., Leung Gabriel M., Ho Lai-Ming, Lam Tai-Hing, Thach Thuan Q. Transmission dynamics of the etiological agent of SARS in Hong Kong: impact of public health interventions. Science. 2003 May 23;300(5627):1961–1966. doi: 10.1126/science.1086478. [DOI] [PubMed] [Google Scholar]