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. 2009 Apr 27;15(1):78–90. doi: 10.1002/nvsm.369

‘Just don't eat chicken’: the challenge of engaging Australian adults in appropriate preventive behaviours for bird flu

Sandra C Jones 1,†,, Don Iverson 2,, Louise Waters 1,§
PMCID: PMC7168094

Abstract

  • Leading medical experts have cautioned about the risk of inappropriate behavioural responses as a result of fear of avian influenza (bird flu) even before a pandemic emerges, and have emphasised the need for appropriate risk communication strategies. There is a paucity of in‐depth qualitative research into the general public's understanding of, and reactions to, such potential health crises. Four focus groups were conducted in April 2006 and a further eight focus groups in July 2006, to examine people's knowledge, beliefs and behaviours in relation to avian influenza, with the primary aim being to inform the development of future communication strategies. It was clear from the focus groups that avian influenza is not a disease the participants perceive they are likely to acquire; it was not simply that Australia was far from mind when thinking of avian influenza, but that they also saw Australia as a haven protected from avian influenza. We found that, in general, participants see avian influenza as yet another example of media sensationalism—not as a disease that poses any real risk to Australia—and are clearly unprepared for a potential outbreak. Governments and health authorities should conduct further research to understand consumer perceptions of avian (or other pandemic) influenza, and attitudes towards the recommended protective behaviours, in order to pro‐actively develop communication strategies to rapidly inform the public and encourage appropriate behavioural responses in the event that the potential risk is realised.

Copyright © 2009 John Wiley & Sons, Ltd.

References

  1. Alexander DJ. 2000. A review of avian influenza in bird species. Veterinary Microbiology 74: 3–13. [DOI] [PubMed] [Google Scholar]
  2. Andreasen AR. 1995. Marketing Social Change: Changing Behavior to Promote Health, Social Development, and the Environment. Jossey‐Bass: San Francisco, CA. [Google Scholar]
  3. Bagozzi RP. 1978. Marketing as exchange: a theory of transactions in the marketplace. The American Behavioral Scientist 21: 535–556. [Google Scholar]
  4. Bemmler GJ, Ligon BL. 2003. Severe acute respiratory syndrome (SARS): a review of the history, epidemiology, prevention, and concerns for the future. Seminars in Pediatric Infectious Diseases 14(3): 240–244. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Bish A, Ramirez A, Burgess C, Hunter M. 2005. Understanding why women delay in seeking help for breast cancer symptoms. Journal of Psychosomatic Research 58(4): 321–326. [DOI] [PubMed] [Google Scholar]
  6. Blendon RJ, Benson JM, Fleischfresser C, Weldon KJ, Herrmann MJ. 2006a. Avian flu survey; 17–25 January 2006. http://www.hsph.harvard.edu/disasters/ articles/ Loree‐Blendon.pdf [1 June 2007].
  7. Blendon RJ, Benson JM, Fleischfresser C, Weldon KJ, Herrmann MJ. 2006b. Pandemic Influenza Survey, 28 September–5 October 2006. http://www.hsph.harvard.edu/panflu/panflu_release_topline.doc [1 June 2007].
  8. Borsari B, Carey KB. 2001. Peer influences on college drinking: a review of the research. Journal of Substance Abuse 13(4): 391–424. [DOI] [PubMed] [Google Scholar]
  9. Butler D. 2006. Pandemic dry run is cause for concern. Nature 441(7093): 554–555. [DOI] [PubMed] [Google Scholar]
  10. Cava MA, Fay KE, Beanlands HJ, McCay EA, Wignall R. 2005. Risk perception and compliance with quarantine during the SARS outbreak. Journal of Nursing Scholarship 37(4): 343–347. [DOI] [PubMed] [Google Scholar]
  11. Centers for Disease Control and Prevention (USA). (n.d.) . 2006. Questions and answers about avian influenza (bird flu) and avian influenza A (H5N1) virus. http://www.cdc.gov/flu/avian/gen-info/qa.htm [30 May 2006].
  12. Cockburn J, Pit S, Redman S. 1999. Perceptions of screening mammography among women aged 40‐49. Australian and New Zealand Journal of Public Health 23(3): 318–321. [DOI] [PubMed] [Google Scholar]
  13. Crawford R, 1977. You are dangerous to your health: the ideology and politics of victim blaming. International Journal of Health Services 7(4): 663–680. [DOI] [PubMed] [Google Scholar]
  14. Crouch D. 2003. Stemming the panic. Nursing Times 99(25): 22–25. [PubMed] [Google Scholar]
  15. Dougherty CJ. 1993. Bad faith and victim blaming: the limits of health promotion. Health Care Analysis 1(2): 111–119. [DOI] [PubMed] [Google Scholar]
  16. Figuie M, Fournier T. 2008. Avian influenza in Vietnam: chicken‐hearted consumers? Risk Analysis 28(2): 441–451. [DOI] [PubMed] [Google Scholar]
  17. Grier S, Bryant CA. 2005. Social marketing in public health. Annual Review of Public Health 26: 319–339. [DOI] [PubMed] [Google Scholar]
  18. Hastings G. 2007. Social Marketing: Why Should the Devil Have All the Best Tunes? Elsevier Ltd.: Oxford, UK. [Google Scholar]
  19. Hien TT, de Jong M, Farrar J. 2004. Avian influenza—a challenge to global health care structures. New England Journal of Medicine 351(23): 2363–2365. [DOI] [PubMed] [Google Scholar]
  20. Indianapolis Star (n.d.) . 2006. First human transmission of bird flu is confirmed. http://www.indystar.com [6 July 2006].
  21. Kotler P, Roberto N, Lee N. 2002. Social Marketing: Improving the Quality of Life, 2nd edn. Sage Publications Inc.: Thousand Oaks, California. [Google Scholar]
  22. Kuran T, Sunstein CR. 1999. Availability cascades and risk regulation. Stanford Law Review 51: 683–768. [Google Scholar]
  23. Lancet . 2005a. Fear of avian influenza is a double‐edged sword [editorial]. Lancet [editorial] 366(9499): 1751. [DOI] [PubMed] [Google Scholar]
  24. Lancet . 2005b. Crunch time for summit on avian and human influenza [editorial]. Lancet 366(9497): 1585. [DOI] [PubMed] [Google Scholar]
  25. Leung TTF, Wong H. 2005. Community reactions to the SARS crisis in Hong Kong: analysis of a time‐limited counselling hotline. Journal Of Human Behavior In The Social Environment 12(1): 1–22. [Google Scholar]
  26. Lynch MJ, Jones SC, Phillipson LJ. 2007. Branding: an adolescent sun protection perspective In ANZMAC Australian & New Zealand Marketing Academy Conference 2007: 3Rs—Reputation, Responsibility, Relevance, Thyne M. Deans KR. Gnoth J. (eds). Department of Marketing, University of Otago: Otago, New Zealand; 1662–1669. [Google Scholar]
  27. Maibach EW. 2003. Recreating communities to support active living: a new role for social marketing. Health Promotion 18(1): 114–119. [DOI] [PubMed] [Google Scholar]
  28. Maibach M, Holtgrave DR. 1995. Advances in public health communication. Annual Review of Public Health 16: 219–238. [DOI] [PubMed] [Google Scholar]
  29. Maibach EW, Rothschild ML, Novelli WD. 2002. Using theory in research and practice: social marketing In Health Behaviour and Health Education. Theory, Research and Practice, 3rd edn, Glanz K, Rimer BK, Lewis FM. (eds). Jossey‐Bass: San Franciso, US; 437–461. [Google Scholar]
  30. Milligan RAK, Burke V, Beilin LJ, Richards J, Dunbar D, Spencer M, Balde E, Gracey MP. 1997. Health‐related behaviours and psycho‐social characteristics of 18 year‐old Australians. Social Science and Medicine 45(10): 1549–1562. [DOI] [PubMed] [Google Scholar]
  31. Minkler M. 1999. Personal responsibility for health? A review of the arguments and the evidence at century's end. Health Education and Behavior 26(1): 121–141. [DOI] [PubMed] [Google Scholar]
  32. Raphael D. 2003. Barriers to addressing the societal determinants of health: public health units and poverty in Ontario, Canada. Health Promotion International 18(4): 397–405. [DOI] [PubMed] [Google Scholar]
  33. Ratzan SC. 2006. The Bird (to Human) Flu Epidemic—If or When? Journal of Health Communication 11(2): 131–132. [DOI] [PubMed] [Google Scholar]
  34. Smith B. 2006. Marketing for Avian Flu. Social Marketing Quarterly 12(1): 64–67. [Google Scholar]
  35. Smith WA. 2000. Social marketing: an evolving definition. American Journal of Health Behavior 24(1): 11–17. [Google Scholar]
  36. Snyder LB, Milici F, Slater M, Sun H, Strizhakova Y. 2006. Effects of alcohol advertising exposure on drinking among youth. Archives of Pediatrics and Adolescent Medicine 160(1): 18–24. [DOI] [PubMed] [Google Scholar]
  37. The Australian . 2006. Bird flu funding plan for Jakarta. The Australian p. 2; published 26/06/06. [Google Scholar]
  38. Ungchusak K, Auewarakul P, Dowell SF, Kitphati R. 2005. Probable person‐to‐person transmission of avian flu influenza A (H5N1). New England Journal of Medicine 352: 333–340. [DOI] [PubMed] [Google Scholar]
  39. Vega MY, Roland EL. 2005. Social marketing techniques for public health communication: a review of syphilis awareness campaigns in 8 US cities. Sexually Transmitted Diseases 32(10): S30–S36. [DOI] [PubMed] [Google Scholar]
  40. Wulandari F, Lyn TE. 2006. Indonesia struggles to track H5N1 source, two more die. http://www.medscape.com/viewarticle/532937 [1 July 2006].
  41. Yu HYR, Ho SC, So KFE, Lo YL. 2005. Short Communications: the psychological burden experienced by Hong Kong midlife women during the SARS epidemic. Stress and Health 21(3): 177. [Google Scholar]

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