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Osong Public Health Res Perspect. 2014 Feb;5(1):9-19. doi: 10.1016/j.phrp.2013.12.001. Epub 2014 Jan 10.

Community-Based Risk Communication Survey: Risk Prevention Behaviors in Communities during the H1N1 crisis, 2010.

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  • 1Department of Preventive Medicine and Public Health, Ajou University School of Medicine, Suwon, Korea.
  • 2Department of Preventive Medicine and Public Health, School of Medicine, Chungnam National University, Gwangju, Korea.
  • 3Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University, Daegu, Korea.
  • 4Department of Preventive Medicine, Chonbuk National University Medical School, Jeonju, Korea.
  • 5Department of Preventive Medicine, School of Medicine, Gyeongsang National University, Jinju, Korea.
  • 6Department of Occupational and Environmental Medicine, Ajou University School of Medicine, Suwon, Korea.
  • 7Graduate School of Public Health, Ajou University, Suwon, Korea.



The present study aimed to investigate the prevalence of and factors associated with H1N1 preventive behaviors in a community-based population.


A cross-sectional study was conducted in three urban and two rural communities in Korea. Interviews were conducted with 3462 individuals (1608 men and 1854 women) aged ≥ 19 years during February-March 2010. Influenza-related information including anxiety, preventive behaviors and their perceived effectiveness, vaccination status, past influenza-like illness symptoms, and sources of and trust in information was obtained.


Among 3462 participants, 173 reported experiencing influenza-like illness symptoms within the past 12 months. The mean H1N1 preventive behavior score was 25.5 ± 5.5 (out of a possible 40). The percent of participants reporting high perceived effectiveness and high anxiety was 46.2% and 21.4%, respectively. After controlling for potential confounders, H1N1 preventive behavior scores were predicted by a high (β = 3.577, p < 0.001) or moderate (β = 2.529, p < 0.001) perception of their effectiveness. Similarly, moderate (β = 1.516, p < 0.001) and high (β = 4.103, p < 0.001) anxiety scores predicted high preventive behavior scores.


Effective methods of promoting population behavior change may be nationwide campaigns through mass media, as well as education and promotion by health care providers and broadcasters.


H1N1 virus; anxiety; behavior; cross-sectional survey; self-efficacy

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