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      Community's compliance with measures for the prevention of respiratory infections in Riyadh, Saudi Arabia

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          Abstract

          BACKGROUND:

          Acute respiratory tract infections are the most common causes of both morbidity and mortality worldwid, and the management and prevention of acute respiratory infections is a global problem, especially in developing countries. This study sought to assess the community's compliance and practice of measures for the prevention of respiratory infections and discover their source of health information.

          MATERIALS AND METHODS:

          A cross-sectional study was carried out in the five biggest shopping malls in Riyadh city in July 2014. The required sample size was 980 persons aged 15 or older, with 196 from each of the five biggest shopping malls from each of the five geographic areas of Riyadh. Data was collected by face-to-face interview using standardised questionnaire, and analyzed using SPSS.

          RESULTS:

          Overall, 48.3% of the participants thought that they were susceptible to any of the respiratory infections of pandemic influenza; 59.7% always washed their hands with water and soap and 34.8% used antibacterial soap. About 29% reported avoiding touching their eyes, noses, and mouths directly with their hands; 63.5% covered their noses and mouths with tissue paper when sneezing or coughing. A substantial number said they “never” shared their personal stuff, including towels (70.5%) and utensils (49.0%) with others. Only 21.2% avoided crowded places or wore a mask (9.1%) in such a situation. A high proportion (62.8%) did not take the seasonal flu vaccine. The most common sources of health information included television/radio (47.9%), social media (29.4%), and friends/family (28.1%).

          CONCLUSIONS:

          Health authorities should seize every opportunity to prevent respiratory infections by adopting all evidence-based infection control measures to improve public awareness, attitude, and practice.

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          Most cited references22

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          Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public

          Background During an infectious disease outbreak, it is critical to learn as much as possible about the concerns, knowledge, attitudes, and behavior of the public. Such information can be crucial to the improvement of communication efforts by public health officials and clinicians. The aim of this study was to identify awareness, attitudes, and practices related to influenza A (H1N1) among the Saudi public. Methods A cross-sectional study of 1,548 adult subjects recruited from various shopping malls in Riyadh and Jeddah was conducted. All of the subjects were interviewed using a questionnaire that tested their knowledge, attitudes, and use of precautionary measures in relation to the H1N1 influenza pandemic. Results More than half (54.3%, 840/1548) of the participants showed high concern, 43.7%(677/1548) showed a low level of knowledge, and 60.8%(941/1548) had taken minimal or no precautionary measures. After adjusting for other variables, education level was the only significant predictor of the level of concern (p < 0.001), while greater precautionary measures were taken by participants who were male (p < 0.001), older (p = 0.047), better educated (p = 0.04), and more knowledgeable (p < 0.001). More than one-third (38.3%) of participants were not convinced that the MOH reports about the disease were true, and only 16.1% of the participants reported receiving information from health providers. Conclusions High concern did not translate into a higher compliance with precautionary recommendations, possibly due to the low level of knowledge about the disease among the public. Frequent communication between physicians and the public is recommended to help dispel myths about the disease and to spread better information about the role that the public can play in limiting the spread of the disease.
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            Public knowledge, attitude and behavioural changes in an Indian population during the Influenza A (H1N1) outbreak.

            Influenza A (H1N1) is the most recent of the pandemic diseases that has affected the world's population. The aim of this study was to assess knowledge, attitude and behavioural responses of an Indian community toward Influenza A (H1N1). A cross-sectional questionnaire survey was conducted in Udaipur (Rajasthan, India) among 791 individuals (57% males and 43% females) from 23 July to 27 August 2009. Outcome measures were perceived seriousness of the disease, opinion about government and health authorities, perceived efficacy of various preventive measures, avoidance behaviours, and increased hygiene maintenance in relation to Influenza A (H1N1). Of 791 respondents, 83.1% had heard about Influenza A (H1N1), but 47.4% felt that they did not have enough information about the pandemic. Only 34.5% felt that their health would be seriously affected if they contracted Influenza A (H1N1). Over half of the respondents (59.6%) had no idea about the duration of the pandemic. Knowledge differed significantly according to gender, age groups, and educational status as well as working status; however, females had better attitude than males. Respondents rated face masks and vaccines as the most effective preventive measures. Results showed that in spite of having acceptable knowledge and attitude, behavioural response to Influenza A (H1N1) was poor. Therefore, increased efforts should be made by the government to understand what factors are associated with adaptive behaviour changes among the general public. Emphasizing the efficacy of recommended actions and the possible duration of the outbreak may further help to improve public compliance.
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              The effect of a patient education booklet and BP 'tracker' on knowledge about hypertension. A randomized controlled trial.

              Home blood pressure (BP) monitoring is increasingly prevalent. The Canadian Hypertension Education Program (CHEP) developed a Family Practice BP tracking diary for home readings with an educational booklet. We evaluated the effectiveness of these tools compared with the standard approach of a hypertension information leaflet on BP-related knowledge, attitudes and behaviours of hypertensive family practice patients. Single-blind randomized control trial on patients with raised BP. Three practices in Ontario, Quebec and Nova Scotia recruited a total of 109 eligible patients. The average age was 66.1 (SD 9.3) years and 58 (54.7%) were male. There was a statistically significant increase in the mean number of correct responses to 20 hypertension knowledge questions of 1.14 from 15.3 (SD 2.2) at baseline to 16.4 (SD 2.2) at 3 months in both groups (n=72, P<0.001). Patients frequently did not realize that usually more than one drug plus lifestyles changes were necessary to reduce BP to target or that it might take 6 weeks for some drugs to achieve their full effect. The BP tracking diary and the booklet had positive evaluation from the patients. Most patients have a good baseline of knowledge about hypertension but there are still important areas that need to be addressed. The booklet and tracker were well received by patients but the simple leaflet was as effective at improving knowledge.
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                Author and article information

                Journal
                J Family Community Med
                J Family Community Med
                JFCM
                Journal of Family & Community Medicine
                Wolters Kluwer - Medknow (India )
                1319-1683
                2229-340X
                Sep-Dec 2019
                : 26
                : 3
                : 173-180
                Affiliations
                [1 ] Department of Family and Community Medicine, College of Medicine, Research Chair of Health Education and Health Promotion, King Saud University, Riyadh, Saudi Arabia
                [2 ] Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
                [3 ] College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
                [4 ] College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia
                Author notes
                Address for correspondence: Prof. Sulaiman A. Alshammari, Department of Family and Community Medicine, College of Medicine, Chair of Health Education and Health Promotion, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia. E-mail: sulaiman@ 123456ksu.edu.sa
                Article
                JFCM-26-173
                10.4103/jfcm.JFCM_4_19
                6755768
                31572047
                50b3e8f0-f92f-45fb-89d6-b70f4c1e332e
                Copyright: © 2019 Journal of Family and Community Medicine

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

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                Categories
                Original Article

                Health & Social care
                compliance,coronavirus,infection control,pandemic flu,respiratory infection
                Health & Social care
                compliance, coronavirus, infection control, pandemic flu, respiratory infection

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