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題名：民眾如何理解接連而來的新興流感？
書刊名：臺灣公共衛生雜誌
作者：楊惠茹／丁志音
作者(外文)：Yang, Hui-ju／Lew-Ting, Chih-yin
出版日期：2014
卷期：33:2
頁次：頁185-196
主題關鍵詞：新興流感；常民知識；命名；病毒；健康傳播；Emerging influenza；Lay knowledge；Naming；Virus；Health communication
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:304
  • 點閱點閱:46
目標：本研究探索一般民眾對陸續出現之新興流感的認知反應。方法：透過最大變異原則，選取25位民眾以深入訪談法收集質性資料，採用跨個案的取向進行分析並歸納出特定主題。結果：共歸納出望名生義、超越名稱的內蘊知識、及密集流行下的資訊衝擊等三大主題。民眾初識以病毒類別及其亞型命名的新興流感後，有的以整體的集群視之，有的則根據英文字母H與N及相應的數字，發展出感染源、嚴重程度、新舊程度（出現順序）等不同面向的區辨。人畜共通傳染的想法逐漸浮現。會過度外推地將新興呼吸道傳染病如SARS等都歸於流感家族中。而在暴露於多波的新興流感流行之下，民眾開始感知不同於細菌的另一種病原體－病毒的存在。值得重視的是，有的受訪者開始對宣導訊息因資訊超載而導致對預防的疲乏。結論：民眾對新流感的認知與理解始於其名稱。他們個別化的知識再建構不能單純以當代科學知識來評斷其正確與否。相反的，我們應該儘可能掌握這些逐漸形成的常民知識與行為反應，來發展更有效的流感防疫介入計畫。
Objectives: This study explored lay persons' cognitive responses to emergent influenzas. Methods: Using a maximum variation sampling design, 25 participants were selected and subjected to in-depth interviews. Qualitative data were analyzed following a cross-case approach through which the main themes were extracted inductively. Results: We identified three main themes from the analysis: meanings derived from flu names, connotative knowledge beyond names, and information impact during intensive epidemics. After coming into contact with several "new" influenzas named for flu viruses and subtypes, some participants considered them to be one single undifferentiated disease entity. Others assigned meaning to each name designated by the form of HxNy, and considered them distinctive in terms of source of infection, severity, and time of emergence. Zoonotic transfer has gradually become recognized as a source of disease transmission. Participants also had a tendency to generalize other emerging respiratory infectious diseases such as SARS as members of a big flu family. Of greater importance, as a result of successive contacts with several flu epidemics, these participants became aware of the existence of a type of germ other than bacteria-viruses. Parallel to recurrent epidemics are prevention fatigue and information overload caused by intensive exposure to flu-related communications. Conclusions: Lay people's initial grasp of new influenzas came from "seeing" their names. This idiosyncratic re-construction of knowledge cannot be judged simply by contemporary scientific standards. The gradually shaped lay knowledge and behavioral reactions in response to emergent influenzas should be closely investigated. Only by doing so can we develop effective programs for influenza control.
期刊論文
1.Webster, R.G.(1998)。Influenza: an emerging disease。Emerg Infect Dis，4，436-441。  new window
2.Enserink, M.(2009)。Swine flu names evolving faster than swine flu itself。Science，324，871。  new window
3.Schein, R.、Bruls, S.、Busch, V.、Wilson, K.、Hershfield, L.、Keelan, J.(2012)。A flu by any other name: why the World Health Organization should adopt the World Meteorological Association's storm naming system as a model for naming emerging infectious diseases。J Health Commun，17，532-545。  new window
4.Aledort, J. E.、Lurie, N.、Wasserman, J.、Bozzette, S. A.(2007)。Non-pharmaceutical public health interventions for pandemic influenza: an evaluation of the evidence base。BMC Public Health，7(1)，208-816。  new window
5.Duerr, H.P.、Brockmann, S.O.、Piechotowski, I.、Schwehm, M.、Eichner, M.(2007)。Influenza pandemic intervention planning using InfluSim: pharmaceutical and nonpharmaceutical interventions。BMC Infect Dis，7，76-88。  new window
6.Lau, J.T.、Griffiths, S.、Choi, K.C.、Tsui, H.Y.(2009)。Widespread public misconception in the early phase of the H1N1 influenza epidemic。J Infect，59，122-127。  new window
7.Lin, Y.、Huang, L.、Nie, S.(2011)。Knowledge, attitudes and practices (KAP) related to the pandemic (H1N1) 2009 among Chinese general population: a telephone survey。BMC Infect Dis，11，128。  new window
8.Raude, J.、Setbon, M.(2009)。Lay perceptions of the pandemic influenza threat。European Journal of Epidemiology，24(7)，339-342。  new window
9.Warwick, I.、Aggleton, p.、Homans, H.(1988)。Constructing commonsense-- young people's beliefs about AIDS。Sociol Health Illness，10，213-233。  new window
10.Nicoll, A.、Laukamm-Josten, U.、Mwizarubi, B.(1993)。Lay health beliefs concerning HIV and AIDS-- a barrier for control programmes。AIDS Care，5，231-241。  new window
11.Slaughter, L.、Keselman, A.、Kushniruk, A.、Patel, V.L.(2005)。A framework for capturing the interactions between laypersons'understanding of disease, information gathering behaviors, and actions taken during an epidemic。J Biomed Inform，38，298-313。  new window
12.Joffe, H.、Haarhoff, G.(2002)。Representations of far-flung illnesses: the case of Ebola in Britain。Social Science and Medicine，54(6)，955-969。  new window
13.Conrad, P.(1990)。Qualitative research on chronic illness: a commentary on method and conceptual development。Soc Sci Med，30，1257-1263。  new window
14.Zarcadoolas, C.(2011)。The simplicity complex: exploring simplified health messages in a complex world。Health Promot Int，26，338-350。  new window
15.Sun, X.Y.、Shi, Y.H.、Zeng, Q.G.(2013)。Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model。BMC Public Health，13，261。  new window
16.Miller, S.(2001)。Public understanding of science at the crossroads。Public Understanding of Science，10(1)，115-120。  new window
17.Rubin, G. J.、Potts, H. W.、Michie, S.(2010)。The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK。Health Technology Assessment，14(34)，183-266。  new window
18.Strong, P.(1990)。Epidemic psychology: a model。Sociol Health Illness，12，249-259。  new window
19.Bawden, David、Robinson, Lyn(2009)。The dark side of information: overload, anxiety and other paradoxes and pathologies。Journal of Information Science，35(2)，180-191。  new window
20.Freimuth, V.、Linnan, H. W.、Potter, P.(2000)。Communicating the threat of emerging infections to the public。Emerg Infcect Dis，6，337-347。  new window
21.Tomes, N.(200002)。The making of a germ panic, then and now。Am J Public Health，90(2)，191-198。  new window
22.張筱莉、林陳涌(20010900)。學童眼中的科學專有名詞。科學教育學刊，9(3)，219-234。new window  延伸查詢new window
23.Popay, Jennie、Williams, Gareth(1996)。Public Health Research and Lay Knowledge。Social Science & Medicine，42(5)，759-768。  new window
24.Entwistle, Vikki A.、Renfrew, Mary J.、Yearley, S.、Forrester, J.、Lamont, T.(1998)。Lay Perspectives: Advantages for Health Research。British Medical Journal，316，463-466。  new window
研究報告
1.魯真、劉鋼、李皇照(2010)。消費者對禽流感、狂牛病、新型流感的認知與態度之研究。台北：行政院農業委員會。  延伸查詢new window
圖書
1.Green, E.C.(1999)。Indigenous Theories of Contagious Disease。California, USA：Alta Mira Press。  new window
2.Davis, D.、Siu, H.F.(2006)。SARS: Reception and Interpretation in Three Chinese Cities。New York, USA：Taylor & Francis。  new window
3.Hewlett, B.S.、Hewlett, B.L.(2008)。Ebola, Culture, and Politics: The Anthropology of an Emerging Disease。Belmont, CA：Thomson Higher Education。  new window
4.Rubin, H. J.、Rubin, I. S.(2011)。Qualitative Interviewing: The Art of Hearing Data。Sage。  new window
5.鄭昭明(2006)。認知心理學：理論與實踐。臺北：桂冠圖書股份有限公司。new window  延伸查詢new window
6.Miles, Matthew B.、Huberman, A. Michael、Newman, G.(1994)。Qualitative data analysis: an expanded sourcebook。Sage Publications。  new window
7.Patton, Michael Quinn(2002)。Qualitative research & evaluation methods。Sage Publications。  new window
其他
1.衛生福利部疾病管制署。流感併發症，http://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=dec84a2f0c6fac5b&tid=3013B7FC8F965336， 2012/08/24。  延伸查詢new window
2.Centers for Disease Control and Prevention。Introduction and biology of influenza，http://www.cdc.gov/flu/professionals/acip/background.htm， 2012/08/24。  new window
3.衛生福利部疾病管制署(2073)。H7N9流感，http://www.cdc.gov.tw/diseaseinfo.aspx?treeid=8d54c504e820735b&nowtreeid=dec84a2f0c6fac5b&tid=F4568D733CDAB298， 2013/10/13。  new window
圖書論文
1.Irwin, A.、Wynne, B.(1996)。Introduction。Misunderstanding Science: The Public Reconstruction of Science and Technology。New York：Cambridge University Press。  new window
2.Fontana, A.、Frey, J. H.(1994)。Interviewing: the art of science。Handbook of Qualitative Research。Thousand Oaks, CA：Sage。  new window
 
 
 
 
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