64. Factors influencing health preventive practices of Chinese population towards avian flu (297)

Sandra Pun, Clinical Associate, School Nursing, The Hong Kong Polytechnic Universtiy, School of Nursing, Kowloon, Hong Kong
Co authors:  Sharon Cheung & Katherine Chang



Avian flu is caused by a highly pathogenic influenza A (H5N1) in birds and poultry animals. In the outbreak from 2003 to 2007, at least 328 cases of avian flu with 200 patients died in 12 countries including Indonesia, Vietnam, Egypt, Thailand and China. It is essential for healthcare professionals to control the outbreak by understanding factors influencing the health preventive practices of the population and enhancing the effectiveness of health promotion programmes.


To investigate the prediction of factors including knowledge, perception and perceived importance on the adherence to health preventive practices towards avian flu.


An exploratory quantitative survey was performed on a convenience sample (n=672) recruited from the community in Hong Kong using a structured questionnaire. The questionnaire was developed from the concepts of the Health Belief Model with the content validity index ranged from 0.85 to 1 and the correlation of test-retest reliability ranged from 0.50 to 0.83. Demographic data, their knowledge and perception about avian flu, perceived importance and adherence to health preventive practices towards avian flu were collected. Multiple regression was used for data analysis.


The mean age of the sample was 43 (range: 18-61) with 63% female. Both scores of perception and perceived importance significantly improved the prediction on the adherence to health practices by 13.8% (p<.001) after controlling the effect of age. However, knowledge was not significantly correlated with the adherence to health practices.

Discussion and conclusion:

The findings correspond to the concepts of the Health Belief Model that perceived susceptibility, seriousness and threat to the disease predict the individual’s intention to use preventive measures. This study provides information for healthcare professionals to design effective health promotion programmes for the community by considering factors affecting the adherence to health preventive practices including the perception and perceived importance on health practices.

Recommended reading list:

• Kozier, B, Erb, G, Berman, A, & Snyder, SJ 2004, Fundamentals of Nursing: Concepts, Process, and Practice, 7th edn, New Jersey: Prentice-Hall.
• World Health Organization 2007, Cumulative number of confirmed human cases of avian influenza A/(H5N1) reported to WHO, viewed 16 September 2007, <http://www.who.int/csr/disease/avian_influenza/country/cases_table_2007_09_10/en/index.html>

Source of Funding:  Non UK
Departmental General Research Fund

Amount in Funding:  1,000 - 10,000