Details:

Alternative Title:
PLoS One
Personal Author:
Soyemi, Kenneth ; Medina-Marino, Andrew ; Sinkowitz-Cochran, Ronda ; Schneider, Amy ; Njai, Rashid ; ... More +
Soyemi, Kenneth ; Medina-Marino, Andrew ; Sinkowitz-Cochran, Ronda ; Schneider, Amy ; Njai, Rashid ; McDonald, Marian ; Glover, Maleeka ; Garcia, Jocelyn ; Aiello, Allison E. Less -
Description:
During late April 2009, the first cases of 2009 pandemic influenza A (H1N1) (pH1N1) in Illinois were reported. On-going, sustained local transmission resulted in an estimated 500,000 infected persons. We conducted a mixed method analysis using both quantitative (surveillance) and qualitative (interview) data; surveillance data was used to analyze demographic distribution of hospitalized cases and follow-up interview data was used to assess health seeking behavior. Invitations to participate in a telephone interview were sent to 120 randomly selected Illinois residents that were hospitalized during April-December 2009. During April-December 2009, 2,824 pH1N1 hospitalizations occurred in Illinois hospitals; median age (interquartile range) at admission was 24 (range: 6-49) years. Hospitalization rates/100,000 persons for blacks and Hispanics, regardless of age or sex were 2-3 times greater than for whites (blacks, 36/100,000 (95% Confidence Interval ([95% CI], 33-39)); Hispanics, 35/100,000 [95%CI,32-37] (; whites, 13/100,000[95%CI, 12-14); p<0.001). Mortality rates were higher for blacks (0.9/100,000; p<0.09) and Hispanics (1/100,000; p<0.04) when compared with the mortality rates for whites (0.6/100,000). Of 33 interview respondents, 31 (94%) stated that they had heard of pH1N1 before being hospitalized, and 24 (73%) did not believed they were at risk for pH1N1. On average, respondents reported experiencing symptoms for 2 days (range: 1-7) before seeking medical care. When asked how to prevent pH1N1 infection in the future, the most common responses were getting vaccinated and practicing hand hygiene. Blacks and Hispanics in Illinois experienced disproportionate pH1N1 hospitalization and mortality rates. Public health education and outreach efforts in preparation for future influenza pandemics should include prevention messaging focused on perception of risk, and ensure community wide access to prevention messages and practices.
Subjects:
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Adolescent Adult Black People Child Epidemiological Monitoring Female Health Behavior Healthcare Disparities Hispanic Or Latino Humans Influenza, Human Influenza A Virus, H1N1 Subtype Interviews As Topic Male Middle Aged Pandemics Patient Admission White People Young Adult
Source:
PLoS One. 2014; 9(4).
Document Type:
Journal Article
Place as Subject:
Illinois
Collection(s):
CDC Public Access
Main Document Checksum:
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urn:sha256:642af25bbe8a5ceac9b56d0d11af78dd5b569fa5bcb67c8660bdc3976f65174d
Download URL:
https://stacks.cdc.gov/view/cdc/23512/cdc_23512_DS1.pdf
File Type:

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