Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

Attitudes of consumers and live-poultry workers to central slaughtering in controlling H7N9: a cross-sectional study

Authors: Xiao Lin, Dingmei Zhang, Xinwei Wang, Yun Huang, Zhicheng Du, Yaming Zou, Jiahai Lu, Yuantao Hao

Published in: BMC Public Health | Issue 1/2017

Login to get access

Abstract

Background

Guangdong Province in the Pearl River Delta of Southeast China is among the areas in the country with the highest rates of avian flu cases. In order to control the outbreak of human-infected H7N9 cases, Guangdong launched a new policy on the central slaughtering of live poultry in 2015. This study aims to evaluate attitudes of consumers and live-poultry workers toward the policy. The live-poultry workers consisted of two sub-groups: live-poultry traders and poultry farm workers.

Methods

Consumers and live-poultry workers from Guangdong were enrolled by stratified multi-stage random sampling. Online and field surveys were conducted to investigate participants’ attitudes on policy implementation. Questionnaires were developed to quantify participant demographics, to collect information about attitudes toward the policy, and to identify influential factors of policy acceptability. Proportional odds logistics regression was used in the univariate and multivariate analyses. A total of 1449 consumers, 181 live-poultry traders, and 114 poultry farm workers completed the study.

Results

Policy acceptability percentages among consumers, live-poultry traders, and poultry farm workers were 57.1, 37.9, and 62.6%, respectively. Logistics regression shows that consumers tended not to support the policy if they were males, if they were concerned with the food safety of chilled products, and if they preferred purchasing live poultry. Live-poultry traders tended not to support if they were subsidized by the government, if they were males, if they experienced a drop in trading volume, and if they were unclear whether avian flu was a preventable disease. Finally, poultry farm workers tended not to support if they experienced a drop in trading volume, if they operated a poultry farm on a small to medium scale, and if they experienced inconvenience in their work due to the policy.

Conclusions

The study reveals a substantial refusal or slowness to accept the policy. Failure to accept the policy results from varying reasons. Among consumers, concern about food safety and dietary preference are two major causes of disapproval. Policy acceptability among live-poultry workers diverges within the two sub-groups. While a large percentage of poultry farm workers accept the policy, the drop in trading and an insufficient subsidy hamper acceptance by live-poultry traders. We recommend that policy-makers promote health education and alleviate the policy impact on trading with a reformed subsidy policy to increase acceptability. These findings are crucial for the prevention of human-infected H7N9 cases in Guangdong.
Appendix
Available only for authorised users
Literature
1.
Zhang M, Li W. Epidemiological characteristics and prevention and control policy of human infection with avian influenza A (H7N9) virus in Guangdong Province. Journal of Public Health and Preventive Medicine. 2015;26(06):5–9.
2.
Li Q, Zhou L, Zhou M, Chen Z, Li F, Wu H, et al. Epidemiology of human infections with avian influenza A(H7N9) virus in China. N Engl J Med. 2014;370(6):520–32.CrossRefPubMed
3.
Chen E, Chen Y, Fu L, Chen Z, Gong Z, Mao H, et al. Human infection with avian influenza A(H7N9) virus re-emerges in China in winter 2013. Euro surveillance: bulletin Européen sur les maladies transmissibles (European communicable disease bulletin). 2013;18(43):2–11.
4.
Xiang H, Li X, Li X. Case report on two H7N9-confirmed human cases. Xinjiang Medical Journal. 2015;45(10):1520–1.
5.
6.
Gao R, Cao B, Hu Y, Feng Z, Wang D, Hu W, et al. Human infection with a novel avian-origin influenza A (H7N9) virus. N Engl J Med. 2013;368(20):1888–97.CrossRefPubMed
7.
Zhou J, Wang D, Gao R, Zhao B, Song J, Qi X, et al. Biological features of novel avian influenza A (H7N9) virus. NATURE. 2013;499(7459):500–3.CrossRefPubMed
8.
Li Q, Zhou L, Zhou M, Chen Z, Li F, Wu H, et al. Preliminary Report: Epidemiology of the Avian Influenza A (H7N9) Outbreak in China. N Engl J Med. 2013;14(10):1668–77.
9.
Richard M, Schrauwen EJ, de Graaf M, Bestebroer TM, Spronken MI, van Boheemen S, et al. Limited airborne transmission of H7N9 influenza A virus between ferrets. NATURE. 2013;501(7468):560–3.CrossRefPubMedPubMedCentral
10.
Yu H, Wu JT, Cowling BJ, Liao Q, Fang VJ, Zhou S, et al. Effect of closure of live poultry markets on poultry-to-person transmission of avian influenza A H7N9 virus: an ecological study. LANCET. 2014;383(9916):541–8.CrossRefPubMed
11.
12.
Liao Q, Lam WT, Leung GM, Jiang C, Fielding R. Live poultry exposure, Guangzhou, China, 2006. EPIDEMICS-NETH. 2009;1(4):207–12.CrossRef
13.
Jia W, Luo X, Feng B, Ruan H, Bei J, Liu W, et al. Traditional Cantonese diet and nasopharyngeal carcinoma risk: a large-scale case-control study in Guangdong, China. BMC CANCER. 2010;10(1):1.CrossRef
14.
Wen X, Yang B, Deng G. Research on purchase intention and influencing factors of consumers to chilled chicken--based on the survey data from Guangzhou city. Guangdong Agricultural Sciences. 2015;14:169–74.
15.
Wang C, Wang J, Su W, Gao S, Luo J, Zhang M, et al. Relationship between domestic and wild birds in live poultry market and a novel human H7N9 virus in China. J INFECT DIS. 2014;209(1):34–7.CrossRefPubMed
16.
Yuan J, Lau EH, Li K, Leung YH, Yang Z, Xie C, et al. Effect of Live Poultry Market Closure on Avian Influenza A(H7N9) Virus Activity in Guangzhou, China, 2014. EMERG INFECT DIS. 2015;21(10):1784–93.CrossRefPubMedPubMedCentral
17.
Abdel-Ghafar AN, Chotpitayasunondh T, Gao Z, Hayden FG, Nguyen DH, de Jong MD, et al. Update on avian influenza A (H5N1) virus infection in humans. N Engl J Med. 2008;358(3):261–73.CrossRefPubMed
18.
Webster RG. Wet markets--a continuing source of severe acute respiratory syndrome and influenza? LANCET. 2004;363(9404):234–6.CrossRefPubMed
19.
Huo X, Zu R, Qi X, Qin Y, Li L, Tang F, et al. Seroprevalence of avian influenza A (H5N1) virus among poultry workers in Jiangsu Province, China: an observational study. BMC INFECT DIS. 2012;12:93.CrossRefPubMedPubMedCentral
20.
21.
Yuan J, Xie C, Liu Y, Ma X, Cai W, Liu Y, et al. Acceptance and influence factor of central slaughtering of live poultry in residents of Guangzhou. Chinese Journal of Preventive Medicine. 2015;49(3):237–42.PubMed
22.
Yang X, Xie L, Huang R. Research on the perception and behaviour of poultry workers and community population in Hangzhou. Chinese Journal of Health Inspection. 2014;21(03):232–5.
23.
Fielding R, Bich TH, Quang LN, Lam WW, Leung GM, Tien TQ, et al. Live poultry exposures, Hong Kong and Hanoi, 2006. EMERG INFECT DIS. 2007;13(7):1065–7.CrossRefPubMedPubMedCentral
24.
25.
26.
27.
Wu Y, Gao GF. Lessons learnt from the human infections of avian-origin influenza A H7N9 virus: live free markets and human health. SCI CHINA LIFE SCI. 2013;56(6):493–4.CrossRefPubMed
28.
Xiaohua T, Limei S, Jianfeng H, Haojie Z, Wentao L, Zhongxian C, et al. Cross-sectional study on management measures of live poultry market in Guangdong province. South China J Prev Med. 2015;41(01):61–4.
29.
Loxton D, Powers J, Anderson AE, Townsend N, Harris ML, Tuckerman R, et al. Online and Offline Recruitment of Young Women for a Longitudinal Health Survey: Findings From the Australian Longitudinal Study on Women's Health 1989-95 Cohort. J MED INTERNET RES. 2015;17(5):e109.CrossRefPubMedPubMedCentral
30.
31.
Haagsma JA, Maertens DNC, Polinder S, Vos T, Havelaar AH, Cassini A, et al. Assessing disability weights based on the responses of 30,660 people from four European countries. Popul Health Metr. 2015;13:10.CrossRefPubMedPubMedCentral
32.
Salomon JA, Haagsma JA, Davis A, de Noordhout CM, Polinder S, Havelaar AH, et al. Disability weights for the Global Burden of Disease 2013 study. The Lancet Global Health. 2015;3(11):e712–23.CrossRefPubMed
33.
Leung YH, Lau EH, Zhang LJ, Guan Y, Cowling BJ, Peiris JS. Avian influenza and ban on overnight poultry storage in live poultry markets, Hong Kong. EMERG INFECT DIS. 2012;18(8):1339–41.CrossRefPubMedPubMedCentral
34.
Martin V, Zhou X, Marshall E, Jia B, Fusheng G, FrancoDixon MA, et al. Risk-based surveillance for avian influenza control along poultry market chains in South China: The value of social network analysis. PREV VET MED. 2011;102(3):196–205.CrossRefPubMed
35.
He Y, Liu P, Tang S, Chen Y, Pei E, Zhao B, et al. Live poultry market closure and control of avian influenza A(H7N9), Shanghai, China. EMERG INFECT DIS. 2014;20(9):1565–6.CrossRefPubMedPubMedCentral
Metadata
Title
Attitudes of consumers and live-poultry workers to central slaughtering in controlling H7N9: a cross-sectional study
Authors
Xiao Lin
Dingmei Zhang
Xinwei Wang
Yun Huang
Zhicheng Du
Yaming Zou
Jiahai Lu
Yuantao Hao
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4374-9

Other articles of this Issue 1/2017

BMC Public Health 1/2017 Go to the issue

Research article

Rethinking physical activity communication: using focus groups to understand women’s goals, values, and beliefs to improve public health

Research article

A qualitative exploration of work-related head injury: vulnerability at the intersection of workers’ decision making and organizational values

Research article

Adolescent alcohol use and parental and adolescent socioeconomic position in six European cities

Research article

Socioeconomic inequality in clusters of health-related behaviours in Europe: latent class analysis of a cross-sectional European survey

Research article

Psychosocial benefits of workplace physical exercise: cluster randomized controlled trial

Research article

A cross-sectional analysis of green space prevalence and mental wellbeing in England