Does Living Density Matter for Nonfatal Unintentional Home Injury in Asian Urban Settings? Evidence from Hong Kong

Chan, Emily Ying Yang; Kim, Jooheon; Griffiths, Siân; Lau, Joseph; Yu, Ignatius Tak-sun

doi:10.1007/s11524-009-9389-9

Cited by 10 publications

(8 citation statements)

References 45 publications

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“…This finding is particularly relevant for urban cities with a high population density like Hong Kong with an average land price of USD 1000 per square feet. The supply of residential land is limited and living environments are characterized by extremely compact multi-storey apartments [31]. The average living area is an important indicator of the degree of spatial separation, making it a suitable surrogate marker of LTCFs in terms of the overall standard of care, hygiene and infection control.…”

Section: Discussionmentioning

confidence: 99%

Transmission of methicillin-resistant staphylococcus aureus in the long term care facilities in Hong Kong

et al. 2013

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BackgroundThe relative contribution of long term care facilities (LTCFs) and hospitals in the transmission of methicillin-resistant Staphylococcus aureus (MRSA) is unknown.MethodsConcurrent MRSA screening and spa type analysis was performed in LTCFs and their network hospitals to estimate the rate of MRSA acquisition among residents during their stay in LTCFs and hospitals, by colonization pressure and MRSA transmission calculations.ResultsIn 40 LTCFs, 436 (21.6%) of 2020 residents were identified as ‘MRSA-positive’. The incidence of MRSA transmission per 1000-colonization-days among the residents during their stay in LTCFs and hospitals were 309 and 113 respectively, while the colonization pressure in LTCFs and hospitals were 210 and 185 per 1000-patient-days respectively. MRSA spa type t1081 was the most commonly isolated linage in both LTCF residents (76/121, 62.8%) and hospitalized patients (51/87, 58.6%), while type t4677 was significantly associated with LTCF residents (24/121, 19.8%) compared with hospitalized patients (3/87, 3.4%) (p < 0.001). This suggested continuous transmission of MRSA t4677 among LTCF residents. Also, an inverse linear relationship between MRSA prevalence in LTCFs and the average living area per LTCF resident was observed (Pearson correlation −0.443, p = 0.004), with the odds of patients acquiring MRSA reduced by a factor of 0.90 for each 10 square feet increase in living area.ConclusionsOur data suggest that MRSA transmission was more serious in LTCFs than in hospitals. Infection control should be focused on LTCFs in order to reduce the burden of MRSA carriers in healthcare settings.

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Section: Discussionmentioning

confidence: 99%

Transmission of methicillin-resistant staphylococcus aureus in the long term care facilities in Hong Kong

et al. 2013

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“…The telephone calls were made in the evening on weekdays (6 pm-10 pm) and during daytime and evening on weekends (10 am-10 pm) to prevent over representation of the unemployed population. The subjects undergoing the interview were chosen based on the “last birthday method” [ 21 , 22 ], in which the household member who was present in the household during the survey and whose last birthday was closest to the interview date was invited to participate. The subjects were invited on the basis of the proportion of age, gender and living district from the 2011 Hong Kong Population Census data.…”

Section: Methodsmentioning

confidence: 99%

Knowledge, attitudes, and practices of Hong Kong population towards human A/H7N9 influenza pandemic preparedness, China, 2014

et al. 2015

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BackgroundSince SARS epidemic in 2003, Hong Kong has experienced several major epidemic risks, but how general community might react to the repeated infectious diseases health risks have not been studied. In 2013, imported human H7N9 influenza infected cases from China were reported. Our study aims to assess the knowledge, attitude and practice (KAP) concerning A/H7N9 among Hong Kong general population regarding pandemic preparedness in early 2014.MethodsA cross-sectional, population-based telephone survey study was conducted among the Cantonese-speaking population aged over 15 years in Hong Kong in February 2014. The study survey was composed of 78 KAP questions. Factors associated with individual and household pandemic preparedness were analyzed.ResultsFinal study sample was 1,020 with a response rate of 45.9 %. Among the respondents, most of them believed personal hygiene and avoidance of avian contacts were effective in preventing H7N9 infections. The majority of respondents had satisfactory hand hygiene practices and avoided touching avian species but did not employ other preventive measures. Female, 25 years old or older, white collar workers, people with chronic diseases and people living in the city center tended to report better hygiene practices. The average State-Trait Anxiety Inventory score was 1.85, similar to that of the period during the first wave and at the start of the second wave of the H7N9 epidemic. Self-reported face masks wearing when having influenza-like illness in general population dropped from 92.4 % during H5N1 period in 2007 to 39.0 % in this study.ConclusionHong Kong citizens show a low level of anxiety, misconceptions regarding the novel strains as well as gaps between perceived usefulness and practice of preventive measures towards influenza outbreaks. Educational campaigns and framing the issue to increase public and media awareness are crucial in preventing the current public fatigue towards outbreaks.

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“…The questionnaire has been proved to be reliable and valid in our previous studies 1215 All participants were asked about the following items.…”

Section: Methodsmentioning

confidence: 99%

Injuries caused by pets in Asian urban households: a cross-sectional telephone survey

Chan

Lee

2017

BMJ Open

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Objectives:Little is known about pet-related injuries in Asian populations. This study primarily aimed to investigate the incidence rate of pet-related household injuries in Hong Kong, an urban Chinese setting.Setting: Cantonese-speaking non-institutionalised population of all ages in Hong Kong accessible by telephone land-line.Participants: A total of 43 542 telephone numbers were dialled and 6570 residents successfully completed the interviews.Primary and secondary outcome measures: Data of pet-related household injuries in the previous 12 months, pet ownership and socio-demographic characteristics were collected with a questionnaire. Direct standardisation of the incidence rates of petrelated household injuries by gender and age to the 2009 Hong Kong Population Census was estimated. Univariate and multivariate analyses were performed to estimate risks of socio-demographic factors and pet ownership for the injury.Results: A total of 84 participants experienced petrelated household injuries in the past 12 months, with an overall person-based incidence rate of 1.28%. The majority of the victims were injured once (69.6%). Cats (51.6%) were the most common pets involved. Pet owners were at an extremely higher risk after controlling for other factors (adjusted OR: 52.0, 95% CI 22.1 to 98.7). Females, the unmarried, those with higher monthly household income and those living in lower-density housing were more likely to be injured by pets. Conclusions:We project a pet-related household injury incidence rate of 1.24% in the general Hong Kong population, with 86 334 residents sustaining petrelated injuries every year. Pet ownership puts people at extremely high risk, especially the unmarried. Further studies should focus on educating pet owners to reduce pet-related injuries in urban Greater China.

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Does Living Density Matter for Nonfatal Unintentional Home Injury in Asian Urban Settings? Evidence from Hong Kong

Cited by 10 publications

References 45 publications

Transmission of methicillin-resistant staphylococcus aureus in the long term care facilities in Hong Kong

Transmission of methicillin-resistant staphylococcus aureus in the long term care facilities in Hong Kong

Knowledge, attitudes, and practices of Hong Kong population towards human A/H7N9 influenza pandemic preparedness, China, 2014

Injuries caused by pets in Asian urban households: a cross-sectional telephone survey

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