cross-sectional internet-based survey of influenza A (H1N1)
pandemic: Risk perceptions, behavioural responses and
vaccination practices at Lund University, Sweden
Geofrey Musinguzi1,2*, Nicodemus Mandere
Mandere3, Benedict Oppong Asamoah
and Eden Foreman1
Master Programme in Public Health, Faculty of Medicine, Lund
University, Malmö University Hospital, Malmö, Sweden.
University School of Public Health, Department of Disease
Control and Environmental Health, P. O. Box 7072, Kampala,
University Centre for Sustainable Science, (LUCSUS), Sweden.
*Corresponding author. E-mail:
Accepted 25 February, 2012
The 2009 influenza A (H1N1) pandemic caused worldwide panic.
Response to the pandemic varied widely between and within
countries. The Swedish National Board of Health and Social
Welfare responded by recommending vaccination of the entire
population and a wide range of community mitigation
measures. This study assessed the impact of the Swedish
policy interventions. The study employed an internet-based
questionnaire survey to collect data from master students on
English programs at Lund University. The results show that
majority of the respondents were aware of the pandemic and
the Swedish government’s recommended mitigation measures.
The overall adoption of the recommended measures was low
among the respondents. Vaccination uptake was 43.1%. The low
uptake was attributed to vaccine safety concerns and low
risk perceptions. Mitigation measures that were provided for
free, and those that did not affect the daily routine
received a high adoption compared to those that entailed
spending money. The government’s communication on influenza
A (H1N1) was effective; however, some areas needed
improvement to enhance adoption. It is imperative that
communication about risk and benefits are communicated but
with emphasis on the positive to avoid the dominance of the
negative. In addition, group specific fora are necessary to
Behaviour responses, influenza A (H1N1), pandemic, risk
perceptions, vaccination practices.