{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T13:33:06Z","timestamp":1759411986104,"version":"3.37.3"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T00:00:00Z","timestamp":1500508800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:p>The Houston Health Department (HHD) in Texas tracks influenza-like illness (ILI) in the community through its Influenza Sentinel Surveillance Program, which began in 2008. After the influenza A(H1N1) pandemic (pH1N1) in 2009, investigators sought to assess the feasibility of this program as a non-traditional data source for tracking and monitoring care-seeking activities. Through the process of characterizing and describing patients who had \u2018return visits\u2019, or who were considered the heaviest ILI-related care-utilizers, the investigators sought to understand the strengths and limitations of this data source. Data used for this study were obtained from a multispecialty clinic in Houston, Texas between August 2008 and January 2011 across three phases: pre-pH1N1, pH1N1, and post-pH1N1. The data, which comprised of 4047 patient visits, yielded 150 return visits. We found an increase in the number of visits for ILI and proportion of return visits during the pandemic phase (pH1N1), as well as differences in the likelihood of a return visit between genders and age groups. More broadly, the findings of this study provide important considerations for future research and expose important gaps in using surveillance data to assess sick-role behaviors.<\/jats:p>","DOI":"10.1017\/s0950268817001467","type":"journal-article","created":{"date-parts":[[2017,7,20]],"date-time":"2017-07-20T05:38:28Z","timestamp":1500529108000},"page":"2611-2617","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Pandemic-related health behavior: repeat episodes of influenza-like illness related to the 2009 H1N1 influenza pandemic"],"prefix":"10.1017","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2863-6284","authenticated-orcid":false,"given":"O.","family":"MGBERE","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"NGO","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"KHUWAJA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"MOUZOON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"GREISINGER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"ARAFAT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"MARKEE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,7,20]]},"reference":[{"key":"S0950268817001467_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.21.3243"},{"volume-title":"The Flu Season","key":"S0950268817001467_ref13"},{"key":"S0950268817001467_ref17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0905498"},{"volume-title":"WHO Director-General Declares H1N1 Pandemic Over","year":"2010","key":"S0950268817001467_ref14"},{"key":"S0950268817001467_ref9","first-page":"37","article-title":"Self-reported influenza-like illness during the 2009 H1N1 influenza pandemic \u2013 United States, September 2009\u2013March 2010","volume":"60","author":"Biggerstaff","year":"2011","journal-title":"Morbidity and Mortality Weekly Report"},{"key":"S0950268817001467_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12111"},{"key":"S0950268817001467_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.epidem.2012.06.002"},{"key":"S0950268817001467_ref3","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ182"},{"key":"S0950268817001467_ref16","doi-asserted-by":"publisher","DOI":"10.3201\/eid1101.040272"},{"key":"S0950268817001467_ref6","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300651"},{"volume-title":"Overview of Influenza Surveillance in the United States","key":"S0950268817001467_ref1"},{"key":"S0950268817001467_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9386-2"},{"key":"S0950268817001467_ref15","doi-asserted-by":"publisher","DOI":"10.1331\/154434503321831085"},{"key":"S0950268817001467_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2010.11.027"},{"key":"S0950268817001467_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.08.036"},{"key":"S0950268817001467_ref11","unstructured":"World Health Organization. WHO Global Epidemiological Surveillance Standards for Influenza. 20 Avenue Appia, 1211 Geneva 27, Switzerland. 2014, 84 pp (http:\/\/www.who.int\/influenza\/resources\/documents\/WHO_Epidemiological_Influenza_Surveillance_Standards_2014.pdf?ua=1). Accessed 20 May 2017."},{"key":"S0950268817001467_ref2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-207"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268817001467","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,16]],"date-time":"2019-04-16T21:20:13Z","timestamp":1555449613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268817001467\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,20]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["S0950268817001467"],"URL":"https:\/\/doi.org\/10.1017\/s0950268817001467","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"type":"print","value":"0950-2688"},{"type":"electronic","value":"1469-4409"}],"subject":[],"published":{"date-parts":[[2017,7,20]]},"assertion":[{"value":"Copyright \u00a9 Cambridge University Press 2017\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}