@article {Romine:2017:2326-4403:224, title = "How Does Knowledge of Influenza Reduce Flu-like Illness in High Schools?", journal = "Health Behavior and Policy Review", parent_itemid = "infobike://psp/hbpr", publishercode ="psp", year = "2017", volume = "4", number = "3", publication date ="2017-05-01T00:00:00", pages = "224-234", itemtype = "ARTICLE", issn = "2326-4403", eissn = "2326-4403", url = "https://www.ingentaconnect.com/content/psp/hbpr/2017/00000004/00000003/art00003", doi = "doi:10.14485/HBPR.4.3.3", keyword = "INFECTIOUS DISEASE, FLU MITIGATION, FLU, HIGH SCHOOL HEALTH, INFLUENZA, HEALTH BELIEF MODEL", author = "Romine, William L. and Folk, William R. and Barrow, Lloyd H.", abstract = " Objectives: In this paper, we develop, validate, and utilize a causal theory that knowledge of the flu influences perceptions of the flu, which in turn, influences mitigation behavior, which then influences reported flu-like illness. Methods: Data from 410 students within 6 high schools were used to validate the model and evaluate the role of a student's knowledge and sex on perceptions, behavior, and reported illness. Results: Knowledge of the flu influences perceived risk and susceptibility to the flu as well as perceived barriers to taking precautions and social efficacy, is positively related to taking precautions, and supports a reduction in reports of flu-like illness. Girls exhibit a higher sense of efficacy toward flu mitigation which supports improved hand-washing and respiratory etiquette. Conclusions: Teaching students about the flu reduces flu-like illness by changing how students perceive the flu which supports mitigation efforts.", }