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传染病传播中的行为变化模型:系统综述(2020-2025)

Behavioral change models for infectious disease transmission: a systematic review (2020-2025)

University of Connecticut(康涅狄格大学);University of Naples Federico II(那不勒斯费德里科二世大学)

Youngji Jo, Sileshi Sintayehu Sharbayta, Bruno Buonomo

AI总结:

本文综述了2020-2025年间关于传染病传播中行为变化模型的研究,分析了行为适应在传播、疫苗接种和合规性中的影响,并提出了一种分类体系以指导行为过程在流行病学建模中的整合。

摘要:

背景:人类行为塑造了传染病动态,但其在传播模型中的整合仍显得碎片化。最近的流行病,特别是新冠疫情期间,突显了需要捕捉对感知风险的适应、社会影响和政策信号的模型的重要性。本综述整合了2020年后的模型,这些模型纳入了行为适应,检验了它们的理论基础,并评估了行为构造如何改变传播、疫苗接种和合规性。方法:按照PRISMA指南,我们搜索了Scopus和PubMed(2020-2025),筛选了1274条记录并进行引用链搜索。我们提取了关于疾病背景、国家、建模框架、行为机制(患病率依赖型、政策/媒体、模仿/社会学习)以及心理社会构造(个人威胁、应对评估、障碍、社会规范、行动提示)的数据。总计216项研究符合纳入标准。结果:新冠疫情期间占73%的研究。大多数使用了 compartmental ODE 模型(81%)并集中在理论或美国情境中。行为变化主要是反应性的:47%应用了患病率依赖反馈,25%包括了意识/媒体动态,19%依赖于外生政策触发器。博弈论或社会学习方法非常罕见(少于或等于5%)。行为效应主要修改了接触或传播率(91%)。心理社会构造的代表性不均:行动提示(n=159)和个人威胁(n=145)占主导,而应对评估(n=82)、障碍(n=36)和社会规范(n=25)较少。结论:我们提出了一种按行为驱动因素、社会规模和记忆结构分类的体系,以澄清主导范式及其经验基础。将模型映射到心理社会构造为更理论导向和数据驱动的整合行为过程提供了指导。

英文摘要:

Background: Human behavior shapes infectious disease dynamics, yet its integration into transmission models remains fragmented. Recent epidemics, particularly COVID-19, highlight the need for models capturing adaptation to perceived risk, social influence, and policy signals. This review synthesizes post-2020 models incorporating behavioral adaptation, examines their theoretical grounding, and evaluates how behavioral constructs modify transmission, vaccination, and compliance. Methods: Following PRISMA guidelines, we searched Scopus and PubMed (2020-2025), screening 1,274 records with citation chaining. We extracted data on disease context, country, modeling framework, behavioral mechanisms (prevalence-dependent, policy/media, imitation/social learning), and psychosocial constructs (personal threat, coping appraisal, barriers, social norms, cues to action). A total of 216 studies met inclusion criteria. Results: COVID-19 accounted for 73% of studies. Most used compartmental ODE models (81%) and focused on theoretical or U.S. settings. Behavioral change was mainly reactive: 47% applied prevalence-dependent feedback, 25% included awareness/media dynamics, and 19% relied on exogenous policy triggers. Game-theoretic or social learning approaches were rare (less or equal than 5%). Behavioral effects primarily modified contact or transmission rates (91%). Psychosocial constructs were unevenly represented: cues to action (n=159) and personal threat (n=145) dominated, whereas coping appraisal (n=82), barriers (n=36), and social norms (n=25) were less common. Conclusions: We propose a taxonomy structured by behavioral drivers, social scale, and memory to clarify dominant paradigms and their empirical basis. Mapping models to psychosocial constructs provides guidance for more theory-informed and data grounded-integration of behavioral processes in epidemiological modeling.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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