1
|
Gamillscheg P, Mayer S, Pietrzak-Franger M, Hilmar C, Lange A, Simon J, Łaszewska A. Understanding the associations between information sources, sociodemographics, and views on public health measures: evidence from the COVID-19 pandemic in Austria. BMC Public Health 2024; 24:1576. [PMID: 38867264 PMCID: PMC11167807 DOI: 10.1186/s12889-024-19061-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2024] [Accepted: 06/05/2024] [Indexed: 06/14/2024] Open
Abstract
BACKGROUND Throughout the COVID-19 pandemic, it was a key priority for governments globally to ensure agreement with, and subsequently adherence to, imposed public health measures, specifically non-pharmaceutical interventions (NPIs). Prior research in this regard highlighted the role of COVID-19 information sources as well as sociodemographic and other personal characteristics, however, there is only limited evidence including both. To bridge this gap, this study investigated the associations of COVID-19 information sources such as social media and participant characteristics with agreement with and adherence to NPIs during the first lockdown in Austria. METHODS An online survey was conducted in May 2020 among adult Austrian residents asking about their experiences during the first lockdown. Collected data included sociodemographic characteristics, main COVID-19-related information sources, agreement with/adherence to three NPIs (no physical contact to family members not living in the same household, leisurely walks restricted to members of the same household, mandatory face masks) and information about perceived social support using the Multidimensional Scale of Perceived Social Support (MSPSS), anxiety/depression levels using the Hospital Anxiety and Depression Scale (HADS), whether participants felt well advised by the government, and whether participants perceived the pandemic to threaten their income. Ordered and multinomial logistic regression models were employed to achieve the research aims. RESULTS The cross-sectional sample consisted of 559 Austrian residents. Using social media as main COVID-19 information source was consistently associated with lower agreement with NPIs. A positive association with agreement with measures was found for higher educational backgrounds and higher anxiety levels. By contrast, higher levels of depression, not feeling well advised by the government, and perceiving the pandemic as an economic threat were negatively associated with agreement with measures. Moreover, the use of social media as main COVID-19 information source and not feeling well advised by the government were associated with lower adherence to NPIs. By contrast, higher levels of education were associated with higher adherence. CONCLUSIONS This comprehensive analysis emphasizes the associations of COVID-19 information sources as well as sociodemographic and other participant characteristics with agreement with and adherence to NPIs, bearing important implications for future public health crisis communication strategies.
Collapse
Affiliation(s)
- Peter Gamillscheg
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria
| | - Susanne Mayer
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria.
| | - Monika Pietrzak-Franger
- Department of English and American Studies, University of Vienna, Spitalgasse 2, Hof 8.3 (Campus), Vienna, 1090, Austria
| | - Carina Hilmar
- Department of English and American Studies, University of Vienna, Spitalgasse 2, Hof 8.3 (Campus), Vienna, 1090, Austria
| | - Alina Lange
- Department of English and American Studies, University of Vienna, Spitalgasse 2, Hof 8.3 (Campus), Vienna, 1090, Austria
| | - Judit Simon
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, OX3 7JX, UK
| | - Agata Łaszewska
- Department of Health Economics, Center for Public Health, Medical University of Vienna, Kinderspitalgasse 15/1, Vienna, 1090, Austria
| |
Collapse
|
2
|
Colville S, Lockey S, Gillespie N, Jane Kelly S. Compliance with COVID-19 preventative health measures in the United Kingdom: a latent profile analysis. Health Promot Int 2024; 39:daae007. [PMID: 38430508 PMCID: PMC10908350 DOI: 10.1093/heapro/daae007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2024] Open
Abstract
Governments have adopted unprecedented measures to assist in slowing the spread of the COVID-19 pandemic, but compliance varies among individuals. This UK study uses latent profile analysis to identify four classes of individuals on factors believed to influence compliance. Those who sought health information from authoritative sources and actively sought information from multiple sources were most compliant. Profile differences in compliance and vaccination status were also primarily driven by trust in healthcare institutions over trust in government. These findings contribute to understanding compliance profiles and emphasise the importance of authoritative information and trust in healthcare systems.
Collapse
Affiliation(s)
- Shannon Colville
- Queensland University of Technology, School of Business, 2 George Street, Brisbane City, Queensland 4000, Australia
| | - Steven Lockey
- The University of Queensland, School of Management, Cambell Road, St Lucia, Queensland 4067, Australia
| | - Nicole Gillespie
- The University of Queensland, School of Management, Cambell Road, St Lucia, Queensland 4067, Australia
| | - Sarah Jane Kelly
- Queensland University of Technology, School of Business, 2 George Street, Brisbane City, Queensland 4000, Australia
| |
Collapse
|
3
|
Choi SI, Kim S, Jin Y, Valentini C, Badham M, Colleoni E, Romenti S. Effects of Individuals' Cultural Orientations and Trust in Government Health Communication Sources on Behavioral Intentions During a Pandemic: A Cross-Country Study. HEALTH COMMUNICATION 2024; 39:107-121. [PMID: 36576168 DOI: 10.1080/10410236.2022.2159975] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Public health messages disseminated by trusted government authorities are likely to have more influence over individuals' intentions and behaviors. However, individuals worldwide have different levels of trust in government authorities, which leads to varying levels of compliance intentions. Additionally, these trust levels may vary during major public crises, such as pandemics. Based on a COVID-19 pandemic communication survey (N = 3,065) disseminated throughout six countries (Australia, Finland, Italy, South Korea, Sweden, and the United States), this study examined the association among trust in distinct government sources, cultural orientations, and health behavioral intentions. Findings indicated that trust in official health communication sources at four governmental levels (i.e. national government, the head of the national government, the national health authority, and the chief representative of the national health authority) was related to vaccination intentions and other behavioral compliance intentions (i.e. willingness to prevent COVID-19 infection in other ways). Meanwhile, these direct associations were mediated by the cultural orientations of power distance and uncertainty avoidance. Findings also revealed that the direct association of trust in government sources and the indirect relationship through the above cultural orientations varied by country. This study offers insight into the important role of credible sources and individuals' cultural orientations in the domain of health communication aimed at influencing behavioral intentions.
Collapse
Affiliation(s)
- Sung In Choi
- Grady College of Journalism and Mass Communication, University of Georgia
| | - Sungsu Kim
- School of Communication, Kookmin University
| | - Yan Jin
- Grady College of Journalism and Mass Communication, University of Georgia
| | | | - Mark Badham
- Leeds Business School, Leeds Beckett University
| | - Elanor Colleoni
- Department of Business, Law, Economics and Consumer Behavior, IULM University
| | - Stefania Romenti
- Department of Business, Law, Economics and Consumer Behavior, IULM University
| |
Collapse
|
4
|
Kuo CT, Yu RR. Association of National Identity and Trust in Government with COVID-19 Vaccination and Brand Choice in Taiwan. J Community Health 2024:10.1007/s10900-024-01347-4. [PMID: 38522040 DOI: 10.1007/s10900-024-01347-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2024] [Indexed: 03/25/2024]
Abstract
In Taiwan, hesitancy regarding COVID-19 vaccination centered more on the choice of vaccine brand than on the decision to vaccinate. However, there is limited research exploring the factors influencing COVID-19 vaccine brand preferences from a sociopolitical perspective. Thus, we aimed to examine how Taiwanese national identity and trust in government influence vaccination status and vaccine brand choice, using longitudinal data from 2020, 2021, and 2023. This study utilized data from the Taiwan Panel Study of Family Dynamics 2020 survey, and combined it with data from two self-administered surveys conducted in 2021 and 2023. We focused on four vaccines commonly administered in Taiwan: AstraZeneca, Moderna, Pfizer-BioNTech, and the domestically-developed Medigen. Using Poisson regression models with robust standard errors, we assessed the effects of national identity and trust in government on the choice of COVID-19 vaccine brand. By analyzing data from 2361 participants, we found that national identity and trust in government were associated with the likelihood of COVID-19 vaccination, the number of vaccine doses received, and the brand of vaccine taken. Those who identified themselves as Taiwanese were more inclined to receive the Medigen and AstraZeneca vaccines, but less willing to receive Pfizer-BioNTech vaccine. Those who trusted the government were more likely to prefer and receive the Medigen vaccine. Conversely, those who didn't trust the government were less likely to prefer Medigen and AstraZeneca vaccines, but were willing to receive Pfizer-BioNTech vaccine. Vaccine brand preferences and uptake in Taiwan were affected by individuals' national identity and their trust in government. This highlights the critical role of sociopolitical factors in shaping public health strategies.
Collapse
Affiliation(s)
- Chun-Tung Kuo
- Center for Survey Research, Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan.
- Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.
| | - Ruoh-Rong Yu
- Center for Survey Research, Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan
| |
Collapse
|
5
|
Nzaji MK, Kamenga JDD, Lungayo CL, Bene ACM, Meyou SF, Kapit AM, Fogarty AS, Sessoms D, MacDonald PDM, Standley CJ, Stolka KB. Factors associated with COVID-19 vaccine uptake and hesitancy among healthcare workers in the Democratic Republic of the Congo. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002772. [PMID: 38300940 PMCID: PMC10833569 DOI: 10.1371/journal.pgph.0002772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 11/27/2023] [Indexed: 02/03/2024]
Abstract
Vaccination is a critical intervention to reduce morbidity and mortality and limit strain on health systems caused by COVID-19. The slow pace of COVID-19 vaccination uptake observed in some settings raises concerns about COVID-19 vaccine hesitancy. The Democratic Republic of the Congo experienced logistical challenges and low uptake at the start of vaccine distribution, leading to one of the lowest overall COVID-19 vaccine coverage rates in the world in 2021. This study assessed the magnitude and associated factors of COVID-19 vaccine uptake among healthcare workers (HCWs) in seven provinces in DRC. We implemented a cross-sectional Knowledge, Attitudes, and Practices (KAP) questionnaire targeting HCWs, administered by trained data collectors in Haut-Katanga, Kasaï Orientale, Kinshasa, Kongo Centrale, Lualaba, North Kivu, and South Kivu provinces. Data were summarized and statistical tests were performed to assess factors associated with vaccine uptake. HCWs across the seven provinces completed the questionnaire (N = 5,102), of whom 46.3% had received at least one dose of COVID-19 vaccine. Older age, being married, being a medical doctor, being a rural resident, and having access to or having previously worked in a COVID-19 vaccination site were all strongly associated with vaccination uptake. Vaccinated individuals most frequently cited protection of themselves, their families, and their communities as motivations for being vaccinated, whereas unvaccinated individuals were most concerned about safety, effectiveness, and risk of severe side effects. The findings suggest an opinion divide between vaccine-willing and vaccine-hesitant HCWs. A multidimensional approach may be needed to increase the acceptability of the COVID-19 vaccine for HCWs. Future vaccine campaign messaging could center around the positive impact of vaccination on protecting friends, family, and the community, and also emphasize the safety and very low risk of adverse effects. These types of messages may further be useful when planning future immunization campaigns with new vaccines.
Collapse
Affiliation(s)
- Michel K. Nzaji
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Jean de Dieu Kamenga
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Christophe Luhata Lungayo
- Expanded Programme on Immunization, Ministry of Public Health, Kinshasa, Democratic Republic of Congo
| | - Aime Cikomola Mwana Bene
- Expanded Programme on Immunization, Ministry of Public Health, Kinshasa, Democratic Republic of Congo
| | - Shanice Fezeu Meyou
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
| | - Anselme Manyong Kapit
- Social, Statistical and Environmental Sciences, RTI International, Kinshasa, Democratic Republic of Congo
| | - Alanna S. Fogarty
- Center for Global Health Science and Security, Georgetown University, Washington, District of Columbia, United States of America
| | - Dana Sessoms
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
| | - Pia D. M. MacDonald
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | - Claire J. Standley
- Center for Global Health Science and Security, Georgetown University, Washington, District of Columbia, United States of America
- Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
| | - Kristen B. Stolka
- Social, Statistical and Environmental Sciences, RTI International, Research Triangle Park, North Carolina, United States of America
| |
Collapse
|
6
|
Al-Qudimat AR, Singh K, Mustafa E, Nashwan AJ, Al-Zoubi RM, Yassin A, Aboumarzouk OM, Al-Ansari A. Psychosocial impact of COVID-19 pandemic: experience of healthcare workers in Qatar. Front Public Health 2023; 11:1283925. [PMID: 37927872 PMCID: PMC10620932 DOI: 10.3389/fpubh.2023.1283925] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 09/28/2023] [Indexed: 11/07/2023] Open
Abstract
Background The COVID-19 pandemic has had a profound and global impact on healthcare systems worldwide, presenting unprecedented challenges for healthcare workers (HCWs) on the front. We aimed to evaluate the prevalence of anxiety and depression symptoms during the coronavirus pandemic among healthcare professionals in Qatar. Methods A cross-sectional study where an electronic questionnaire containing demographics, and psychosocial questions were made on Google Docs and Microsoft Team, and were sent through email and WhatsApp to healthcare workers, including doctors, nurses, allied health and others working at Hamad Medical Corporation in Qatar, from June 1, 2021, to January 1st 2023. ANOVA, t-test and multiple linear regression were used to see the association between the psychological factors and sociodemographic variables using STATA version 17 software. Results A total of 829 participants were included in this study (response rate: 55%). The average age of the participants is 36.0 ± 7.1; 65.9% were males; 2.3% were doctors and 53% were nurses, 38.7% were allied healthcare professionals and 6% were others. Psychological, social effects, and workplace were shown to significantly related to their marital status, career, and hospital setting (p < 0.01 for each). Similar to this, dealing with COVID-19 patients and their education level with the length of time working at the designated facility were all connected with the health professional safety score (p < 0.05). Conclusion During the COVID-19 epidemic, healthcare workers in Qatar experienced a high incidence of negative psychosocial symptoms. To alleviate these outcomes, it would be useful to implement screening procedures for such symptoms and to devise preventive measures accordingly.
Collapse
Affiliation(s)
- Ahmad R. Al-Qudimat
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- Department of Public Health, College of Health Sciences, QU-Health, Qatar University, Doha, Qatar
| | - Kalpana Singh
- Department of Nursing Research, Hamad Medical Corporation, Doha, Qatar
| | - Emad Mustafa
- Department of Nursing Research, Hamad Medical Corporation, Doha, Qatar
| | | | - Raed M. Al-Zoubi
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- Department of Biomedical Sciences, College of Health Sciences, QU-Health, Qatar University, Doha, Qatar
- Department of Chemistry, College of Science, Jordan University of Science and Technology, Irbid, Jordan
| | - Aksam Yassin
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- Center of Medicine and Health Sciences, Dresden International University, Dresden, Germany
| | - Omar M. Aboumarzouk
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar
- School of Medicine, Dentistry and Nursing, The University of Glasgow, Glasgow, United Kingdom
| | - Abdulla Al-Ansari
- Surgical Research Section, Department of Surgery, Hamad Medical Corporation, Doha, Qatar
| |
Collapse
|
7
|
Burns KE, Brown P, Calnan M, Ward PR, Little J, Betini GS, Perlman CM, Nascimento HG, Meyer SB. Development and validation of the Trust in Government measure (TGM). BMC Public Health 2023; 23:2023. [PMID: 37848848 PMCID: PMC10583387 DOI: 10.1186/s12889-023-16974-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Accepted: 10/12/2023] [Indexed: 10/19/2023] Open
Abstract
BACKGROUND Trust in government is associated with health behaviours and is an important consideration in population health interventions. While there is a reported decline in public trust in government across OECD countries, the tools used to measure trust are limited in their use for informing action to (re)build trust, and have limitations related to reliability and validity. To address the limitations of existing measures available to track public trust, the aim of the present work was to develop a new measure of trust in government. METHODS Fifty-six qualitative interviews (Aug-Oct 2021; oversampling for equity-deserving populations) were conducted to design a national survey, including factor analyses and validation testing (N = 878; June 1-14th 2022) in Canada. RESULTS The measure demonstrated strong internal consistency (α = 0.96) and test validity (CFI = 0.96, RMSEA = 0.09, SRMR = 0.03), suggesting that trust in government can be measured as a single underlying construct. It also demonstrated strong criterion validity, as measured by significant (p < 0.0001) associations of scores with vaccine hesitancy, vaccine conspiracy beliefs, COVID-19 conspiracy beliefs, trust in public health messaging about COVID-19, and trust in public health advice about COVID-19. We present the Trust in Government Measure (TGM); a 13-item unidimensional measure of trust in Federal government. CONCLUSIONS This measure can be used within high-income countries, particularly member countries within the OECD already in support of using tools to collect, publish and compare statistics. Our measure should be used by researchers and policy makers to measure trust in government as a key indicator of societal and public health.
Collapse
Affiliation(s)
- Kathleen E Burns
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada
| | - Patrick Brown
- Department of Sociology, University of Amsterdam, Amsterdam, 1012 WX, Netherlands
| | - Michael Calnan
- School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, CT2 7NB, UK
| | - Paul R Ward
- Research Centre for Public Health, Equity and Human Flourishing, Torrens University, 88 Wakefield St, Adelaide, SA, 5000, Australia
| | - Jerrica Little
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada
| | - Gustavo S Betini
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada
| | - Christopher M Perlman
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada
| | - Helena Godinho Nascimento
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada
| | - Samantha B Meyer
- School of Public Health Sciences, University of Waterloo, 200 University Ave West, Waterloo, ON, N2L 3G1, Canada.
| |
Collapse
|
8
|
Frackowiak M, Russell PS, Rusconi P, Fasoli F, Cohen-Chen S. Political orientation, trust and discriminatory beliefs during the COVID-19 pandemic: Longitudinal evidence from the United Kingdom. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2023; 62:1897-1924. [PMID: 37341348 DOI: 10.1111/bjso.12662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Accepted: 03/27/2023] [Indexed: 06/22/2023]
Abstract
The COVID-19 pandemic has impacted the world in many ways; for example, evidence from the United Kingdom indicates that higher rates of discriminatory behaviours against immigrants have been recorded during this period. Prior research suggests that political orientation and trust are instrumental in discriminatory beliefs against immigrants. A longitudinal study (six waves and a follow-up) was conducted in the United Kingdom during the COVID-19 pandemic (September 2020-August 2021) using convenience sampling (N = 383). The hypotheses enquired about whether political orientation predicts trust in government, trust in science and discriminatory beliefs. Multilevel regression and mediation analyses were conducted, using repeated measures nested within individuals. It was found that conservative views are associated with higher discriminatory beliefs, lower trust in science and higher trust in government. Furthermore, trust in science promotes reduction of discrimination, whereas trust in government, increases discriminatory beliefs. However, a nuance revealed by an interaction effect, shows that a positive alignment between political and scientific authorities may be required to reduce prejudice against immigrants. Exploratory multilevel mediation showed that trust is a mediator between political orientation and discriminatory beliefs.
Collapse
Affiliation(s)
- Michal Frackowiak
- Institute of Psychology, Faculty of Social and Political Sciences, University of Lausanne, Lausanne, Switzerland
- imec-mict-UGent, Department of Communication Sciences, Ghent University, Ghent, Belgium
| | - Pascale Sophie Russell
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | - Patrice Rusconi
- Department of Cognitive Sciences, Psychology, Education and Cultural Studies, University of Messina, Messina, Italy
| | - Fabio Fasoli
- School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK
| | | |
Collapse
|
9
|
Price D, Bonsaksen T, Leung J, McClure-Thomas C, Ruffolo M, Lamph G, Kabelenga I, Ostertun Geirdal A. Factors Associated with Trust in Public Authorities Among Adults in Norway, United Kingdom, United States, and Australia Two Years after the COVID-19 Outbreak. Int J Public Health 2023; 68:1605846. [PMID: 37593118 PMCID: PMC10427762 DOI: 10.3389/ijph.2023.1605846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 06/07/2023] [Indexed: 08/19/2023] Open
Abstract
Objectives: This study aimed to examine the levels of trust in information provided by public authorities 2 years after the COVID-19 outbreak and to examine factors associated with trust. Methods: Using a cross-national approach, online survey data was collected from four Western countries-Australia, Norway, the United Kingdom, and the United States of America. Differences in reports of very low or low levels of trust were examined by age, gender, area of residence, and the highest level of education in the four countries. Results: Levels of trust in the public authorities' information were highest among Norwegian respondents and lowest among U.K. respondents. Lower levels of trust in public authorities were found among males, individuals living in rural or remote areas, and those with lower levels of education. Conclusion: The outcomes contribute to knowledge regarding differences between socio-demographic groups and countries regarding the levels of trust people have in public authorities' information concerning a crisis, such as COVID-19. Strategies to promote trust in societies in different countries could consider these socio-demographic differences.
Collapse
Affiliation(s)
- Daicia Price
- School of Social Work, University of Michigan, Ann Arbor, MI, United States
| | - Tore Bonsaksen
- Department of Health and Nursing Science, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway
- Department of Health, Faculty of Health Studies, VID Specialized University, Stavanger, Norway
| | - Janni Leung
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Caitlin McClure-Thomas
- Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Mary Ruffolo
- School of Social Work, University of Michigan, Ann Arbor, MI, United States
| | - Gary Lamph
- Department of Health Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom
| | - Isaac Kabelenga
- Department of Social Work and Sociology, School of Humanities and Social Sciences, University of Zambia, Lusaka, Zambia
| | - Amy Ostertun Geirdal
- Department of Social Work, Child Welfare and Social Policy, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway
| |
Collapse
|
10
|
Frietze GA, Mancera BM, Kenney MJ. COVID-19 Testing, Vaccine Perceptions, and Trust among Hispanics Residing in an Underserved Community. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5076. [PMID: 36981984 PMCID: PMC10049437 DOI: 10.3390/ijerph20065076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 03/07/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
The Borderplex region has been profoundly impacted by the COVID-19 pandemic. Borderplex residents live in low socioeconomic (SES) neighborhoods and lack access to COVID-19 testing. The purpose of this study was two-fold: first, to implement a COVID-19 testing program in the Borderplex region to increase the number of residents tested for COVID-19, and second, to administer a community survey to identify trusted sources of COVID-19 information and factors associated with COVID-19 vaccine uptake. A total of 4071 community members were tested for COVID-19, and 502 participants completed the survey. COVID-19 testing resulted in 66.8% (n = 2718) positive cases. The community survey revealed that the most trusted sources of COVID-19 information were doctors or health care providers (67.7%), government websites (e.g., CDC, FDA, etc.) (41.8%), and the World Health Organization (37.8%). Logistic regression models revealed several statistically significant predictors of COVID-19 vaccine uptake such as having a trusted doctor or health care provider, perceiving the COVID-19 vaccine to be effective, and perceiving that the COVID-19 vaccine does not cause side-effects. Findings from the current study highlight the need for utilizing an integrated, multifactorial approach to increase COVID-19 testing and to identify factors associated with COVID-19 vaccine uptake in underserved communities.
Collapse
|
11
|
The moderating role of trust in government adoption e-service during Covid-19 pandemic: health belief model perspective. INTERNATIONAL JOURNAL OF INFORMATION TECHNOLOGY 2023; 15:1545-1553. [PMID: 37056795 PMCID: PMC9990007 DOI: 10.1007/s41870-023-01203-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Accepted: 02/22/2023] [Indexed: 03/09/2023]
Abstract
The present paper discusses the influence of factors in the health belief model (HBM) on adopting government e-services during the Covid-19 pandemic in Indonesia. Furthermore, the present study demonstrates the moderating effect of trust in HBM. Therefore, we propose an interacting model between trust and HBM. A survey of 299 citizens in Indonesia was used to test the proposed model. By using a structural equation model (SEM), this study found that the HBM factors (perceived susceptibility, perceived benefit, perceived barriers, self-efficacy, cues to action, health concern) significantly affect the intention to adopt government e-services during the Covid-19 pandemic, except for the perceived severity factor. In addition, this study reveals the role of the trust variable, which significantly strengthens the effect of HBM on government e-service.
Collapse
|
12
|
Political Psychological and Sociocultural Determinants of Compliance with COVID-19 Emergency Measures Among Waste Pickers in an Iranian Sub-urban Slum Community. JOURNAL OF PREVENTION (2022) 2023; 44:15-33. [PMID: 36309923 PMCID: PMC9618267 DOI: 10.1007/s10935-022-00713-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 10/08/2022] [Indexed: 11/07/2022]
Abstract
In the context of the coronavirus disease 2019 (COVID-19) pandemic, compliance with government regulations is a tremendous challenge in the effort to curb the viral transmission. The fact that specific communities and people across the world continue to ignore government regulations of COVID-19 is a crucial issue to address. Researchers sought to examine the political psychological and sociocultural determinants of adherence to COVID-19-related law and policy measures among waste pickers in a sub-urban slum community in Iran. A cross-sectional survey of 362 waste pickers from two municipalities in the countryside of Tehran, Iran, was conducted between January and May 2022. Multiple regression analysis was used to predict the significant difference between the direct or indirect effects of political psychological and sociocultural variables on compliance with COVID-19 emergency measures. Confidence intervals were estimated using the bootstrap method. The findings supported the proposed model. The results indicated that political ideology (β = - 0.13, 95% CI - 0.29 to 0.02), individualism worldview (β = - 0.14, 95% CI - 0.32 to 0.07), fatalism (β = - 0.18, 95% CI - 0.40 to 0.04), health literacy (β = 0.16, 95%CI - 0.05 to 0.37) and prosociality (β = 0.09, 95%CI 0.03-0.13) exert an indirect effect on compliance with the COVID-19 emergency measures through both trust in government and trust in science and scientific community. This study has implications for authorities in ensuring adherence to governmental orders for COVID-19 outbreak. A democracy-based and human rights-based approach and a flexible framework for proceeding more equitable COVID-19 legal and government regulations is critical to an effective and acceptable health response to COVID-19. Instituting slum emergency planning committees, incorporating the informal providers into all pandemic response plans in every urban informal settlement and providing an immediate guarantee of payments to waste packers will be indispensable.
Collapse
|
13
|
Ike N, Burns KE, Nascimento H, Filice E, Ward PR, Herati H, Rotolo B, Betini GS, Perlman CM, Meyer SB. Examining factors impacting acceptance of COVID-19 countermeasures among structurally marginalised Canadians. Glob Public Health 2023; 18:2263525. [PMID: 37801704 DOI: 10.1080/17441692.2023.2263525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 09/19/2023] [Indexed: 10/08/2023]
Abstract
The COVID-19 pandemic highlighted and exacerbated inequities in health for structurally marginalised Canadians. Their location on society's hierarchies constrained their ability to access healthcare and follow recommended health behaviours. The aim of this article is to identify, from the perspective of marginalised populations, factors influencing the acceptance or rejection of COVID-19 countermeasures by structurally marginalised Canadians. Interviews were conducted with Canadians 18 + who identified as Black (n = 8), First Nations, Métis, or Inuit (n = 7) and low-income (<40,000 annual household income) (n = 8) between August and December 2021. Measures were said to impact well-being and interfere with revenue generating activities. Longstanding unfavourable living and environmental conditions as they relate to structural marginalisation was said to fuel anger toward the government and lead to a greater reluctance to accept countermeasures. Participants described concerns about government decisions being made without considering their unique contexts, or knowledge of the experiences of the population for whom these decisions were being made. Effective proactive action from government is important to foster trust with marginalised populations to support acceptance of health information and address growing inequities. Action that demonstrates government competence and commitment to the interests of marginalised populations is critical.
Collapse
Affiliation(s)
- Nnenna Ike
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Kathleen E Burns
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Helena Nascimento
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | | | - Paul R Ward
- Research Centre for Public Health, Equity and Human Flourishing, Torrens University, Adelaide, Australia
| | - Hoda Herati
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Bobbi Rotolo
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | - Gustavo S Betini
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | | | - Samantha B Meyer
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| |
Collapse
|
14
|
Sapienza A, Falcone R. The Role of Trust in COVID-19 Vaccine Acceptance: Considerations from a Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:665. [PMID: 36612982 PMCID: PMC9819668 DOI: 10.3390/ijerph20010665] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 12/20/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
The goal of this research was to provide an overview of the role of trust in determining COVID-19 vaccine acceptance. Trust proved to be a key issue in all the strategic phases of the pandemic, a decisive element for the success of the worldwide vaccination campaign. By introducing a comprehensive systematic review of the state-of-the-art (N = 43), we intend to shed light on the various forms of trust that have been considered and how these relate to citizens’ vaccine acceptance. The analysis shows that trust has been used extensively, with particular reference to the COVID-19 vaccine, governments, manufacturers, healthcare systems, and science. A more in-depth analysis has also allowed us to evaluate the role that these factors have had and the social phenomena in which they have been decisive. Most notably, we proved that, in the different contributions, trust in the COVID-19 vaccine has a strong correlation with vaccine acceptance (R = 0.78, p < 0.01). Overall, vaccine acceptance emerges as a complex phenomenon that needs to be understood through the strictly interlaced relations of trust in the various factors coming into play. Besides clarifying what happened in previous years, the considerations included in this work also represent an important and useful interpretative framework to help public institutions and the healthcare system in the future.
Collapse
|
15
|
Gibbs WC, Kim HS, Kay AC, Sherman DK. Who needs control? A cultural perspective on the process of compensatory control. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2022. [DOI: 10.1111/spc3.12722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Affiliation(s)
- W. Connor Gibbs
- Department of Psychological and Brain Sciences University of California, Santa Barbara Santa Barbara California USA
| | - Heejung S. Kim
- Department of Psychological and Brain Sciences University of California, Santa Barbara Santa Barbara California USA
| | - Aaron C. Kay
- Fuqua School of Business Department of Psychology and Neuroscience Duke University Durham North Carolina USA
| | - David K. Sherman
- Department of Psychological and Brain Sciences University of California, Santa Barbara Santa Barbara California USA
| |
Collapse
|
16
|
Zhai K, Yuan X, Zhao G. The impact of major public health emergencies on Trust in Government: From SARS to COVID-19. Front Psychol 2022; 13:1030125. [DOI: 10.3389/fpsyg.2022.1030125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 10/10/2022] [Indexed: 11/17/2022] Open
Abstract
Major public health emergencies always test the credibility of the government. The success of governments’ strategies relies on trust in government and broad acceptance of response measures. The profound experience of the epidemic often has a long-term impact on people’s cognition. We construct a difference-in-difference estimator by combining the variations of epidemic effects across cohorts and regions, and intend to evaluate the long-term effect of individuals’ early SARS experience on trust in government during the COVID-19 pandemic. We also use the instrumental variable method to overcome the endogenous problem caused by two-way causality. The results show that the impact of COVID-19 has significantly reduced trust in government of the groups who had not been exposed to the SARS epidemic (including groups who were in early childhood and the unborn during the SARS outbreak). While it has a positive impact on trust in government of people experienced SARS in adolescence, and only a little negative impact on trust in government of people experienced SARS in adulthood. We also find that the impact of COVID-19 mainly reduced the trust in government among groups socially vulnerable or without SARS experience (e.g., low income, low social status etc.). The results suggest that: (a) the trust created by governments’ successful anti-epidemic measures is long-lasting; (b) governments should pay more attention to their trust among socially vulnerable groups.
Collapse
|
17
|
Goren T, Vashdi DR, Beeri I. Count on trust: the indirect effect of trust in government on policy compliance with health behavior instructions. POLICY SCIENCES 2022; 55:593-630. [PMID: 36405103 PMCID: PMC9665042 DOI: 10.1007/s11077-022-09481-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 10/29/2022] [Indexed: 06/16/2023]
Abstract
Trust in government is considered a prominent factor for enhancing public compliance with government policies and instructions. The Coronavirus pandemic demonstrates the crucial role public compliance with governmentally issued health guidelines has in mitigating the pandemic. However, the mechanism explaining the trust-compliance association, particularly in regard to health-behavior compliance, is unclear. This article develops a new theoretical model, the Mediated Trust Model (MTM), for explaining the relationship between trust in government and public compliance with health instructions. The model extends the classic Health Belief Model for predicting health behavior by claiming that the perceptions regarding the instructions' costs, benefits and one's ability to perform them are affected by trust in government and mediate the trust-compliance association. The MTM was tested in four cross-sectional studies performed during the first 20 months of the Coronavirus pandemic in Israel on 3732 participants, for various health instructions. Implications for public health literature, policy compliance theory and policy makers are discussed.
Collapse
Affiliation(s)
- Talia Goren
- Division of Public Administration and Policy, School of Political Sciences, University of Haifa, 31905 Mount Carmel, Israel
| | - Dana R. Vashdi
- Division of Public Administration and Policy, School of Political Sciences, University of Haifa, 31905 Mount Carmel, Israel
| | - Itai Beeri
- Division of Public Administration and Policy, School of Political Sciences, University of Haifa, 31905 Mount Carmel, Israel
| |
Collapse
|
18
|
Leong S, Eom K, Ishii K, Aichberger MC, Fetz K, Müller TS, Kim HS, Sherman DK. Individual costs and community benefits: Collectivism and individuals' compliance with public health interventions. PLoS One 2022; 17:e0275388. [PMID: 36327279 PMCID: PMC9632888 DOI: 10.1371/journal.pone.0275388] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 09/15/2022] [Indexed: 11/05/2022] Open
Abstract
Differences in national responses to COVID-19 have been associated with the cultural value of collectivism. The present research builds on these findings by examining the relationship between collectivism at the individual level and adherence to public health recommendations to combat COVID-19 during the pre-vaccination stage of the pandemic, and examines different characteristics of collectivism (i.e., concern for community, trust in institutions, perceived social norms) as potential psychological mechanisms that could explain greater compliance. A study with a cross-section of American participants (N = 530) examined the relationship between collectivism and opting-in to digital contact tracing (DCT) and wearing face coverings in the general population. More collectivistic individuals were more likely to comply with public health interventions than less collectivistic individuals. While collectivism was positively associated with the three potential psychological mechanisms, only perceived social norms about the proportion of people performing the public health interventions explained the relationship between collectivism and compliance with both public health interventions. This research identifies specific pathways by which collectivism can lead to compliance with community-benefiting public health behaviors to combat contagious diseases and highlights the role of cultural orientation in shaping individuals' decisions that involve a tension between individual cost and community benefit.
Collapse
Affiliation(s)
- Suyi Leong
- Department of Psychological and Brain Sciences, University of California, Santa Barbara, Santa Barbara, CA, United States of America
| | - Kimin Eom
- School of Social Sciences, Singapore Management University, Singapore, Singapore
| | - Keiko Ishii
- Department of Cognitive and Psychological Sciences, Graduate School of Informatics, Nagoya University, Nagoya, Japan
| | - Marion C Aichberger
- Berlin Institute for Integration and Migration Research (BIM), Humboldt-Universität zu Berlin, Berlin, Germany
- Department of Psychiatry and Psychotherapy, Division of Social Psychiatry, Medical University Vienna, Vienna, Austria
| | - Karolina Fetz
- Berlin Institute for Integration and Migration Research (BIM), Humboldt-Universität zu Berlin, Berlin, Germany
| | - Tim S Müller
- Berlin Institute for Integration and Migration Research (BIM), Humboldt-Universität zu Berlin, Berlin, Germany
| | - Heejung S Kim
- Department of Psychological and Brain Sciences, University of California, Santa Barbara, Santa Barbara, CA, United States of America
| | - David K Sherman
- Department of Psychological and Brain Sciences, University of California, Santa Barbara, Santa Barbara, CA, United States of America
| |
Collapse
|
19
|
Lazarus JV, Romero D, Kopka CJ, Karim SA, Abu-Raddad LJ, Almeida G, Baptista-Leite R, Barocas JA, Barreto ML, Bar-Yam Y, Bassat Q, Batista C, Bazilian M, Chiou ST, Del Rio C, Dore GJ, Gao GF, Gostin LO, Hellard M, Jimenez JL, Kang G, Lee N, Matičič M, McKee M, Nsanzimana S, Oliu-Barton M, Pradelski B, Pyzik O, Rabin K, Raina S, Rashid SF, Rathe M, Saenz R, Singh S, Trock-Hempler M, Villapol S, Yap P, Binagwaho A, Kamarulzaman A, El-Mohandes A. A multinational Delphi consensus to end the COVID-19 public health threat. Nature 2022; 611:332-345. [PMID: 36329272 PMCID: PMC9646517 DOI: 10.1038/s41586-022-05398-2] [Citation(s) in RCA: 83] [Impact Index Per Article: 41.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 09/29/2022] [Indexed: 11/06/2022]
Abstract
Despite notable scientific and medical advances, broader political, socioeconomic and behavioural factors continue to undercut the response to the COVID-19 pandemic1,2. Here we convened, as part of this Delphi study, a diverse, multidisciplinary panel of 386 academic, health, non-governmental organization, government and other experts in COVID-19 response from 112 countries and territories to recommend specific actions to end this persistent global threat to public health. The panel developed a set of 41 consensus statements and 57 recommendations to governments, health systems, industry and other key stakeholders across six domains: communication; health systems; vaccination; prevention; treatment and care; and inequities. In the wake of nearly three years of fragmented global and national responses, it is instructive to note that three of the highest-ranked recommendations call for the adoption of whole-of-society and whole-of-government approaches1, while maintaining proven prevention measures using a vaccines-plus approach2 that employs a range of public health and financial support measures to complement vaccination. Other recommendations with at least 99% combined agreement advise governments and other stakeholders to improve communication, rebuild public trust and engage communities3 in the management of pandemic responses. The findings of the study, which have been further endorsed by 184 organizations globally, include points of unanimous agreement, as well as six recommendations with >5% disagreement, that provide health and social policy actions to address inadequacies in the pandemic response and help to bring this public health threat to an end.
Collapse
Affiliation(s)
- Jeffrey V Lazarus
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
- Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.
- City University of New York Graduate School of Public Health and Health Policy (CUNY SPH), New York City, NY, USA.
| | - Diana Romero
- City University of New York Graduate School of Public Health and Health Policy (CUNY SPH), New York City, NY, USA
| | | | - Salim Abdool Karim
- University of KwaZulu-Natal, Durban, South Africa
- Centre for the AIDS Program of Research in South Africa (CAPRISA), Durban, South Africa
| | - Laith J Abu-Raddad
- Weill Cornell Medicine, Cornell University, Ithaca, NY, USA
- Weill Cornell Medicine-Qatar, Cornell University, Qatar Foundation-Education City, Doha, Qatar
| | | | - Ricardo Baptista-Leite
- UNITE Global Parliamentarians Network, Lisbon, Portugal
- Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
- Institute of Health Sciences (CIIS), Catholic University of Portugal, Lisbon, Portugal
| | | | - Mauricio L Barreto
- Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, Brazil
- University of Bahia, Salvador, Brazil
| | - Yaneer Bar-Yam
- New England Complex Systems Institute, Cambridge, MA, USA
| | - Quique Bassat
- Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain
- Manhiça Health Research Center (CISM), Maputo, Mozambique
- Catalan Institute for Research and Advanced Studies (ICREA), Barcelona, Spain
- Pediatrics Department, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
- Biomedical Research Consortium in Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Carolina Batista
- Doctors Without Borders (MSF), Geneva, Switzerland
- Baraka Impact Finance, Geneva, Switzerland
| | | | - Shu-Ti Chiou
- National Yang Ming Chiao Tung University, Taipei, Taiwan
| | | | - Gregory J Dore
- University of New South Wales (UNSW) Sydney, Sydney, New South Wales, Australia
| | - George F Gao
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Lawrence O Gostin
- The O'Neill Institute for National and Global Health Law, Georgetown University, Washington, DC, USA
| | | | - Jose L Jimenez
- Department of Chemistry, University of Colorado Boulder, Boulder, CO, USA
- Cooperative Institute for Research in Environmental Sciences (CIRES), University of Colorado Boulder, Boulder, CO, USA
| | | | | | - Mojca Matičič
- Clinic for Infectious Diseases and Febrile Illnesses, University Medical Centre, Ljubljana, Slovenia
- Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Martin McKee
- The London School of Hygiene & Tropical Medicine, London, UK
| | | | | | - Bary Pradelski
- French National Centre for Scientific Research (CNRS), Grenoble, France
| | | | - Kenneth Rabin
- City University of New York Graduate School of Public Health and Health Policy (CUNY SPH), New York City, NY, USA
| | - Sunil Raina
- Dr. Rajendra Prasad Government Medical College, Himachal Pradesh, India
| | - Sabina Faiz Rashid
- James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | | | - Rocio Saenz
- University of Costa Rica, San José, Costa Rica
| | - Sudhvir Singh
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | | | - Sonia Villapol
- Department of Neurosurgery, Houston Methodist Research Institute, Houston, TX, USA
| | - Peiling Yap
- International Digital Health & AI Research Collaborative (I-DAIR), Geneva, Switzerland
| | | | | | - Ayman El-Mohandes
- City University of New York Graduate School of Public Health and Health Policy (CUNY SPH), New York City, NY, USA
| |
Collapse
|
20
|
Lan Y, Han C, Liu X, Cao Q, Chen S, Xia Y. How and when perceived COVID-19 crisis strength impacts individuals' life satisfaction and sleep quality: A moderated mediation model. Front Public Health 2022; 10:944942. [PMID: 36117609 PMCID: PMC9470827 DOI: 10.3389/fpubh.2022.944942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 08/05/2022] [Indexed: 01/21/2023] Open
Abstract
The COVID-19 pandemic has caused millions of deaths, seriously hampering people's lives and their productivity. Drawing on social information processing theory, this research developed a moderated mediation model to investigate the influence of perceived COVID-19 crisis strength on individuals' well-being. The results from a sample of 441 suggest that individuals' perceived COVID-19 crisis strength indirectly affects their life satisfaction and sleep quality via their perceived risk of being infected. Moreover, both individuals' trust in local government and mindfulness trait can buffer the positive effect of perceived COVID-19 crisis strength on their perceived risk of being infected. At the same time, they also buffer the indirect impact of individuals' perceived COVID-19 crisis strength on life satisfaction and sleep quality through perceived risk of being infected. This research provides several practical implications for governments and individuals to mitigate the negative influences of the COVID-19 pandemic and help individuals boost life satisfaction and sleep quality.
Collapse
Affiliation(s)
- Yuanyuan Lan
- School of Business, Qingdao University, Qingdao, China
| | - Changlin Han
- School of Business, Qingdao University, Qingdao, China
| | - Xiaotong Liu
- School of Business, Qingdao University, Qingdao, China
| | - Qinqin Cao
- School of Business, Qingdao University, Qingdao, China
| | - Siyuan Chen
- School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Yuhuan Xia
- School of Innovation and Entrepreneurship, Shandong University, Qingdao, China,*Correspondence: Yuhuan Xia
| |
Collapse
|
21
|
Peng R, Zhang W, Deng X, Wu B. Public trust in the long-term care insurance pilot program in China: An analysis of mediating effects. Front Public Health 2022; 10:928745. [PMID: 35928487 PMCID: PMC9343673 DOI: 10.3389/fpubh.2022.928745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 06/28/2022] [Indexed: 11/27/2022] Open
Abstract
Objective This study aimed to evaluate the implementation of the long-term care insurance (LTCI) pilot program in China through an examination of public trust in the system and its associated factors of insurance awareness and satisfaction with the LTCI policy. Method An online survey was used to collect data from 786 participants in the city of Guangzhou, one of the pilot sites of the LTCI. Ordinal logistic regression models were used to investigate the related factors of public trust in the LTCI. Structural equation modeling (SEM) was conducted to test the mediating effect of satisfaction with LTCI policy on the relationship between insurance awareness and public trust. Results More than 60% of participants gave a positive evaluation of the LTCI pilot program. More than 70% of the participants recognized the important role of the program. Both an understanding of insurance and satisfaction with LTCI policies were associated with public trust. The proportion of the indirect effect with regard to the total effect of satisfaction on trust was 70.133%, greater than the direct effect of 29.867%. Conclusions Our findings supported the hypothesis that satisfaction with the LTCI policy plays a mediating role between insurance awareness and public trust. Optimalization of the LTCI policy was recommended to improve public trust in the LTCI program.
Collapse
Affiliation(s)
- Rong Peng
- Institute of New Development, Guangdong University of Finance and Economics, Guangzhou, China
- *Correspondence: Rong Peng
| | - Wansha Zhang
- Institute of New Development, Guangdong University of Finance and Economics, Guangzhou, China
| | - Xueqin Deng
- Institute of New Development, Guangdong University of Finance and Economics, Guangzhou, China
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York City, NY, United States
- Bei Wu
| |
Collapse
|
22
|
The Roles of Health and e-Health Literacy, Conspiracy Beliefs and Political Sympathy in the Adherence to Preventive Measures Recommended during the Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148346. [PMID: 35886198 PMCID: PMC9321506 DOI: 10.3390/ijerph19148346] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Revised: 07/03/2022] [Accepted: 07/07/2022] [Indexed: 12/11/2022]
Abstract
Adherence to preventive measures is of the utmost importance for limiting the spreading of the coronavirus. Many predictors of adopting preventive behaviors have been analyzed in different countries during the COVID-19 pandemic. Objectives: The study’s main aim was to assess the roles of health (HL) and e-health literacy (eHL), conspiracy beliefs, political sympathy, and religious practices in the adherence to COVID-19 preventive measures after adjusting for sociodemographic factors. The analysis was based on the data obtained from a survey conducted among 2410 adult Internet users in Poland in October 2020. The survey was performed with a computer-assisted web-based interviewing technique. Survey data were analyzed through uni- and multivariable linear regression models. The multivariable regression model revealed that after adjusting for sociodemographic variables, the preventive measures score (PMS) was significantly associated with HL (B = 0.04, p < 0.001), eHL (B = 0.03, p < 0.001) and the COVID-19-related conspiracy beliefs score (C19CBS) (B = −0.24, p < 0.001). There was also a significant statistical relationship between PMS and political sympathies and religious practices. HL and eHL are key factors eligible for modification through appropriate interventions and showing positive effects in compliance with preventive measures. Conspiracy beliefs, political sympathy and religious beliefs are independently associated with the adherence.
Collapse
|
23
|
Thanh PT, Tung LT. Do government activities increase public compliance in the Covid-19 pandemic? Evidence from Vietnam. GLOBAL KNOWLEDGE, MEMORY AND COMMUNICATION 2022. [DOI: 10.1108/gkmc-08-2021-0137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
During the COVID-19 pandemic, it has raised an important question of whether government efforts (GEFs), especially communication work, could prevent the outbreak of this pandemic by enhancing public trust and public compliance with the government. This research answers this question by focusing on the case of Vietnam, a low-resource country that gained some achievements during the first pandemic year 2020. In particular, this study aims to investigate the relationship between GEF, public trust and public compliance during the country’s first nationwide social distancing.
Design/methodology/approach
The structural equation modelling is used to analyse data collected from 467 respondents in Vietnam during the nationwide social distancing in 2020.
Findings
Perceived GEF is positively associated with public compliance with the government directly and indirectly through the mediating role of public trust in government (PTG). The empirical results also reveal the effectiveness of government communication work, one among the government’s great efforts, during the COVID-19 pandemic, in terms of intensity and diversity in communication and information channels.
Practical implications
During a pandemic, the governments must enhance public compliance with public health measures to implement the anti-epidemic missions effectively. Therefore, it is important to raise public perception of GEF and PTG. The study’s findings highlight that governments in developing countries should implement relevant responses and policies for the ongoing COVID-19 pandemic and future public health crises, especially in the context that effective vaccines are unavailable or insufficient.
Originality/value
To the best of the authors’ knowledge, this research is among the first attempts that examine the role of GEF, especially public health communication work, in raising public compliance directly and indirectly through the mediating role of public trust. The study carries some important messages for containing a public health crisis like the COVID-19 pandemic.
Collapse
|
24
|
Risk-Perception Change Associated with COVID-19 Vaccine's Side Effects: The Role of Individual Differences. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031189. [PMID: 35162211 PMCID: PMC8834391 DOI: 10.3390/ijerph19031189] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 01/18/2022] [Accepted: 01/19/2022] [Indexed: 02/01/2023]
Abstract
The COVID-19 vaccine appears to be a crucial requirement to fight the pandemic. However, a part of the population possesses negative attitudes towards the vaccine. The spread of conspiracy theories and contradictory information about the pandemic have altered the population’s perception of risk. The risk-perception of the vaccine’s side effects may be affected by individual differences. The complex relationship between risk-perception and individual differences is relevant when people have to make decisions based on ambiguous and constantly changing information, as in the early phases of the Italian vaccination campaign. The present study aimed at measuring the effect of individual differences in risk-perception associated with the COVID-19 vaccine’s side effects in a context characterized by information ambiguity. An online survey was conducted to classify a sample of Italian pro-vaccine people into cognitive/behavioral style groups. Furthermore, changes in vaccine risk-perception after inconsistent communications regarding the vaccine’s side effects were compared between groups. The results showed that “analytical” individuals did not change their perception regarding the probability of vaccine side effects but changed their perception regarding the severity of side effects; “open” and “polarized” individuals neither changed their perception regarding the probability nor of the severity of side effects, showing a different kind of information processing, which could interfere with an informed decision-making process.
Collapse
|