Perseverative cognition and health behaviours: exploring the role of intentions and perceived behavioural control

Risk perception, compliance with COVID-19 measures, and the role of social media after China's lockdown lift

Introduction

Few studies have investigated people's reactions after a sudden lift. The transitional experiences of Chinese people at the end of 2022 serve as a valuable reference for pandemic management. Therefore, this study investigates Chinese people's perception of risks after the lifting, the influence of risk perception on their compliance with COVID-19 measures, and the moderating effect of social media on this influence.

Methods

Initially, using a random sampling approach, we carried out an online questionnaire survey through Questionnaire Star, an online questionnaire platform. 417 (304 females, 13-64 years old) participants responded to questions on their perception of risks, compliance with COVID-19 measures, and trust in social media. Then, in the follow-up experiment, we observed another 60 (30 females, 18-22 years old) participants' actual behaviors to see how they comply with COVID-19 measures (for the peak of the confirmed cases, we chose to make do with this small size). We also asked them to complete a paper questionnaire on risk perception and trust in social media.

Results

The initial survey indicated that, after the lifting, Chinese citizens perceived high risks (they reported a possibility of 61.04 out of 100 to be infected and threatened by COVID-19. The number was 54 in a previous study), showed a low degree of adherence to COVID-19 measures (on a scale of 1-5, they reported a score of 2.04 in private, and 1.89 in public), and social media positively moderated the relationship between risk perception and adherence (ΔR2 = 0.10, p < .01 for private behavior; ΔR2 = 0.13, p < .01 for public behavior). The follow-up experiment further confirmed these findings.

Conclusion

This study suggests that, when lifting lockdowns on a national scale, the government should inform the public about the risks accurately, encourage healthy behaviors, and make full use of social media to promote adherence to COVID-19 measures. By using a hybrid approach that combines a questionnaire survey with actual behavior observation, this study expands earlier research into the understudied context of lockdown lifts. Finding effective strategies to support individuals through the transition period can facilitate global pandemic management.