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Internal and external drivers for compliance with the COVID-19 preventive measures in Slovenia: The view from general deterrence and protection motivation. PLoS One 2021; 16:e0259675. [PMID: 34780530 PMCID: PMC8592422 DOI: 10.1371/journal.pone.0259675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Accepted: 10/22/2021] [Indexed: 11/20/2022] Open
Abstract
The emergence of a pandemic is usually accompanied by different measures–economic, social, preventive, and (self)protective. In the case of the COVID-19, several preventive measures were formally enforced by state authorities in the majority of countries worldwide. Thus, during the COVID-19 pandemic, the intertwining of formal and informal social control could be observed. Hence, in this study a cross-sectional design was chosen to explore the issue in Slovenia. To the best of our knowledge, this research is the first in the current literature to empirically test the general deterrence theory in pandemic circumstances (as external factors predicting individuals’ compliance with the COVID-19 preventive measures). The results suggest an important role of informal punishment, with perceived informal severity being the only statistically significant factor from the general deterrence theory. In contrast to external factors, internal factors play a significantly greater role in promoting people’s self-protective behavior in pandemic circumstances. During the unknown, the uncertain and delicate situations with which people have no previous experience, both personal beliefs about the effectiveness of measures and perceived self-efficacy are more important than fear of formal sanctions.
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Gostin LO, Monahan JT, Kaldor J, DeBartolo M, Friedman EA, Gottschalk K, Kim SC, Alwan A, Binagwaho A, Burci GL, Cabal L, DeLand K, Evans TG, Goosby E, Hossain S, Koh H, Ooms G, Roses Periago M, Uprimny R, Yamin AE. The legal determinants of health: harnessing the power of law for global health and sustainable development. Lancet 2019; 393:1857-1910. [PMID: 31053306 PMCID: PMC7159296 DOI: 10.1016/s0140-6736(19)30233-8] [Citation(s) in RCA: 128] [Impact Index Per Article: 25.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Accepted: 01/25/2019] [Indexed: 12/20/2022]
Affiliation(s)
- Lawrence O Gostin
- O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA.
| | - John T Monahan
- Office of the President, Georgetown University, Washington, DC, USA
| | - Jenny Kaldor
- School of Law, University of Tasmania, Hobart, TAS, Australia
| | | | - Eric A Friedman
- O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA
| | - Katie Gottschalk
- O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA
| | - Susan C Kim
- Center for Global Health Practice and Impact, Georgetown University, Washington, DC, USA
| | - Ala Alwan
- Health and Environment, Government of Iraq, Baghdad, Iraq
| | | | - Gian Luca Burci
- Global Health Centre, Graduate Institute of International and Development Studies, Geneva, Switzerland
| | | | | | - Timothy Grant Evans
- Health, Nutrition and Population Global Practice, World Bank Group, Washington, DC, USA
| | - Eric Goosby
- School of Medicine, University of California San Francisco, San Francisco, CA, USA
| | | | - Howard Koh
- Harvard T H Chan School of Public Health, Boston, MA, USA
| | - Gorik Ooms
- Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK
| | | | | | - Alicia Ely Yamin
- Petrie-Flom Center for Health Law Policy, Biotechnology and Bioethics at Harvard Law School, Cambridge, MA, USA; Harvard T H Chan School of Public Health, Boston, MA, USA
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Gerwin LE. Planning for pandemic: a new model for governing public health emergencies. AMERICAN JOURNAL OF LAW & MEDICINE 2011; 37:128-171. [PMID: 21614997 DOI: 10.1177/009885881103700104] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Imagine the following scenario:The Centers for Disease Control confirms the appearance of a heretofore-unknown virus. It appears highly contagious since it is spreading easily between human beings. At this initial stage, the largest cohort of victims is youth in their late teens.There is no geographic locus of the disease or single identifiable index case from which the virus's origin can be determined. The disease is independently prevalent in many geographic areas, particularly among those living in the inner cities of major metropolitan areas in the United States and in some of the densely populated immigrant enclaves in European cities.At this point, the mortality is uncertain although in its early phase it is at least as deadly as a seasonal flu. It is the end of May: young people are dreading final exams, anticipating their high school and college graduations, and looking forward to the many end of the year celebrations. The weather is getting warmer, and the public pools are about to open. Despite the hot weather, the prevalence of the disease is not significantly waning.Americans are nervous. They want answers. They expect their government to protect them.
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Poland GA, Jacobson RM, Tilburt J, Nichol K. The social, political, ethical, and economic aspects of biodefense vaccines. Vaccine 2009; 27 Suppl 4:D23-7. [PMID: 19837281 DOI: 10.1016/j.vaccine.2009.08.054] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2009] [Revised: 08/11/2009] [Accepted: 08/14/2009] [Indexed: 11/20/2022]
Abstract
Besides natural disasters and naturally occurring novel infectious diseases, nothing potentially threatens the health and stability of nations and health systems as much as the devastating threat and unfathomability of bioterrorism. Other than attempts at political solutions and interdictive attempts, only antimicrobials and vaccines offer possible means for protection. Of these, vaccines offer the most immediate and definitive of preventive solutions. Limiting the development and use of vaccines however are social, political, ethical, and economic considerations, and this article will provide a brief exploration of each of these issues and the intersection with the need for such vaccines. In this article we define bioterrorism as the deliberate use of naturally occurring or bioengineered microorganisms in order to cause harm to people, animals, or plants.
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Affiliation(s)
- Gregory A Poland
- Mayo Vaccine Research Group, Mayo Clinic, Rochester, MN 55905, USA.
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Bayer R. Stigma and the ethics of public health: Not can we but should we. Soc Sci Med 2008; 67:463-72. [DOI: 10.1016/j.socscimed.2008.03.017] [Citation(s) in RCA: 220] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2006] [Indexed: 02/05/2023]
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Abstract
After achieving breathtaking successes in securing state and local restrictions on smoking in public places and restricting youth access to tobacco products, the tobacco movement faces difficult decisions on its future strategic directions. The thesis of this article is that the tobacco control movement is at a point of needing to secure its recent successes and avoiding any public retrenchment. To do so requires rethinking the movement's strategic direction. We use the familiar trans-theoretical model of change to describe where the movement is currently and the threats it faces. The new tobacco control strategy should encompass a focus on voluntary non-smoking strategies, use human rights rhetoric to its advantage, and strengthen the public health voice to be more effective in political battles. In developing a new strategy, tobacco control advocates need to build a social movement based on a more forceful public health voice, along with the strategic use of human rights rhetoric, to focus on the power of voluntary non-smoking efforts. Using human rights rhetoric can help frame the movement in ways that have traditionally appealed to the American public. Perhaps more importantly, doing so can help infuse the tobacco control movement with a broader sense of purpose and mission.
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Affiliation(s)
- P D Jacobson
- University of Michigan School of Public Health, Ann Arbor, MI 48109-2029, USA.
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