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Unfried K, Priebe J. Vaccine hesitancy and trust in sub-Saharan Africa. Sci Rep 2024; 14:10860. [PMID: 38740790 DOI: 10.1038/s41598-024-61205-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 05/02/2024] [Indexed: 05/16/2024] Open
Abstract
Lack of trust is a primary reason behind the global rise in vaccine hesitancy. Existing research on the trust-vaccine hesitancy nexus has almost exclusively focused on COVID-19 with the vast majority of studies examining industrialized countries. In this study, we investigated the influence of trust in different policy-relevant actors (government, science, media, pharmaceutical companies, society) on vaccine hesitancy for recently available vaccines related to polio and HPV which we benchmark against a COVID-19 vaccine. Leveraging unique primary data on 5203 individuals from six countries (Ghana, Kenya, Nigeria, South Africa, Tanzania, and Uganda), we showed that individuals' trust in the government and society are key predictors of vaccine hesitancy. Furthermore, we demonstrated that these relationships are remarkably stable across vaccine, disease, and country contexts.
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Affiliation(s)
- Kerstin Unfried
- Health Economics Research Group, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.
| | - Jan Priebe
- Health Economics Research Group, Bernhard Nocht Institute for Tropical Medicine (BNITM), Hamburg, Germany.
- Hamburg Center for Health Economics (HCHE), Hamburg, Germany.
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2
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Sternberg H, Steinert JI, Büthe T. Compliance in the public versus the private realm: Economic preferences, institutional trust and COVID-19 health behaviors. HEALTH ECONOMICS 2024; 33:1055-1119. [PMID: 38393965 DOI: 10.1002/hec.4807] [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: 04/04/2022] [Revised: 12/01/2023] [Accepted: 01/06/2024] [Indexed: 02/25/2024]
Abstract
To what extent do economic preferences and institutional trust predict compliance with physical distancing rules during the COVID-19 pandemic? We reexamine this question by introducing the theoretical and empirical distinction between individual health behaviors in the public and in the private domain (e.g., keeping a distance from strangers vs. abstaining from private gatherings with friends). Using structural equation modeling to analyze survey data from Germany's second wave of the pandemic (N = 3350), we reveal the following major differences between compliance in both domains: Social preferences, especially (positive) reciprocity, play an essential role in predicting compliance in the public domain but are barely relevant in the private domain. Conversely, individuals' degree of trust in the national government matters predominantly for increasing compliance in the private domain. The clearly strongest predictor in this domain is the perception pandemic-related threats. Our findings encourage tailoring communication strategies to either domain-specific circumstances or factors common across domains. Tailored communication may also help promote compliance with other health-related regulatory policies beyond COVID-19.
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Affiliation(s)
- Henrike Sternberg
- TUM School of Social Sciences and Technology, Technical University of Munich, Munich, Germany
- TUM School of Management, Technical University of Munich, Munich, Germany
- Munich School of Politics and Public Policy (HfP), Technical University of Munich, Munich, Germany
| | - Janina Isabel Steinert
- TUM School of Social Sciences and Technology, Technical University of Munich, Munich, Germany
- Munich School of Politics and Public Policy (HfP), Technical University of Munich, Munich, Germany
- TUM School of Medicine and Health, Technical University of Munich, Munich, Germany
| | - Tim Büthe
- TUM School of Social Sciences and Technology, Technical University of Munich, Munich, Germany
- TUM School of Management, Technical University of Munich, Munich, Germany
- Munich School of Politics and Public Policy (HfP), Technical University of Munich, Munich, Germany
- Sanford School of Public Policy, Duke University, Durham, North Carolina, USA
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3
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Reddinger JL, Charness G, Levine D. Vaccination as personal public good provision. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2024:2022.04.21.22274110. [PMID: 35923323 PMCID: PMC9347278 DOI: 10.1101/2022.04.21.22274110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Vaccination against infectious diseases has both private and public benefits. We study whether social preferences-concerns for the well-being of other people-are associated with one's decision regarding vaccination. We measure these social preferences for 549 online subjects with a public-good game and an altruism game. To the extent that one gets vaccinated out of concern for the health of others, contribution in the public-good game is analogous to an individual's decision to obtain vaccination, while our altruism game provides a different measure of altruism, equity, and efficiency concerns. We proxy vaccine demand with how quickly a representative individual voluntarily took the initial vaccination for COVID-19 (after the vaccine was widely available). We collect COVID-19 vaccination history separately from the games to avoid experimenter-demand effects. We find a strong result: Contribution in the public-good game is associated with greater demand to voluntarily receive a first dose, and thus also to vaccinate earlier. Compared to a subject who contributes nothing, one who contributes the maximum ($4) is 58% more likely to obtain a first dose voluntarily in the four-month period that we study (April through August 2021). In short, people who are more pro-social are more likely to take a voluntary COVID-19 vaccination. Behavior in our altruism game does not predict vaccination. We recommend further research on the use of pro-social preferences to help motivate individuals to vaccinate for other transmissible diseases, such as the flu and HPV.
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Ancillotti M, Huls SPI, Krockow EM, Veldwijk J. Prosocial Behaviour and Antibiotic Resistance: Evidence from a Discrete Choice Experiment. THE PATIENT 2024; 17:191-202. [PMID: 38117400 PMCID: PMC10894120 DOI: 10.1007/s40271-023-00666-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/03/2023] [Indexed: 12/21/2023]
Abstract
INTRODUCTION The health of a community depends on the health of its individuals; therefore, individual health behaviour can implicitly affect the health of the entire community. This is particularly evident in the case of infectious diseases. Because the level of prosociality in a community might determine the effectiveness of health programmes, prosocial behaviour may be a crucial disease-control resource. This study aimed to extend the literature on prosociality and investigate the role of altruism in antibiotic decision making. METHODS A discrete choice experiment was conducted to assess the influence of altruism on the general public's preferences regarding antibiotic treatment options. The survey was completed by 378 Swedes. Latent class analysis models were used to estimate antibiotic treatment characteristics and preference heterogeneity. A three-class model resulted in the best model fit, and altruism significantly impacted preference heterogeneity. RESULTS Our findings suggest that people with higher altruism levels had more pronounced preferences for treatment options with lower contributions to antibiotic resistance and a lower likelihood of treatment failure. Furthermore, altruism was statistically significantly associated with sex, education, and health literacy. CONCLUSIONS Antibiotic awareness, trust in healthcare systems, and non-discriminatory priority setting appear to be structural elements conducive to judicious and prosocial antibiotic behaviour. This study suggests that prosocial messages could help to decrease the demand for antibiotic treatments.
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Affiliation(s)
- Mirko Ancillotti
- Department of Public Health and Caring Sciences, Centre for Research Ethics and Bioethics, Uppsala University, Husargatan 3, BMC, SE 751 22, Uppsala, Sweden.
| | - Samare P I Huls
- Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
- Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Eva M Krockow
- School of Psychology and Vision Sciences, University of Leicester, Leicester, UK
| | - Jorien Veldwijk
- Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
- Erasmus Choice Modelling Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands
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Konishi N, Kimura M, Takeda Y. Prosociality predicts changes in leisure activities during the COVID-19 pandemic. Front Psychol 2024; 15:1320885. [PMID: 38476389 PMCID: PMC10927729 DOI: 10.3389/fpsyg.2024.1320885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 02/12/2024] [Indexed: 03/14/2024] Open
Abstract
Several studies suggest that leisure activities enhance well-being. In line with this perspective, a recent study indicates that augmenting indoor leisure activities to compensate for diminished outdoor pursuits could sustain or enhance well-being during the COVID-19 pandemic. The present study was designed to identify personality traits that predict such behavioral shifts in indoor versus outdoor leisure activities during the pandemic. The present study included 657 participants (Mage = 41.08) and measured 12 personality traits that a previous study reported were associated with health-protective behaviors during COVID-19. Our findings indicate that the rise in indoor leisure activities correlated with prosocial tendencies toward family and friends/acquaintances (but not strangers), self-centered interest, resilience, and Big Five personality traits. Conversely, the decline in outdoor activities was linked solely to prosociality toward family and friends/acquaintances. Further interaction analysis uncovered that prosocial tendencies toward close relations predicted increased indoor activities as an alternative to outdoor engagements. We concluded that prosociality promoted behavioral changes that significantly prevented infections in intimate others, and it could maintain personal well-being during the COVID-19 pandemic by facilitating behavior change.
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Affiliation(s)
- Naoki Konishi
- National Institute of Advanced Industrial Science and Technology, Tsukuba, Japan
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Thomas R, Galizzi MM, Moorhouse L, Nyamukapa C, Hallett TB. Do risk, time and prosocial preferences predict risky sexual behaviour of youths in a low-income, high-risk setting? JOURNAL OF HEALTH ECONOMICS 2024; 93:102845. [PMID: 38103348 DOI: 10.1016/j.jhealeco.2023.102845] [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: 01/27/2023] [Revised: 12/07/2023] [Accepted: 12/10/2023] [Indexed: 12/19/2023]
Abstract
Young people in sub-Saharan Africa are particularly at high risk of sexually transmitted infections. Little is known about their preferences and even less about their association with risky sexual behaviour. We conducted incentivized economic experiments to measure risk, time and prosocial preferences in Zimbabwe. Preferences measured at baseline predict biomarker and self-reported measures of risky sexual behaviour gathered 12 months later. We find robust evidence that individuals more altruistic at baseline are more likely to be Herpes Simplex Virus Type-2 (HSV-2) positive 12 months later. Analysis by sex shows this association is driven by our sample of women. Having more sexual partners is associated with greater risk tolerance amongst men and greater impatience amongst women. Results highlight heterogeneity in the association between preferences and risky sexual behaviour.
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Affiliation(s)
- Ranjeeta Thomas
- Department of Health Policy, London School of Economics and Political Science, London, United Kingdom.
| | - Matteo M Galizzi
- Department of Psychology and Behavioural Science, London School of Economics and Political Science, London, United Kingdom
| | - Louisa Moorhouse
- MRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, United Kingdom
| | - Constance Nyamukapa
- MRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, United Kingdom; Biomedical Research and Training Institute, Harare, Zimbabwe
| | - Timothy B Hallett
- MRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, United Kingdom
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7
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Emmanouil I, Diamantis M, Niakas D, Aletras V. The Effect of Nudging on Compliance with Individual Prevention Measures against COVID-19: An Online Experiment on Greek University Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 21:31. [PMID: 38248496 PMCID: PMC10815727 DOI: 10.3390/ijerph21010031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 12/14/2023] [Accepted: 12/22/2023] [Indexed: 01/23/2024]
Abstract
Nudging has often been suggested as a means to promote health care efficiency and effectiveness by influencing behavior without restricting choice; its usefulness, however, has not been adequately assessed. We examined the effect of an altruistically framed awareness message about the novel coronavirus on the intention to comply with individual prevention measures against infection. A total of 425 Greek postgraduate students, which were randomly assigned into a treatment group and a control group, filled out a questionnaire on compliance and future intention to comply with six preventive measures. The results indicate that the altruistic message did not manage to influence the intention to comply. Moreover, compliance was positively associated with risk perception, whereas women showed both higher compliance and risk perception than men. Vulnerability to the novel coronavirus and a positive vaccination status against it were accompanied by a greater perception of risk, while one's personal history of COVID-19 was associated with a lower intention to comply, lower risk perception, and higher health risk preferences. We conclude that nudging interventions should be evaluated before being adopted in practice, taking into account timing, target groups, and means of communication.
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Affiliation(s)
- Ioannis Emmanouil
- Department of Business Administration, University of Macedonia, 156 Egnatia St., 54636 Thessaloniki, Greece;
| | - Manolis Diamantis
- School of Social Sciences, Hellenic Open University, 18 Aristotelous St., 26335 Patra, Greece; (M.D.); (D.N.)
| | - Dimitris Niakas
- School of Social Sciences, Hellenic Open University, 18 Aristotelous St., 26335 Patra, Greece; (M.D.); (D.N.)
- Medical School, National and Kapodistrian University of Athens, 4 George St., Kanigos Square, 10677 Athens, Greece
| | - Vassilis Aletras
- Department of Business Administration, University of Macedonia, 156 Egnatia St., 54636 Thessaloniki, Greece;
- School of Social Sciences, Hellenic Open University, 18 Aristotelous St., 26335 Patra, Greece; (M.D.); (D.N.)
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8
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Umer H, Khan MS. Investigating the relationship of COVID-19 preventive and mitigation measures with mosque attendance in Pakistan. PLoS One 2023; 18:e0294808. [PMID: 38048312 PMCID: PMC10695374 DOI: 10.1371/journal.pone.0294808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Accepted: 11/09/2023] [Indexed: 12/06/2023] Open
Abstract
Social distancing served as a principal strategy to curtail the spread of COVID-19. However, congregational activities in mosques made it challenging to practice social distancing and led to a rapid surge in virus infections in several Muslim countries. This study uses nationally representative cross-sectional data from Pakistan, a Muslim-majority country, to examine the relationship of practicing preventive measures (such as social distancing, wearing mask and hand washing) and mitigation measures (like avoid going to the market, social gatherings, healthcare seeking, use of public transport, and long-distance travel) with mosque visits by utilizing logistic regressions. The results show that individuals adhering to preventive and mitigation measures also avoid visiting mosques and other religious gatherings. From a policy perspective, these results suggest that the government of Pakistan can avoid direct religious confrontation when it needs to minimize mosque visits to curtail the spread of the virus by implementing preventive and mitigation measures.
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Affiliation(s)
- Hamza Umer
- Hitotsubashi Institute for Advanced Study (HIAS), Hitotsubashi University, Tokyo, Japan
- Institute of Economic Research (IER), Hitotsubashi University, Tokyo, Japan
| | - Muhammad Salar Khan
- Schar School of Policy and Government, George Mason University, Arlington, Virginia, United States of America
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Bayrak F, Aktar B, Aydas B, Yilmaz O, Alper S, Isler O. Effective health communication depends on the interaction of message source and content: two experiments on adherence to COVID-19 measures in Türkiye. Psychol Health 2023:1-30. [PMID: 37990468 DOI: 10.1080/08870446.2023.2285445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 11/14/2023] [Indexed: 11/23/2023]
Abstract
OBJECTIVE Following the COVID-19 outbreak, authorities recommended preventive measures to reduce infection rates. However, adherence to calls varied between individuals and across cultures. To determine the characteristics of effective health communication, we investigated three key features: message source, content, and audience. METHODS Using a pre-test and two experiments, we tested how message content (emphasizing personal or social benefit), audience (individual differences), message source (scientists or state officials), and their interaction influence adherence to preventive measures. Using fliers advocating preventive measures, Experiment 1 investigated the effects of message content and examined the moderator role of individual differences. Experiment 2 presented the messages using news articles and manipulated sources. RESULTS Study 1 found decreasing adherence over time, with no significant impact from message content or individual differences. Study 2 found messages emphasizing 'protect yourself' and 'protect your country' to increase intentions for adherence to preventive measures. It also revealed an interaction between message source and content whereby messages emphasizing personal benefit were more effective when they came from healthcare professionals than from state officials. However, message source and content did not affect vaccination intentions or donations for vaccine research. CONCLUSION Effective health communication requires simultaneous consideration of message source and content.
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Affiliation(s)
- Fatih Bayrak
- Department of Psychology, Baskent University, Ankara, Turkey
| | - Bengi Aktar
- Department of Psychology, Istanbul University, Istanbul, Turkey
- Department of Psychology, Kadir Has University, Istanbul, Turkey
| | - Berke Aydas
- Department of Psychology, Kadir Has University, Istanbul, Turkey
- Department of Psychology, Dokuz Eylul University, İzmir, Turkey
| | - Onurcan Yilmaz
- Department of Psychology, Kadir Has University, Istanbul, Turkey
| | - Sinan Alper
- Department of Psychology, Yasar University, Bornova, Turkey
| | - Ozan Isler
- School of Economics, University of Queensland, Brisbane, Australia
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10
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Li H, Zhang X, Jin S, Sun Y, Ma D, Wang C. The Impact of the Macroeconomic Environment on Social Preferences: Evidence from the Global Preference Survey. Behav Sci (Basel) 2023; 13:648. [PMID: 37622788 PMCID: PMC10451921 DOI: 10.3390/bs13080648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/01/2023] [Accepted: 08/02/2023] [Indexed: 08/26/2023] Open
Abstract
The effect of social preferences, such as altruism and trust, on economic development is widely recognized. However, the reciprocal impact, i.e., how individuals experience the economic environment and how this shapes their social preferences, has remained largely under-explored. This study sheds light on this reciprocal effect, revealing an intriguing macroeconomic impact on individuals' social preferences. By harnessing the Global Preference Survey data and a non-linear regression model, our findings highlight an interesting trend: there is a discernible decrease in individuals' social preference as they experience enhanced economic conditions, and this effect is more pronounced for males. This crucial revelation underscores the importance for researchers and policymakers to take into account the prospective attenuation of social preferences in the pursuit of economic well-being.
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Affiliation(s)
- Haoyang Li
- Institute for Advanced Research, Shanghai University of Finance and Economics, Shanghai 200433, China;
- Key Laboratory of Mathematical Economics (SUFE), Ministry of Education, Shanghai 200433, China
| | - Xiaomeng Zhang
- Economics Experimental Laboratory, Nanjing Audit University, Nanjing 210017, China;
| | - Shan Jin
- Economics Experimental Laboratory, Nanjing Audit University, Nanjing 210017, China;
| | - Yuanchi Sun
- Gies Business Department, University of Illinois Urbana-Champaign, Champaign, IL 61820, USA;
| | - Ding Ma
- Department of Economics and Computer Science, Lafayette College, Easton, PA 18042, USA;
| | - Cong Wang
- School of Economics, Renmin University of China, Beijing 100872, China
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Grimalda G, Murtin F, Pipke D, Putterman L, Sutter M. The politicized pandemic: Ideological polarization and the behavioral response to COVID-19. EUROPEAN ECONOMIC REVIEW 2023; 156:104472. [PMID: 37234383 PMCID: PMC10174729 DOI: 10.1016/j.euroecorev.2023.104472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 04/12/2023] [Accepted: 04/28/2023] [Indexed: 05/28/2023]
Abstract
In a representative sample of the U.S. population during the first summer of the COVID-19 pandemic, we investigate how prosociality and ideology interact in their relationship with health-protecting behavior and trust in the government to handle the crisis. We find that an experimental measure of prosociality based on standard economic games positively relates to protective behavior. Conservatives are less compliant with COVID-19-related behavioral restrictions than liberals and evaluate the government's handling of the crisis significantly more positively. We show that prosociality does not mediate the impact of political ideology. This finding means that conservatives are less compliant with protective health guidelines - independent of differences in prosociality between both ideological camps. Behavioral differences between liberals and conservatives are roughly only one-fourth of the size of their differences in judging the government's crisis management. This result suggests that Americans were more polarized in their political views than in their acceptance of public health advice.
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Affiliation(s)
| | | | - David Pipke
- Kiel Institute for the World Economy, Germany
| | | | - Matthias Sutter
- Max Planck Institute for Research on Collective Goods, University of Cologne, University of Innsbruck, and IZA, Austria
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12
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Angerer S, Glätzle-Rützler D, Lergetporer P, Rittmannsberger T. How does the vaccine approval procedure affect COVID-19 vaccination intentions? EUROPEAN ECONOMIC REVIEW 2023; 158:104504. [PMID: 37360583 PMCID: PMC10246308 DOI: 10.1016/j.euroecorev.2023.104504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 03/24/2023] [Accepted: 05/26/2023] [Indexed: 06/28/2023]
Abstract
People's willingness to vaccinate is critical to combating the COVID-19 pandemic. We devise a representative experiment to study how the design of the vaccine approval procedure affects trust in newly developed vaccines and consequently public attitudes towards vaccination. Compared to an Emergency Use Authorization, choosing the more thorough Conditional Marketing Authorization approval procedure increases vaccination intentions by 13 percentage points. The effects of the increased duration of the approval procedure are positive and significant only for Emergency Use Authorization. Treatment effects do not differ between relevant subgroups, such as respondents who had (did not have) COVID-19, or between vaccinated and unvaccinated respondents. Increased trust in the vaccine is the key mediator of treatment effects on vaccination intentions.
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Affiliation(s)
- Silvia Angerer
- UMIT TIROL, Private University for Health Sciences and Health Technology, Hall in Tirol
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Frisch-Aviram N, Hasan-Aslih S, Halperin E. Communicating with ethnic minorities during COVID-19: An experimental test of the effect of self-, ingroup-, and intergroup-focused messages. Heliyon 2023; 9:e16629. [PMID: 37287611 PMCID: PMC10226279 DOI: 10.1016/j.heliyon.2023.e16629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Revised: 05/18/2023] [Accepted: 05/22/2023] [Indexed: 06/09/2023] Open
Abstract
Developing messaging to encourage minorities to adhere to health recommendations has been a complex task for governments worldwide during the COVID-19 crisis. Here, we propose and tests a new typology of messages among minorities that can be used to mobilize compliance and engagement. This typology comprises three messaging treatments emphasizing personal, ingroup, and intergroup benefits. We examine, via an experimental field study, whether there is a difference in the effect of these messages on two policy outcomes, social distancing and vaccine hesitancy, among the Arab minority living in Israel. The findings suggest that social messages, i.e., ingroup and intergroup messages, positively affect social distancing, while self-messaging harms social distancing compliance. Regarding vaccine intake, within the social messages tested, intergroup-focused messages were more effective than ingroup-focused messages for vaccination intentions only among citizens with low trust in the government. We discuss the findings in detail and propose new avenues in theory and practice to foster health policy compliance among minorities.
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Besley T, Dray S. The political economy of lockdown: Does free media matter? EUROPEAN JOURNAL OF POLITICAL ECONOMY 2023; 78:102361. [PMID: 36743518 PMCID: PMC9886394 DOI: 10.1016/j.ejpoleco.2023.102361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 12/09/2022] [Accepted: 01/21/2023] [Indexed: 06/09/2023]
Abstract
This paper studies the role of free media in how governments and the public responded to the COVID-19 pandemic. We first document the presence of policy and behavioural responsiveness during the early phase of the pandemic. Using a panel data of daily COVID-19 deaths, lockdown policies, and mobility changes in 155 countries, we find that governments were more likely to impose a lockdown, and citizens to reduce their mobility, as the initial number of deaths increased. To measure the role of media freedom on responsiveness given endogeneity in death reporting, we simulate deaths from a calibrated SEIR model as an instrument for reported deaths. Using this approach, we find evidence that the presence of free media mattered for the timing of early responses to COVID-19. Responsiveness to deaths was limited to citizens in free-media countries, and accounted for 40% of the difference in lockdown decision and mobility changes between free-media and censored-media countries. In support of the role of free media, we show that differences in responsiveness are not explained by a range of other country characteristics such as the level of income, education or democracy. We also find evidence that citizens with access to free media were better informed about the pandemic and had more responsive levels of online searches about COVID-19, supporting the view that free media served to inform the public on the risks of COVID-19.
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Affiliation(s)
| | - Sacha Dray
- London School of Economics, United Kingdom
- London School of Economics, United Kingdom and World Bank, United States of America
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15
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Pedron S, Laxy M, Radon K, Le Gleut R, Castelletti N, Noller JMG, Diefenbach MN, Hölscher M, Leidl R, Schwettmann L. Socioeconomic and risk-related drivers of compliance with measures to prevent SARS-CoV-2 infection: evidence from the Munich-based KoCo19 study. BMC Public Health 2023; 23:860. [PMID: 37170091 PMCID: PMC10173220 DOI: 10.1186/s12889-023-15759-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 04/26/2023] [Indexed: 05/13/2023] Open
Abstract
OBJECTIVES Although a growing share of the population in many countries has been vaccinated against the SARS-CoV-2 virus to different degrees, social distancing and hygienic non-pharmaceutical interventions still play a substantial role in containing the pandemic. The goal of this study was to investigate which factors are correlated with a higher compliance with these regulations in the context of a cohort study in the city of Munich, southern Germany, during the summer of 2020, i.e. after the first lockdown phase. METHODS Using self-reported compliance with six regulations and personal hygiene rules (washing hands, avoiding touching face, wearing a mask, keeping distance, avoiding social gatherings, avoiding public spaces) we extracted two compliance factor scores, namely compliance with personal hygiene measures and compliance with social distancing regulations. Using linear and logistic regressions, we estimated the correlation of several socio-demographic and risk perception variables with both compliance scores. RESULTS Risk aversion proved to be a consistent and significant driver of compliance across all compliance behaviors. Furthermore, being female, being retired and having a migration background were positively associated with compliance with personal hygiene regulations, whereas older age was related with a higher compliance with social distancing regulations. Generally, socioeconomic characteristics were not related with compliance, except for education, which was negatively related with compliance with personal hygiene measures. CONCLUSIONS Our results suggest that for a targeted approach to improve compliance with measures to prevent SARS-CoV-2 infection, special attention should be given to younger, male and risk-prone individuals.
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Affiliation(s)
- Sara Pedron
- Professorship of Public Health and Prevention, Technical University of Munich, Munich, Germany.
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany.
- German Center for Diabetes Research (DZD), Neuherberg, Germany.
| | - Michael Laxy
- Professorship of Public Health and Prevention, Technical University of Munich, Munich, Germany
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
- German Center for Diabetes Research (DZD), Neuherberg, Germany
- Global Diabetes Research Center, Rollins School of Public Health, Emory University, Atlanta, GA, USA
- Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
| | - Katja Radon
- Center for International Health, Institute for Occupational, Social and Environmental Medicine, University Hospital, Ludwig Maximilian University, Munich, Germany
| | - Ronan Le Gleut
- Core Facility Statistical Consulting, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Munich, Germany
| | - Noemi Castelletti
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig Maximilian University, Munich, Germany
- Institute of Radiation Medicine, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
| | | | - Maximilian Nikolaus Diefenbach
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig Maximilian University, Munich, Germany
| | - Michael Hölscher
- Division of Infectious Diseases and Tropical Medicine, University Hospital, Ludwig Maximilian University, Munich, Germany
- Center for International Health, University Hospital, Ludwig Maximilian University, Munich, Germany
- German Center for Infection Research (DZIF), Partner Site Munich, Munich, Germany
| | - Reiner Leidl
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
- Munich School of Management and Munich Center of Health Sciences, Ludwig Maximilian University, Munich, Germany
| | - Lars Schwettmann
- Institute of Health Economics and Health Care Management, Helmholtz Zentrum München, German Research Center for Environmental Health (GmbH), Neuherberg, Germany
- Department of Health Services Research, School of Medicine and Health Sciences, Carl Von Ossietzky University of Oldenburg, Oldenburg, Germany
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16
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Altinay Z, Crosswell L. Public perceptions of air pollution and associated health risks in Nevada, USA: applications for health communication. JOURNAL OF COMMUNICATION IN HEALTHCARE 2023:1-9. [PMID: 37133316 DOI: 10.1080/17538068.2023.2207240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
BACKGROUND We examine the extent to which acute and chronic health conditions motivate individuals to seek air quality information. We apply the theoretical elements of the Health Belief Model (HBM) to improve risk communication about ambient air pollution. We discuss the practical applications of HBM, in tandem with the principles of health communication, within an environmental health context. METHODS We test the predictive power of selected components related to the HBM (perceived susceptibility, perceived severity, and cues to action) for intentions to seek information about ambient air quality. We surveyed 325 individuals throughout Nevada where poor air quality poses a risk for vulnerable populations. RESULTS Ordinal logistic regression analyses showed that experiencing mucous membrane symptoms (eye itching, nose irritation, and dry throat/cough), perceived severity to future health threats, and having an at-risk member in the household positively and significantly predicted intentions to seek air quality information. Experiencing neuropsychological symptoms (fatigue, feeling heavy-headed, and nausea/dizziness), and having a cardiovascular or a respiratory condition did not have significant effects on reported intentions. CONCLUSIONS We discuss how the results of this study can be integrated into health communication practices to increase public engagement with air quality information as a personal intervention measure.
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Affiliation(s)
- Zeynep Altinay
- Reynolds School of Journalism, University of Nevada, Reno, NV, USA
| | - Laura Crosswell
- Reynolds School of Journalism, University of Nevada, Reno, NV, USA
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17
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Keser C, Rau HA. Determinants of people's motivations to approach COVID-19 vaccination centers. Sci Rep 2023; 13:5282. [PMID: 37002259 PMCID: PMC10064609 DOI: 10.1038/s41598-023-30244-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 02/20/2023] [Indexed: 04/03/2023] Open
Abstract
This paper presents the results of a survey exploring the determinants of vacinees' confidence in COVID-19 vaccines and their motivations to become vaccinated. At the threatening rise of the highly infectious Omicron variant, in December 2021, we interviewed people in waiting lines of vaccination centers. Our results identify risk-averse and social-distancing-compliant people as showing high confidence in the vaccine, which motivates them to receive it for reasons of protecting themselves and others. By contrast, policy incentives, such as "3G/2G" restrictions, motivate risk-tolerant people who opted for vaccination to get access to public areas. Trusting people who regularly vote are little afraid of vaccines' side effects. Our findings offer insights for policymakers in societies and firms that help to tailor policies promoting vaccination based on people's economic preferences.
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Affiliation(s)
- Claudia Keser
- University of Göttingen, Platz der Göttinger Sieben 3, 37073, Göttingen, Germany
- CIRANO, Montreal, Canada
| | - Holger A Rau
- University of Göttingen, Platz der Göttinger Sieben 3, 37073, Göttingen, Germany.
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18
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Oldmeadow JA, Elphinstone B, Sivasubramaniam D, Wheeler MA, Wilson S, Buzwell S, Beaudry J, Williams JS, Critchley C. Classifying Australian citizens' responses to
COVID
‐19 preventative behaviour directives: A latent class approach. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2023. [DOI: 10.1002/casp.2691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023]
Affiliation(s)
- Julian A. Oldmeadow
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - Bradley Elphinstone
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - Diane Sivasubramaniam
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - Melissa A. Wheeler
- Department of Management and Marketing Swinburne University of Technology Hawthorn Victoria Australia
| | - Sam Wilson
- Department of Management and Marketing Swinburne University of Technology Hawthorn Victoria Australia
| | - Simone Buzwell
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - Jennifer Beaudry
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - James S. Williams
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
| | - Christine Critchley
- Department of Psychological Sciences Swinburne University of Technology Hawthorn Victoria Australia
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19
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Phalippou L, Wu B. The association between the proportion of Brexiters and COVID-19 death rates in England. Soc Sci Med 2023; 323:115826. [PMID: 36933437 PMCID: PMC9991330 DOI: 10.1016/j.socscimed.2023.115826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 02/21/2023] [Accepted: 03/03/2023] [Indexed: 03/09/2023]
Abstract
RATIONALE A cultural divide may exist between a set of people who accept and a set of people who reject the advice of experts. This cultural divide may have important consequences and policy implications, especially in times of severe crisis. OBJECTIVE Ecological study of whether there exists a significant conditional correlation between two variables that appear unrelated except for attitude towards experts: (1) Proportion of people voting in favour of remaining in the European Union in 2016 and (2) COVID-19 outcomes measured by death rates and vaccination rates. A significant conditional correlation would indicate that polarized beliefs have important consequences across a broad spectrum of societal challenges. METHODS This study uses simple descriptive statistics and multiple linear regression, considering confounders suggested in the related literature, with data at the District level in England. RESULTS Districts where people voted most heavily in favour of remaining in the EU (top quintile) had nearly half the death rate of districts in the bottom quintile. This relationship was stronger after the first wave, which was a time when protective measures were communicated to the public by experts. A similar relationship was observed with the decision to get vaccinated, and results were strongest for the booster dose, which was the dose that was not mandatory, but highly advised by experts. The Brexit vote is the variable most correlated with COVID-19 outcomes among many variables including common proxies for trust and civic capital or differences in industry composition across Districts. CONCLUSIONS Our results suggest a need for designing incentive schemes that take into consideration different belief systems. Scientific prowess - such as finding effective vaccines - may not be sufficient to solve crises.
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Affiliation(s)
| | - Betty Wu
- University of Glasgow Adam Smith Business School, Glasgow, United Kingdom.
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20
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Akdağ B, Ege D, Göksülük D, İpekten F, Erdoğan A, Önder A. The parental COVID-19 anxiety and emotional exhaustion in healthcare workers: exploring the roles of resilience, prosocialness, and optimism. CURRENT PSYCHOLOGY 2023; 42:1-10. [PMID: 36852082 PMCID: PMC9947882 DOI: 10.1007/s12144-023-04414-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2023] [Indexed: 02/25/2023]
Abstract
Healthcare workers (HCWs) also became the main protagonist of the tragic pandemic story. They have had a markedly higher risk of becoming infected with COVID-19. Outside work, healthcare workers with children have experienced mental health challenges, including the worry that they may carry COVID-19 home and infect their children. Based on these, the current study aimed to examine the effect of parental COVID-19 anxiety on emotional exhaustion and identify the roles of resilience, prosocialness, and optimism in this relationship. The findings demonstrated that prosocialness moderated the relationship between personal COVID-19 anxiety and emotional exhaustion by alleviating the depleting effects of personal COVID-19 anxiety. At the same time, prosocialness reinforced the negative effect of resilience on emotional exhaustion. On the other side, optimism moderated the relationship between parental COVID-19 anxiety and resilience by alleviating the adverse effect of parental COVID-19 anxiety. Moreover, it buffered the exacerbating effect of parental anxiety on personal anxiety. In conclusion, promoting personal resources (i.e., resilience, prosocialness, and optimism) seems an excellent way to mitigate the adverse consequences of the pandemic on mental health. Furthermore, the increment in parental mental health problems during COVID-19 pandemic may have long-term effects on children. Considering this perspective, we need to develop a proactive approach for parents' now and children's futures.
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Affiliation(s)
- Berhan Akdağ
- Department of Child and Adolescent Psychiatry, Silifke State Hospital, Mersin, Turkey
| | - Duygu Ege
- Department of Emergency Medicine, Silifke State Hospital, Mersin, Turkey
| | - Dinçer Göksülük
- Department of Biostatistics, Erciyes University, Kayseri, Turkey
| | - Funda İpekten
- Department of Biostatistics, Erciyes University, Kayseri, Turkey
| | - Ali Erdoğan
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Arif Önder
- Department of Child and Adolescent Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
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21
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Misiak M, Curry OS, Tureček P. Moral Messaging: Testing a Framing Technique during a Pandemic. BASIC AND APPLIED SOCIAL PSYCHOLOGY 2023. [DOI: 10.1080/01973533.2023.2174868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Affiliation(s)
- Michal Misiak
- IDN Being Human, University of Wroclaw
- School of Anthropology & Museum Ethnography, University of Oxford
| | | | - Petr Tureček
- Charles University
- Center for Theoretical Study, Charles University and Czech Academy of Sciences
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22
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Rey-Martínez MS, Rey-Martínez MH, Martínez-Rodríguez N, Meniz-García C, Suárez-Quintanilla JM. Influence of the Sanitary, Economic, and Social Crisis of COVID-19 on the Emotional State of Dentistry in Galicia (Spain). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3088. [PMID: 36833783 PMCID: PMC9964257 DOI: 10.3390/ijerph20043088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Revised: 02/06/2023] [Accepted: 02/08/2023] [Indexed: 06/18/2023]
Abstract
The main objective of this research was to analyze the economic, social, and emotional repercussions among Galician dentists (Spain) as a consequence of the COVID-19 pandemic. A survey was filled out by 347 professionals. After verifying the survey's reliability using Cronbach's alpha = 0.84, the professional activity and emotional state of the participants were assessed based on aspects related to their personal and family data. The economic impact of the pandemic was considerable, and all participants experienced a decrease in income. In total, 72% of the participants considered that working with personal protective equipment (PPE) made their clinical activities difficult, and 60% expressed concern about being infected during their professional practice. Among the professionals, women (p = 0.005), and separated, divorced, or single professionals (p = 0.003) were the most strongly affected. Separated or divorced professionals were the group that most frequently raised the need to make a radical change in their lives. Finally, it was observed that the emotional consequences varied substantially in the lives of these professionals, mainly among female dentists (p = 0.010), separated and divorced men (p = 0.000), and those with fewer years of professional practice (p = 0.021). The COVID-19 pandemic had an economic impact, due to the decrease in the number of patients and hours of attention, as well as an emotional impact, mostly expressed in the form of sleep disorders and stress. The most vulnerable professionals were women and professionals with fewer years of experience.
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Affiliation(s)
- María Sofía Rey-Martínez
- Department of Surgery and Medical-Surgical Specialties, Faculty of Medicine and Dentistry, University of Santiago de Compostela, 15705 A Coruña, Spain
| | | | - Natalia Martínez-Rodríguez
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - Cristina Meniz-García
- Department of Dental Clinical Specialties, Faculty of Dentistry, Complutense University of Madrid, 28040 Madrid, Spain
| | - José María Suárez-Quintanilla
- Department of Surgery and Medical-Surgical Specialties, Faculty of Medicine and Dentistry, University of Santiago de Compostela, 15705 A Coruña, Spain
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23
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Zhang X, Huang Y, Du L, Wang F. Exploring the impact of motivations on individual online and offline preventive actions against COVID-19. CURRENT PSYCHOLOGY 2023:1-16. [PMID: 36776146 PMCID: PMC9900206 DOI: 10.1007/s12144-023-04283-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 01/10/2023] [Accepted: 01/16/2023] [Indexed: 02/08/2023]
Abstract
Having accurate and sufficient information about the outbreak and actively adopting preventive actions are important to reduce the adverse effects of COVID-19 and control the spread of the epidemic. To this end, grounded in the situational theory of problem solving (STOPS) and self-concern and other-orientation theory, this study aims to examine motivations of individuals to adopt online and offline preventive actions during the COVID-19 pandemic. We explored the effects of three motivations, i.e., situational motivation, concern-for-self and concern-for-others motivation, and their antecedents on individual online and offline preventive actions. We used PLS-SEM to analyze the results of 628 questionnaires and found that: first, individual online preventive actions have a positive predictive effect on offline actions; secondly, individual online preventive actions are positively affected by situational motivation and concern-for-others motivation, and individual offline preventive actions are positively affected by concern-for-self and concern-for-others motivation; finally, three situational perceptual factors including problem, involvement and constraint recognition have significant effects on the three motivations. The findings of this study enriched the research results on individual behaviors in the context of COVID-19, and provided a basis for making decisions on the guidance and management of the individuals' COVID-19 preventive actions. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-023-04283-z.
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Affiliation(s)
- Xuefeng Zhang
- School of Economics and Management, Anhui Polytechnic University, 241000 Wuhu, China
| | - Yelin Huang
- School of Economics and Management, Anhui Polytechnic University, 241000 Wuhu, China
| | - Lin Du
- School of Economics and Management, Anhui Polytechnic University, 241000 Wuhu, China
| | - Fenglian Wang
- School of Economics and Management, Anhui Polytechnic University, 241000 Wuhu, China
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24
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Lohmann PM, Gsottbauer E, You J, Kontoleon A. Anti-social behaviour and economic decision-making: Panel experimental evidence in the wake of COVID-19. JOURNAL OF ECONOMIC BEHAVIOR & ORGANIZATION 2023; 206:136-171. [PMID: 36531911 PMCID: PMC9744689 DOI: 10.1016/j.jebo.2022.12.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 11/18/2022] [Accepted: 12/10/2022] [Indexed: 05/28/2023]
Abstract
We systematically examine the acute impact of exposure to a public health crisis on anti-social behaviour and economic decision-making using unique experimental panel data from China, collected just before the outbreak of COVID-19 and immediately after the first wave was overcome. Exploiting plausibly exogenous geographical variation in virus exposure coupled with a dataset of longitudinal experiments, we show that participants who were more intensely exposed to the virus outbreak became more anti-social than those with lower exposure, while other aspects of economic and social preferences remain largely stable. The finding is robust to multiple hypothesis testing and a similar, yet less pronounced pattern emerges when using alternative measures of virus exposure, reflecting societal concern and sentiment, constructed using social media data. The anti-social response is particularly pronounced for individuals who experienced an increase in depression or negative affect, which highlights the important role of psychological health as a potential mechanism through which the virus outbreak affected behaviour.
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Affiliation(s)
- Paul M Lohmann
- El-Erian Institute of Behavioural Economics and Policy, Judge Business School, University of Cambridge, United Kingdom
- Centre for Environment, Energy and Natural Resource Governance, Department of Land Economy, University of Cambridge, United Kingdom
| | - Elisabeth Gsottbauer
- Institute of Public Finance, University of Innsbruck, Austria
- London School of Economics and Political Science (LSE), Grantham Research Institute on Climate Change and the Environment, United Kingdom
| | - Jing You
- School of Agricultural Economics and Rural Development, Renmin University of China, China
| | - Andreas Kontoleon
- Centre for Environment, Energy and Natural Resource Governance, Department of Land Economy, University of Cambridge, United Kingdom
- Department of Land Economy, University of Cambridge, United Kingdom
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25
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Umer H. Stability of pro-sociality and trust amid the Covid-19: panel data from the Netherlands. EMPIRICA 2023; 50:255-287. [PMID: 36685483 PMCID: PMC9838336 DOI: 10.1007/s10663-022-09557-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/22/2022] [Indexed: 06/17/2023]
Abstract
The Covid-19 has impacted most spheres of life and continues to influence the future course of socio-economic decisions. The effects of pandemic and virus contraction on the stability of social preferences are however relatively less know. This study examines the effects of the Covid-19 on pro-sociality and general trust by using the LISS panel data (time frame: 2019-2020) from the Netherlands. The fixed effects panel regressions show that pro-social behavior and general trust do not differ pre-and-after the Covid-19. The article further analyzes the stability of pro-sociality and general trust among people who unfortunately contracted the Covid-19 virus and the uninfected ones (time frame: 2019-2020) using difference-in-differences (DD) method to infer a causal effect of infections on preferences. The DD analysis also leads to insignificant causal effect of virus contractions on pro-sociality and trust. However, the sub-group analysis shows a positive causal impact of infections on trust for respondents above 60 years. Overall, both fixed effects regressions and DD analysis suggest that pro-sociality and to a large extent general trust in the Netherlands are stable despite the negative Covid-19 shock.
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Affiliation(s)
- Hamza Umer
- Hitotsubashi Institute for Advanced Study (HIAS), Hitotsubashi University, Tokyo, Japan
- Institute of Economic Research (IER), Hitotsubashi University, Tokyo, Japan
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26
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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.
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27
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Lojowska M, Gross J, De Dreu CKW. Anticipatory Threat Mitigates the Breakdown of Group Cooperation. Psychol Sci 2023; 34:87-98. [PMID: 36287184 DOI: 10.1177/09567976221104037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
Humans are exposed to environmental and economic threats that can profoundly affect individual survival and group functioning. Although anecdotal evidence suggests that threat exposure can increase collective action, the effects of threat on decision-making have been mainly investigated at the individual level. Here we examine how threat exposure and concomitant physiological responses modulate cooperation in small groups. Individuals (N = 105, ages 18-34 years) in groups of three were exposed to threat of electric shocks while deciding how much to contribute to a public good. Threat of shock induced a state of physiological freezing and, compared with no-threat conditions, reduced free riding and enabled groups to maintain higher cooperation over time. Exploratory analyses revealed that more cooperative responses under threat were driven by stronger baseline prosociality, suggesting that habitual prosociality is reinforced under threat. The current results support the view that human groups respond to outside threat with increased cooperation.
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Affiliation(s)
| | - Jörg Gross
- Institute of Psychology, Leiden University.,Leiden Institute for Brain and Cognition.,Institute of Psychology, University of Zurich
| | - Carsten K W De Dreu
- Institute of Psychology, Leiden University.,Leiden Institute for Brain and Cognition.,Center for Research in Experimental Economics and Political Decision Making, University of Amsterdam
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28
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Attema AE, Galizzi MM, Groß M, Hennig-Schmidt H, Karay Y, L'Haridon O, Wiesen D. The formation of physician altruism. JOURNAL OF HEALTH ECONOMICS 2023; 87:102716. [PMID: 36603361 DOI: 10.1016/j.jhealeco.2022.102716] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 09/21/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
We study how patient-regarding altruism is formed by medical education. We elicit and structurally estimate altruistic preferences using experimental data from a large sample of medical students (N = 733) in Germany at different progress stages in their studies. The estimates reveal substantial heterogeneity in altruistic preferences of medical students. Patient-regarding altruism is highest for freshmen, significantly declines for students in the course of medical studies, and tends to increase again for last year students, who assist in clinical practice. Also, patient-regarding altruism is higher for females and positively associated to general altruism. Altruistic medical students have gained prior practical experience in healthcare, have lower income expectations, and are more likely to choose surgery and pediatrics as their preferred specialty.
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Affiliation(s)
- Arthur E Attema
- Erasmus School of Health Policy & Management, Erasmus University Rotterdam, The Netherlands.
| | - Matteo M Galizzi
- Department of Psychological and Behavioural Science, London School of Economics and Political Science, UK.
| | - Mona Groß
- Department of Business Administration and Healthcare Management, University of Cologne, Germany.
| | - Heike Hennig-Schmidt
- Laboratory for Experimental Economics, Department of Economics, University of Bonn, Germany.
| | | | - Olivier L'Haridon
- Center for Research in Economics and Management (CREM), University of Rennes 1, France; Institut Universitaire de France, France.
| | - Daniel Wiesen
- Department of Business Administration and Healthcare Management, University of Cologne, Germany.
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29
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Fisher KA, Nguyen N, Fouayzi H, Singh S, Crawford S, Mazor KM. Impact of a physician recommendation on COVID-19 vaccination intent among vaccine hesitant individuals. PATIENT EDUCATION AND COUNSELING 2023; 106:107-112. [PMID: 36244947 PMCID: PMC9523946 DOI: 10.1016/j.pec.2022.09.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 09/09/2022] [Accepted: 09/26/2022] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To test the impact of varied physician recommendations on COVID-19 vaccine hesitancy. METHODS We conducted a vignette-based experimental survey on Prolific, an online research platform. COVID-19 vaccine hesitant, adult panel members were assigned to one of five messages that varied by recommendation style (participatory vs explicit) and strategy (acknowledgement of concerns; comparison to the flu shot; statement that millions of people have already received it; emphasis on protecting others). Vaccine hesitancy was re-assessed with the question, "Would you get vaccinated at this visit?". RESULTS Of the 752 participants, 60.1% were female, 43.4% Black, 23.6% Latino, and 33.0% White; mean age was 35.6 years. Overall, 33.1% of the initially "not sure" and 13.1% of the initially "no" participants became less hesitant following any recommendation. Among the "not sure" participants, 20.3% of those who received a participatory recommendation became less hesitant compared with 34.3%- 39.5% for the explicit recommendations. The "protect others" message was most effective among initially "no" participants; 19.8% become less hesitant, compared to 8.7% for the participatory recommendation. CONCLUSION A physician recommendation may reduce COVID-19 vaccine hesitancy. PRACTICE IMPLICATIONS An explicit recommendation and "protect others" message appear to be important elements of a physician recommendation for COVID-19 vaccination.
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Affiliation(s)
- Kimberly A Fisher
- Department of Medicine, Division of Health Systems Science, UMass Chan Medical School, Worcester, MA, USA.
| | - Ngoc Nguyen
- Department of Medicine, Division of Health Systems Science, UMass Chan Medical School, Worcester, MA, USA
| | - Hassan Fouayzi
- Department of Medicine, Division of Health Systems Science, UMass Chan Medical School, Worcester, MA, USA
| | - Sonal Singh
- Department of Medicine, Division of Health Systems Science, UMass Chan Medical School, Worcester, MA, USA; Department of Family and Community Medicine, UMass Chan Medical School, Worcester, MA, USA
| | - Sybil Crawford
- Tan Chingfen Graduate School of Nursing, UMass Chan Medical School, Worcester, MA, USA
| | - Kathleen M Mazor
- Department of Medicine, Division of Health Systems Science, UMass Chan Medical School, Worcester, MA, USA
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Schneider FH, Campos-Mercade P, Meier S, Pope D, Wengström E, Meier AN. Financial incentives for vaccination do not have negative unintended consequences. Nature 2023; 613:526-533. [PMID: 36631607 PMCID: PMC9833033 DOI: 10.1038/s41586-022-05512-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 11/02/2022] [Indexed: 01/13/2023]
Abstract
Financial incentives to encourage healthy and prosocial behaviours often trigger initial behavioural change1-11, but a large academic literature warns against using them12-16. Critics warn that financial incentives can crowd out prosocial motivations and reduce perceived safety and trust, thereby reducing healthy behaviours when no payments are offered and eroding morals more generally17-24. Here we report findings from a large-scale, pre-registered study in Sweden that causally measures the unintended consequences of offering financial incentives for taking the first dose of a COVID-19 vaccine. We use a unique combination of random exposure to financial incentives, population-wide administrative vaccination records and rich survey data. We find no negative consequences of financial incentives; we can reject even small negative impacts of offering financial incentives on future vaccination uptake, morals, trust and perceived safety. In a complementary study, we find that informing US residents about the existence of state incentive programmes also has no negative consequences. Our findings inform not only the academic debate on financial incentives for behaviour change but also policy-makers who consider using financial incentives to change behaviour.
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Affiliation(s)
| | - Pol Campos-Mercade
- Lund University, Lund, Sweden.
- University of Copenhagen, Copenhagen, Denmark.
| | | | - Devin Pope
- University of Chicago Booth School of Business, Chicago, IL, USA
- National Bureau of Economic Research, Cambridge, MA, USA
| | - Erik Wengström
- Lund University, Lund, Sweden
- Hanken School of Economics, Helsinki, Finland
| | - Armando N Meier
- Unisanté and Lausanne Center for Health Economics, Behavior, and Policy (LCHE), University of Lausanne, Lausanne, Switzerland.
- Faculty of Business and Economics, University of Basel, Basel, Switzerland.
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31
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Howard MC. Big Five, Dark Triad, and Face Masks. JOURNAL OF INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1027/1614-0001/a000387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Abstract. Face masks are an effective method to reduce the spread of COVID-19, but many people are reluctant to wear them. Recent authors have called for studies of personality to determine which people may have particularly negative face mask perceptions and reduced face mask wearing. In the current article, we assess the relation of the Big Five and Dark Triad with face mask perceptions and wearing. We apply a four-wave longitudinal research design collected via MTurk ( n = 209, Mage = 36.97 years, 50% female, 85% American), and we use the eight-dimension Face Mask Perceptions Scale to test mediating mechanisms between personality and behavior. When tested together, conscientiousness, extraversion, and neuroticism did not have notable relations with perceptions or wearing; openness and the Dark Triad had significant relations with face mask perceptions, and agreeableness had significant indirect effects on face mask wearing via perceptions. These results indicate that personality does relate to face mask perceptions and behaviors. We call on future research to conduct facet-level studies of personality with face mask perceptions and behaviors to ascertain the cause of these observed relations, further identify the importance of specific face mask perceptions, and integrate personality into models of health behaviors.
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Affiliation(s)
- Matt C. Howard
- Department of Marketing and Quantitative Methods, University of South Alabama, Mobile, AL, USA
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32
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Abel M, Brown W. Prosocial behavior in the time of COVID-19: The effect of private and public role models. JOURNAL OF BEHAVIORAL AND EXPERIMENTAL ECONOMICS 2022; 101:101942. [PMID: 36188167 PMCID: PMC9508698 DOI: 10.1016/j.socec.2022.101942] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 08/23/2022] [Accepted: 09/19/2022] [Indexed: 05/31/2023]
Abstract
In public good provision and other collective action problems, people are uncertain about how to balance self-interest and prosociality. Actions of others may inform this decision. We conduct an experiment to test the effect of watching private citizens and public officials acting in ways that either increase or decrease the spread of the coronavirus. For private role models, positive examples lead to a 34% increase in donations to the CDC Emergency Fund and a 20% increase in learning about COVID-19-related volunteering compared to negative examples. For public role models these effects are reversed. Negative examples lead to a 29% and 53% increase in donations and volunteering, respectively, compared to positive examples.
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Affiliation(s)
- Martin Abel
- Bowdoin College, IZA, JPAL, 255 Maine St, Brunswick, ME 04011, United States
| | - Willa Brown
- Bowdoin College, IZA, JPAL, 255 Maine St, Brunswick, ME 04011, United States
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33
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Hanna E, Martin G, Campbell A, Connolly P, Fearon K, Markham S. Experiences of face mask use during the COVID-19 pandemic: A qualitative study. SOCIOLOGY OF HEALTH & ILLNESS 2022; 44:1481-1499. [PMID: 36040759 PMCID: PMC9538649 DOI: 10.1111/1467-9566.13525] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Accepted: 06/30/2022] [Indexed: 06/15/2023]
Abstract
The use of face masks and coverings has been a central component of efforts to mitigate the impact of the COVID-19 pandemic and has been legally mandated in some countries. Most academic studies to date, however, have focussed primarily on its effectiveness in reducing SARS-CoV-2 transmission, largely neglecting the social dimensions of mask mandates. In this narrative interview-based study, we consider experiences of face masks, with a particular focus on groups considered to be at a potential disadvantage from compulsory masking. Drawing on 40 telephone, video-call and e-mail interviews, we highlight the impact of inconsistent communication and the notion of mask wearing as an act of altruism on participants' experiences. In particular, we show how intolerance towards individuals who did not wear masks could result in stigma and exclusion, regardless of the legitimacy of their reasons. We suggest that more is needed to mitigate the 'dark side' of discourses of collective effort and altruism at a time of societal stress and fracture, and to account for the needs and interests of groups for whom compulsory masking may result in further marginalisation.
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Basili M, Muscillo A, Pin P. No-vaxxers are different in public good games. Sci Rep 2022; 12:18132. [PMID: 36307454 PMCID: PMC9616914 DOI: 10.1038/s41598-022-22390-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 10/13/2022] [Indexed: 12/30/2022] Open
Abstract
In September 2021 we conducted a survey to 1482 people in Italy, when the vaccination campaign against Covid19 was going on. In the first part of the survey we run three simple tests on players' behavior in standard tasks with monetary incentives to measure their risk attitudes, willingness to contribute to a public good in an experimental game, and their beliefs about others' behavior. In the second part, we asked respondents if they were vaccinated and, if not, for what reason. We classified as no-vaxxers those (around [Formula: see text] of the sample) who did not yet start the vaccination process and declared that they intended not to do it in the future. We find that no-vaxxers contribute less to the public good in the experimental game because they trust others less to do so. from the three tests we extrapolated a classification based on the benchmark of rationality and other-regarding preferences for each respondent, and we found that in this respect no-vaxxers do not differ from the rest of the population.
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Affiliation(s)
- Marcello Basili
- grid.9024.f0000 0004 1757 4641Department of Economics and Statistics, Università di Siena, 53100 Siena, Italy
| | - Alessio Muscillo
- grid.9024.f0000 0004 1757 4641Department of Economics and Statistics, Università di Siena, 53100 Siena, Italy
| | - Paolo Pin
- grid.9024.f0000 0004 1757 4641Department of Economics and Statistics, Università di Siena, 53100 Siena, Italy ,grid.7945.f0000 0001 2165 6939BIDSA, Università Bocconi, 20136 Milan, Italy
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35
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Ewuoso C, Sudoi A, Kamuya D. Rethinking benefit sharing in collaborative human genetic research from an Afrocommunitarian perspective. Front Genet 2022; 13:1014120. [PMID: 36313420 PMCID: PMC9597086 DOI: 10.3389/fgene.2022.1014120] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2022] [Accepted: 09/30/2022] [Indexed: 11/13/2022] Open
Abstract
This article draws on reflections about humanness, friendliness and partiality, in the writings of Afro-communitarians to develop principles for thinking critically about why benefit sharing, what may count as benefits within the context of human research in Africa and the limits of the obligation of benefit sharing. Suppose the thinking about humanness, friendliness, and partiality in Afro-communitarianism were the foundation of human genetic research in Africa, then, individuals who have contributed to research or borne its burden would benefit from its rewards. This is even more important if participants have pressing needs that researchers and/or research institutions can help ease. A failure to aid sample contributors and data providers in need when researchers and research institutions can—as well as an indifference to the serious needs of contributors—are failures to exhibit friendliness in the relevant ways. Finally, though providing benefits to contributors can be an important way of showing humanity to them, nonetheless, this obligation is not absolute and may be limited by the stronger obligation of shared experience—to advance science. Studies are still required to inquire how well these norms will work in practice and inform regulatory and legal frameworks.
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Affiliation(s)
- Cornelius Ewuoso
- Steve Biko Centre for Bioethics, University of Witwatersrand, Johannesburg, South Africa
- *Correspondence: Cornelius Ewuoso,
| | - Allan Sudoi
- KEMRI Wellcome Trust Research Programme, Kilifi, Kenya
| | - Dorcas Kamuya
- KEMRI Wellcome Trust Research Programme, Kilifi, Kenya
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36
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Civai C, Caserotti M, Carrus E, Huijsmans I, Rubaltelli E. How perceived scarcity predicted cooperation during early pandemic lockdown. Front Psychol 2022; 13:951757. [DOI: 10.3389/fpsyg.2022.951757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 09/23/2022] [Indexed: 11/13/2022] Open
Abstract
Both material resources (jobs, healthcare), and socio-psychological resources (social contact) decreased during the COVID-19 pandemic. We investigated whether individual differences in perceived material and socio-psychological scarcity experienced during the pandemic predicted preference for cooperation, measured using two Public Good Games (PGGs), where participants contributed money or time (i.e., hours indoors contributed to shorten the lockdown). Material scarcity had no relationship with cooperation. Increased perceived scarcity of socio-psychological wellbeing (e.g., connecting with family) predicted increased preference for cooperation, suggesting that missing social contact fosters prosociality, whilst perceived scarcity of freedom (e.g., limited movement) predicted decreased willingness to spend time indoors to shorten the lockdown. The importance of considering individual differences in scarcity perception to best promote norm compliance is discussed.
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Sachs JD, Karim SSA, Aknin L, Allen J, Brosbøl K, Colombo F, Barron GC, Espinosa MF, Gaspar V, Gaviria A, Haines A, Hotez PJ, Koundouri P, Bascuñán FL, Lee JK, Pate MA, Ramos G, Reddy KS, Serageldin I, Thwaites J, Vike-Freiberga V, Wang C, Were MK, Xue L, Bahadur C, Bottazzi ME, Bullen C, Laryea-Adjei G, Ben Amor Y, Karadag O, Lafortune G, Torres E, Barredo L, Bartels JGE, Joshi N, Hellard M, Huynh UK, Khandelwal S, Lazarus JV, Michie S. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet 2022; 400:1224-1280. [PMID: 36115368 PMCID: PMC9539542 DOI: 10.1016/s0140-6736(22)01585-9] [Citation(s) in RCA: 202] [Impact Index Per Article: 101.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 07/01/2022] [Accepted: 08/11/2022] [Indexed: 02/03/2023]
Affiliation(s)
- Jeffrey D Sachs
- Center for Sustainable Development, Columbia University, New York, NY, United States.
| | - Salim S Abdool Karim
- Mailman School of Public Health, Columbia University, New York, NY, United States
| | - Lara Aknin
- Department of Psychology, Simon Fraser University, Burnaby, BC, Canada
| | - Joseph Allen
- Department of Environmental Health, Harvard T H Chan School of Public Health, Boston, MA, United States
| | | | - Francesca Colombo
- Health Division, Organisation for Economic Co-operation and Development, Paris, France
| | | | | | - Vitor Gaspar
- Fiscal Affairs Department, International Monetary Fund, Washington, DC, United States
| | | | - Andy Haines
- Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK; Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Peter J Hotez
- National School of Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Phoebe Koundouri
- Department of International and European Economic Studies, Athens University of Economics and Business, Athens, Greece; Department of Technology, Management and Economics, Technical University of Denmark, Kongens Lyngby, Denmark; European Association of Environmental and Resource Economists, Athens, Greece
| | - Felipe Larraín Bascuñán
- Department of Economics and Administration, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Jong-Koo Lee
- National Academy of Medicine of Korea, Seoul, Republic of Korea
| | - Muhammad Ali Pate
- Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, United States
| | | | | | | | - John Thwaites
- Monash Sustainable Development Institute, Monash University, Clayton, VIC, Australia
| | | | - Chen Wang
- National Clinical Research Center for Respiratory Diseases, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China; National Clinical Research Center for Respiratory Diseases, China-Japan Friendship Hospital, Beijing, China
| | | | - Lan Xue
- Schwarzman College, Tsinghua University, Beijing, China
| | - Chandrika Bahadur
- The Lancet COVID-19 Commission Regional Task Force: India, New Delhi, India
| | - Maria Elena Bottazzi
- National School of Tropical Medicine, Baylor College of Medicine, Houston, TX, United States
| | - Chris Bullen
- National Institute for Health Innovation, University of Auckland, Auckland, New Zealand
| | | | - Yanis Ben Amor
- Center for Sustainable Development, Columbia University, New York, NY, United States
| | - Ozge Karadag
- Center for Sustainable Development, Columbia University, New York, NY, United States
| | | | - Emma Torres
- United Nations Sustainable Development Solutions Network, New York, NY, United States
| | - Lauren Barredo
- United Nations Sustainable Development Solutions Network, New York, NY, United States
| | - Juliana G E Bartels
- Center for Sustainable Development, Columbia University, New York, NY, United States
| | - Neena Joshi
- United Nations Sustainable Development Solutions Network, New York, NY, United States
| | | | | | | | - Jeffrey V Lazarus
- Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain
| | - Susan Michie
- Centre for Behaviour Change, University College London, London, UK
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38
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Borau S, Couprie H, Hopfensitz A. The prosociality of married people: Evidence from a large multinational sample. JOURNAL OF ECONOMIC PSYCHOLOGY 2022; 92:102545. [PMID: 35757085 PMCID: PMC9212567 DOI: 10.1016/j.joep.2022.102545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 06/08/2022] [Accepted: 06/16/2022] [Indexed: 05/26/2023]
Abstract
Single people are more likely to die from COVID-19. Here we study whether this higher death rate could be partly explained by differences in compliance with protective health measures against COVID-19 between single and married people, and the drivers of this marital compliance gap. Data collected from 46,450 respondents in 67 countries reveal that married people are more likely to comply with protective measures than single people. This marital gap in compliance is higher for men (approximately 5%) than for women (approximately 2%). These results are robust across a large range of countries and independent of country level differences with respect to culture, values or infection rates. Prosocial characteristics linked to morality and social belonging explain more than 38% of the marital gap, while individual risk perceptions play a minor role. These findings help explain single people's and particularly single men's greater vulnerability to COVID-19, which in turn can be leveraged to improve the effectiveness of international public policy campaigns aimed at promoting protective health measures.
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Affiliation(s)
- Sylvie Borau
- Toulouse Business School, 20 Bd Lascrosses, 31068 Toulouse, France
| | - Hélène Couprie
- LEST-CNRS Aix-Marseille University, 35 Av. Jules Ferry, 13626 Aix-en-Provence, France
| | - Astrid Hopfensitz
- EMLyon business school and GATE, 23 Av. Guy de Collongue, 69130 Écully, France
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39
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Umer H. Does pro-sociality or trust better predict staying home behavior during the Covid-19? JOURNAL OF BEHAVIORAL AND EXPERIMENTAL ECONOMICS 2022; 100:101926. [PMID: 35975104 PMCID: PMC9372020 DOI: 10.1016/j.socec.2022.101926] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 06/25/2022] [Accepted: 08/09/2022] [Indexed: 06/15/2023]
Abstract
Voluntary compliance of preventive and mitigation measures due to social concerns can play a crucial role in slowing down the spread of the Covid-19. The existing economic models for disease spread however do not direct a lot of focus on the possible role of pro-social behavior and general trust in predicting preventive behaviors amid the Covid-19. Therefore, this study analyzes whether pro-sociality and general trust measured in the short run (2020 and 2019) and in the long run (2015 and 2010) predict attitudes towards the stay home behavior and the intended stay home behavior in case the government mandates it due to the Covid-19 in the Netherlands. The results suggest that these preferences positively influence attitudes towards staying home behavior. However, trust in comparison to pro-sociality is a stable and robust predictor of stay home attitudes both in the short as well as long run. On the other hand, neither trust nor pro-sociality influences the intended stay home behavior in case the government mandates the lockdown, and it is most likely due to the timing of the survey coinciding with a significant drop in the Covid-19 infections and easing out of the lockdown restrictions by the Dutch government.
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Affiliation(s)
- Hamza Umer
- Institute of Economic Research (IER), Hitotsubashi University, Tokyo, Japan
- International Research Fellow, Japan Society for the Promotion of Science (JSPS), Tokyo, Japan
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40
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Ludwig J, Strack F. Asymmetrical friendships? People are willing to risk COVID-19 infection from friends but are reluctant to pass it on to them. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2022; 53:JASP12927. [PMID: 36249315 PMCID: PMC9539111 DOI: 10.1111/jasp.12927] [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: 03/03/2022] [Revised: 08/28/2022] [Accepted: 09/09/2022] [Indexed: 11/29/2022]
Abstract
Although most protective behaviors related to the COVID-19 pandemic come with personal costs, they will produce the largest benefit if everybody cooperates. This study explores two interacting factors that drive cooperation in this tension between private and collective interests. A preregistered experiment (N = 299) examined (a) how the quality of the relation among interacting partners (social proximity), and (b) how focusing on the risk of self-infection versus onward transmission affected intentions to engage in protective behaviors. The results suggested that risk focus was an important moderator of the relation between social proximity and protection intentions. Specifically, participants were more willing to accept the risk of self-infection from close others than from strangers, resulting in less caution toward a friend than toward a distant other. However, when onward transmission was the primary concern, participants were more reluctant to effect transmission to close others, resulting in more caution toward friends than strangers. These findings inform the debate about effective nonclinical measures against the pandemic. Practical implications for risk communication are discussed.
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Affiliation(s)
- Jonas Ludwig
- Institute for PsychologyJulius‐Maximilians‐Universität WürzburgWürzburgGermany
- Coller School of ManagementTel Aviv UniversityTel AvivIsrael
| | - Fritz Strack
- Institute for PsychologyJulius‐Maximilians‐Universität WürzburgWürzburgGermany
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41
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Collier T, Cotten S, Roush J. Using Pandemic Behavior to Test the External Validity of Laboratory Measurements of Risk Aversion and Guilt. JOURNAL OF BEHAVIORAL AND EXPERIMENTAL ECONOMICS 2022; 101:101938. [PMID: 36101558 PMCID: PMC9458551 DOI: 10.1016/j.socec.2022.101938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 05/02/2022] [Accepted: 09/07/2022] [Indexed: 06/15/2023]
Abstract
We test whether laboratory measures of individual preferences for risk and guilt relate to risk-connected behaviors in a pandemic, such as socializing, dining in at restaurants, and hand washing. We utilize a survey administrated to a nationally representative subject pool in the United States in April, 2020 - the month following the declaration of a national state of emergency in response to the global outbreak of COVID-19. We find that higher levels of risk aversion are associated with risk-reducing behaviors during the COVID-19 pandemic. Meanwhile, we do not find strong evidence that guilt relates to the same behavior.
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42
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Singh Solorzano C, Panasiti MS, Di Pucchio A, Grano C. The Impact of Positivity and Parochial Altruism on Protective Behaviours during the First COVID-19 Lockdown in Italy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10153. [PMID: 36011788 PMCID: PMC9408185 DOI: 10.3390/ijerph191610153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 08/09/2022] [Accepted: 08/14/2022] [Indexed: 06/15/2023]
Abstract
Implementation of COVID-19 protective behaviours, such as social distancing or frequent hand washing during the lockdown, was critical to prevent the spread of the COVID-19 pandemic. In this cross-sectional study, we examined the effect of positivity and parochial altruism on implementing COVID-19 health-protective behaviours during the Italian lockdown. A sample of 460 participants completed an online questionnaire that included demographic measures, Positivity Scale and COVID-19 measures of health-protective behaviours. To measure parochial altruism, we used a hypothetical dictator game played with others who could vary in their social distance from the participants. Results showed that participants in the hypothetical game gave more money to parents and siblings than to best friends, cousins, neighbours, and strangers. Furthermore, both positivity and parochial altruism (more altruism toward close vs. distant people) were positively associated with implementing hygiene behaviours but not with social distancing. Finally, mediation analysis showed that increases in parochial altruism mediated the effect of positivity on hygiene behaviour. These findings extend knowledge about the factors beyond the implementation of COVID-19 health-protective behaviours during a lockdown situation.
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Affiliation(s)
| | - Maria Serena Panasiti
- Department of Psychology, Sapienza University, 00185 Rome, Italy
- IRCSS, Santa Lucia Foundation, 00142 Rome, Italy
| | | | - Caterina Grano
- Department of Psychology, Sapienza University, 00185 Rome, Italy
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43
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Ewuoso C, Obengo T, Atuire C. Solidarity, Afro-communitarianism, and COVID-19 vaccination. J Glob Health 2022; 12:03046. [PMID: 35938906 PMCID: PMC9360628 DOI: 10.7189/jogh.12.03046] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Cornelius Ewuoso
- Steve Biko Centre for Bioethics, University of Witwatersrand, Johannesburg, South Africa
| | - Tom Obengo
- Department of Medicine, University of Cape Town, Cape Town, South Africa
| | - Caesar Atuire
- Department of Philosophy and Classics, University of Ghana, Accra, Ghana.,Nuffield Department of Medicine, University of Oxford, Oxford, UK
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44
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Yu Y, Luo S, Mo PKH, Wang S, Zhao J, Zhang G, Li L, Li L, Lau JTF. Prosociality and Social Responsibility Were Associated With Intention of COVID-19 Vaccination Among University Students in China. Int J Health Policy Manag 2022; 11:1562-1569. [PMID: 34273931 PMCID: PMC9808345 DOI: 10.34172/ijhpm.2021.64] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 06/03/2021] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) vaccination is expected to end the pandemic; a high coverage rate is required to meet this end. This study aimed to investigate the prevalence of behavioral intention of free/self-paid COVID-19 vaccination and its associations with prosociality and social responsibility among university students in China. METHODS An anonymous online cross-sectional survey was conducted among 6922 university students in five provinces in China during November 1-28, 2020. With informed consent, participants filled out an online survey link distributed to them via WeChat study groups. The response rate was 72.3%. RESULTS The prevalence of behavioral intentions of free COVID-19 vaccination was 78.1%, but it dropped to 57.7% if the COVID-19 vaccination involved self-payment (400 RMB; around 42 USD). After adjusting for background factors, prosociality (free vaccination: adjusted odds ratio [ORa] = 1.10, 95% CI: 1.09-1.12; self-paid vaccination: ORa = 1.08, 95% CI: 1.07-1.09) and social responsibility (free vaccination: ORa = 1.17, 95% CI: 1.14-1.19; self-paid vaccination: ORa = 1.13, 95% CI: 1.11-1.14) were positively associated with the two variables of COVID-19 vaccination intention. CONCLUSION The present study demonstrated the positive effects of prosociality and social responsibility on the intention of COVID-19 vaccination. Accordingly, modification of prosociality and social responsibility can potentially improve COVID-19 vaccination. Future longitudinal and intervention studies are warranted to confirm such associations across populations and countries.
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Affiliation(s)
- Yanqiu Yu
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Sitong Luo
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Phoenix Kit-han Mo
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
| | - Suhua Wang
- Graduate School of Baotou Medical College, Baotou Medical College, Baotou, China
| | - Junfeng Zhao
- Department of Psychology, School of Education, Henan University, Kaifeng, China
| | - Guohua Zhang
- Department of Psychology, School of Psychiatry, Wenzhou Medical University, Wenzhou, China
| | - Lijuan Li
- School of Public Health, Dali University, Dali, China
| | - Liping Li
- Shantou University Medical College, Shantou, China
| | - Joseph Tak-fai Lau
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
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Hanson CK, Liu K. Think about your friends and family: The disparate impacts of relationship-centered messages on privacy concerns, protective health behavior, and vaccination against Covid-19. PLoS One 2022; 17:e0270279. [PMID: 35862307 PMCID: PMC9302763 DOI: 10.1371/journal.pone.0270279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 06/07/2022] [Indexed: 11/18/2022] Open
Abstract
Objective
To understand which factors affect how willing people are to share their personal information to combat the Covid-19 pandemic, and compare them to factors that affect other public health behaviors.
Method
We analyze data from three pre-registered online experiments conducted over eight months during the Covid-19 pandemic in the United States (April 3 2020 –November 25, 2020). Our primary analysis tests whether support for data sharing and intention to practice protective behavior increase in response to relationship-centered messages about prosociality, disease spread, and financial hardship. We then conduct a secondary correlational analysis to compare the demographic and attitudinal factors associated with willingness to share data, protective behavior, and intent to get vaccinated. Our sample (N = 650) is representative to socio-demographic characteristics of the U.S. population.
Results
We find the altruistic condition increased respondents’ willingness to share data. In our correlational analysis, we find interactive effects of political ID and socio-demographic traits on likelihood to share data. In contrast, we found health behavior was most strongly associated with political ID, and intent to vaccinate was more associated with socio-demographic traits.
Conclusions
Our findings suggest that some public health messaging, even when it is not about data sharing or privacy, may increase public willingness to share data. We also find the role of socio-demographic factors in moderating the effect of political party ID varies by public health behavior.
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Affiliation(s)
- Clara K. Hanson
- Department of Sociology, University of California, Los Angeles, Los Angeles, California, United States of America
- * E-mail: (KL); (CKH)
| | - Kayuet Liu
- Department of Sociology, University of California, Los Angeles, Los Angeles, California, United States of America
- California Center for Population Research, University of California, Los Angeles, Los Angeles, California, United States of America
- Riken Center for Brain Science, Wako, Japan
- * E-mail: (KL); (CKH)
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Predictors of COVID-19 Vaccine Intention: Evidence from Chile, Mexico, and Colombia. Vaccines (Basel) 2022; 10:vaccines10071129. [PMID: 35891293 PMCID: PMC9318622 DOI: 10.3390/vaccines10071129] [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: 06/01/2022] [Revised: 07/01/2022] [Accepted: 07/08/2022] [Indexed: 02/04/2023] Open
Abstract
(1) Background: Although the evidence is consistent that vaccines for COVID-19 effectively prevent severe illness or death, the rapid development of vaccines has led to increased beliefs about possible negative consequences and conspiracy theories about the vaccine. Several factors influence whether or not people decide to be vaccinated. Some studies suggest that our perception of what significant others do and think influences our behavior. (2) Methods: This study evaluates the predictive role of beliefs about negative consequences of the COVID-19 vaccine, conspiracy beliefs about this vaccine, and social influence on the intention to vaccinate against COVID-19 in three Latin American and Caribbean countries: Chile, Mexico, and Colombia. Using convenience sampling, 2075 adults from Chile (48.3%), Mexico (27.6%), and Colombia (24.6%) participated by answering an online questionnaire with variables of interest. (3) Results: Despite the differences between countries, the results showed that the proposed model is invariant and explains between 56–66% of the COVID-19 vaccination intent. Specifically, controlling for age, socioeconomic status, political orientation, and educational level, we found that beliefs about the negative consequences of the COVID-19 vaccine were the main predictor followed by social influence. Beliefs in conspiracy theories did not predict vaccination intention (4) Conclusions: Considering these variables in campaigns to boost vaccination intention is discussed.
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Fang X, Freyer T, Ho CY, Chen Z, Goette L. Prosociality predicts individual behavior and collective outcomes in the COVID-19 pandemic. Soc Sci Med 2022; 308:115192. [PMID: 35870298 PMCID: PMC9262678 DOI: 10.1016/j.socscimed.2022.115192] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 06/29/2022] [Accepted: 07/01/2022] [Indexed: 11/17/2022]
Abstract
The COVID-19 pandemic induces a social dilemma: engaging in preventive health behaviors is costly for individuals but generates benefits that also accrue to society at large. The extent to which individuals internalize the social impact of their actions may depend on their prosociality, i.e. the willingness to behave in a way that mostly benefits other people. We conduct a nationally representative online survey in Germany (n = 5843) to investigate the role of prosociality in reducing the spread of COVID-19 during the second coronavirus wave. At the individual level, higher prosociality is strongly positively related to compliance with public health behaviors such as mask wearing and social distancing. A one standard deviation (SD) increase in prosociality is associated with a 0.3 SD increase in compliance (p < 0.01). At the regional (NUTS-2) level, a one SD higher average prosociality is associated with an 11% lower weekly incidence rate (p < 0.01), and a 2%p lower weekly growth rate (p < 0.01) of COVID-19 cases, controlling for a host of demographic and socio-economic factors. This association is driven by higher compliance with public health behaviors in regions with higher prosociality. Our correlational results thus support the common notion that voluntary behavioral change plays a vital role in fighting the pandemic and, more generally, that social preferences may determine collective action outcomes of a society.
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Affiliation(s)
- Ximeng Fang
- Saïd Business School, University of Oxford, OX1 1HP, Oxford, United Kingdom.
| | - Timo Freyer
- Department of Economics, University of Bonn, 53113, Bonn, Germany.
| | - Chui-Yee Ho
- Department of Economics, University of Bonn, 53113, Bonn, Germany.
| | - Zihua Chen
- National University of Singapore, 119077, Singapore
| | - Lorenz Goette
- Department of Economics, University of Bonn, 53113, Bonn, Germany; National University of Singapore, 119077, Singapore
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Understanding the coevolution of mask wearing and epidemics: A network perspective. Proc Natl Acad Sci U S A 2022; 119:e2123355119. [PMID: 35733262 PMCID: PMC9245665 DOI: 10.1073/pnas.2123355119] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Nonpharmaceutical interventions (NPIs) such as mask wearing can be effective in mitigating the spread of infectious diseases. Therefore, understanding the behavioral dynamics of NPIs is critical for characterizing the dynamics of disease spread. Nevertheless, standard infection models tend to focus only on disease states, overlooking the dynamics of "beneficial contagions," e.g., compliance with NPIs. In this work, we investigate the concurrent spread of disease and mask-wearing behavior over multiplex networks. Our proposed framework captures both the competing and complementary relationships between the dueling contagion processes. Further, the model accounts for various behavioral mechanisms that influence mask wearing, such as peer pressure and fear of infection. Our results reveal that under the coupled disease-behavior dynamics, the attack rate of a disease-as a function of transition probability-exhibits a critical transition. Specifically, as the transmission probability exceeds a critical threshold, the attack rate decreases abruptly due to sustained mask-wearing responses. We empirically explore the causes of the critical transition and demonstrate the robustness of the observed phenomena. Our results highlight that without proper enforcement of NPIs, reductions in the disease transmission probability via other interventions may not be sufficient to reduce the final epidemic size.
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Exploring the Impacts of Preventative Health Behaviors with Respect to COVID-19: An Altruistic Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137573. [PMID: 35805228 PMCID: PMC9265907 DOI: 10.3390/ijerph19137573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 06/20/2022] [Accepted: 06/20/2022] [Indexed: 12/02/2022]
Abstract
This study aims to explore the impact of gender and anxiety on various preventative health behaviors, and the relationships among these preventative health behaviors, individual well-being and depression, from the perspective of altruism. This study employed an online questionnaire survey, and 136 males and 204 females participated in the survey. The results of this study showed that females exhibited better preventative health behaviors than males, including hygiene habits, social distancing and behaviors intended to help others mitigate the epidemic. Anxiety regarding COVID-19 infection encouraged individuals to adopt hygienic habits and social distancing measures rather than to help others mitigate the epidemic. Hygiene habits improved the individual’s psychological well-being. Helping others mitigate the epidemic improved the individual’s psychological well-being and social well-being and contributed to reducing individual depression. However, the preventative health behavior involved in social distancing was not conducive to emotional well-being or social well-being. Affective elements are related to individual behaviors. Therefore, the use of prosocial, altruistic language may play an important role with respect to encouraging people to comply with preventative health behaviors in the context of COVID-19. In addition, it is worth noting that different preventative health behaviors may have different effects on people’s mental health, especially when implementing social distancing-related epidemic mitigation behaviors. The question of how to prevent negative psychological effects in restricted actors must be answered, and the degree of life satisfaction experienced by those actors must also be taken into account.
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Ewuoso C, Berkman B, Wonkam A, de Vries J. Should institutions fund the feedback of individual findings in genomic research? JOURNAL OF MEDICAL ETHICS 2022:medethics-2021-107992. [PMID: 35710317 DOI: 10.1136/medethics-2021-107992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 05/31/2022] [Indexed: 06/15/2023]
Abstract
The article argues the thesis that institutions have a prima facie obligation to fund the feedback of individual findings in genomic research conducted on the African continent by drawing arguments from an underexplored Afro-communitarian view of distributive justice and rights of researchers to be aided. Whilst some studies have explored how institutions have a duty to support return as a form of ancillary care or additional foreseeable service in research by mostly appealing to dominant principles and theories in the Global North, this mostly normative study explores this question by appealing to underexplored African philosophy. This is a new way of thinking about institutional responsibility to fund feedback and responds to the call to decolonise health research in Africa. Further studies are required to study how this prima facie obligation will interact with social contexts and an institution's extant relationships to find an actual duty. The research community should also work out procedures, policies and governance structures to facilitate feedback. In our opinion, though the impacts of feeding back can inform how institutions think about their actual duty, these do not obliterate the binding duty to fund feedback.
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Affiliation(s)
- Cornelius Ewuoso
- Steve Biko Centre for Bioethics, University of the Witwatersrand Faculty of Health Sciences, Johannesburg, Gauteng, South Africa
| | - Benjamin Berkman
- Department of Bioethics, National Institutes of Health, Bethesda, Maryland, USA
| | - Ambroise Wonkam
- Division of Human Genetics, University of Cape Town, Cape Town, South Africa
- McKusick-Nathans Institute and Department of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Jantina de Vries
- Department of Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
- Neuroscience Institute, University of Cape Town, Cape Town, South Africa
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