| Literature DB >> 32836438 |
Bibing Dai1, Di Fu2, Guangteng Meng2, Bingsheng Liu3, Qi Li2, Xun Liu2.
Abstract
The COVID-19 pandemic has plunged the world into a crisis. To contain this crisis, it is essential to build full cooperation between the government and the public. However, it is unclear which governmental and individual factors are determinants and how they interact with protective behaviors against COVID-19. To resolve this issue, this study builds a multiple mediation model. Findings show that government emergency public information such as detailed pandemic information and positive risk communication had greater impact on protective behaviors than rumor refutation and supplies. Moreover, governmental factors may indirectly affect protective behaviors through individual factors such as perceived efficacy, positive emotions, and risk perception. These findings suggest that systematic intervention programs for governmental factors need to be integrated with individual factors to achieve effective prevention and control of COVID-19 among the public.Entities:
Year: 2020 PMID: 32836438 PMCID: PMC7276878 DOI: 10.1111/puar.13236
Source DB: PubMed Journal: Public Adm Rev ISSN: 0033-3352
Figure 1The Hypothesized Model for Predicting Protective Behaviors
Survey on COVID‐19
| Factors | Items |
|---|---|
|
| |
| Detailed pandemic information | Suspected numbers, infected numbers, critically ill numbers, and death toll in different regions are officially announced every day. 1 (strongly disagree) to 7 (strongly agree) |
| Confirmed patient's recent movements are officially published as soon as possible. 1 (strongly disagree) to 7 (strongly agree) | |
| Positive risk communication | A lot of information about medical staff and supplies brought from other areas to the front line is officially announced. 1 (strongly disagree) to 7 (strongly agree) |
| Rumor refutation | Fake news is officially refuted in time. 1 (strongly disagree) to 7 (strongly agree) |
| Supplies | Medical staff are sufficient in your current country or region. 1 (strongly disagree) to 7 (strongly agree) |
| Medical supplies are sufficient in your current country or region. 1 (strongly disagree) to 7 (strongly agree) | |
| Living supplies are sufficient in your current country or region. 1 (strongly disagree) to 7 (strongly agree) | |
| Mental health support is sufficient in your current country or region. 1 (strongly disagree) to 7 (strongly agree) | |
| Patients are treated on time during the pandemic. 1 (strongly disagree) to 7 (strongly agree) | |
|
| |
| Perceived efficacy | I believe the pandemic will be fully controlled in the foreseeable future. 1 (strongly disagree) to 7 (strongly agree) |
| I am confident that the pandemic will be overcome. 1 (strongly disagree) to 7 (strongly agree) | |
| To cope with the pandemic, I can discriminate between true information and rumors about COVID‐19. 1 (strongly disagree) to 7 (strongly agree) | |
| To combat the pandemic, I do not post or forward any messages that have not been officially confirmed about COVID‐19. 1 (strongly disagree) to 7 (strongly agree) | |
| Positive emotions | In the last 10 days, what intensity of gratitude have you experienced? 1 (very low) to 7 (very high) |
| In the last 10 days, what intensity of hope have you experienced? 1 (very low) to 7 (very high) | |
| Risk perception | In your opinion, how contagious is COVID‐19? 1 (very low) to 7 (very high) |
|
| |
| Preventive | When I leave my home now, I usually wear a face mask. 1 (strongly disagree) to 7 (strongly agree) |
| When I return home from outside, I disinfect myself with alcohol spray or sanitizer. 1 (strongly disagree) to 7 (strongly agree) | |
| Avoidant | I will not go out until the pandemic is over unless I have to. 1 (strongly disagree) to 7 (strongly agree) |
| Management of illness | As soon as COVID‐19 preventive and treatment medications appear on the market, I will pay for them immediately. 1 (strongly disagree) to 7 (strongly agree) |
| I usually get medical information and prevention measures about COVID‐19. 1 (strongly disagree) to 7 (strongly agree) | |
Demographics of Participants
| Sample Size (N = 1,022) | Percent (%) | |
|---|---|---|
| Gender | ||
| Male | 409 | 40.0 |
| Female | 613 | 60.0 |
| Age | ||
| 18–25 | 458 | 44.8 |
| 26–35 | 279 | 27.3 |
| 36–45 | 152 | 14.9 |
| 46–61 | 120 | 11.7 |
| unknown | 13 | 1.3 |
| Education background | ||
| High school or lower | 136 | 13.3 |
| College/technical school | 81 | 7.9 |
| University bachelor's degree | 461 | 45.1 |
| Master's degree or higher | 344 | 33.7 |
| Career background | ||
| Student | 470 | 46.0 |
| Medical staff | 53 | 5.2 |
| Teacher/lawyer/civil servant | 181 | 17.7 |
| Manager/office clerk | 140 | 13.7 |
| Factory worker/agricultural worker | 53 | 5.2 |
| Subcontractor/service employee | 31 | 3.0 |
| Other | 94 | 9.2 |
Means, Standard Deviations, and Correlation Matrix of Predictive Factors
| Factors | M ± SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 Detailed pandemic information | 12.44 ± 2.13 | 1 | |||||||||
| 2 Positive risk communication | 5.87 ± 1.32 | .32 | 1 | ||||||||
| 3 Rumor refutation | 5.24 ± 1.57 | .22 | .41 | 1 | |||||||
| 4 Supplies | 21.27 ± 6.38 | .08 | .30 | .41 | 1 | ||||||
| 5 Perceived efficacy | 23.22 ± 3.86 | .40 | .45 | .48 | .35 | 1 | |||||
| 6 Positive emotions | 10.50 ± 2.80 | .20 | .37 | .35 | .24 | .44 | 1 | ||||
| 7 Risk perception | 6.36 ± 1.04 | .26 | .17 | .11 | .03 | .17 | .19 | 1 | |||
| 8 Preventive behaviors | 12.61 ± 1.97 | .29 | .31 | .19 | .08 | .27 | .20 | .21 | 1 | ||
| 9 Avoidant behaviors | 5.76 ± 1.49 | .25 | .38 | .25 | .14 | .24 | .24 | .16 | .42 | 1 | |
| 10 Management of disease | 10.74 ± 2.31 | .24 | .28 | .24 | .19 | .29 | .24 | .15 | .48 | .29 | 1 |
*p < .05; **p < .01.
Figure 2Standardized Estimates of the Predicting Model. *p < .05; **p < .01; ***p < .001.
Total, Direct, and Indirect Effects of Government Emergency Public Information on Protective Behaviors
| Effects of Predictors | β | Bias‐Correlated 95% CI |
|---|---|---|
| 1 Detailed pandemic information | ||
| TE | .268 | [.189, .348] |
| DE | .202 | [.119, .286] |
| IE | .066 | [.037, .101] |
| 2 Positive risk communication | ||
| TE | .365 | [.276, .455] |
| DE | .296 | [.201, .394] |
| IE | .069 | [.039, .104] |
| 3 Rumor refutation | ||
| TE | .058 | [.032, .092] |
| DE | — | — |
| IE | .058 | [.032, .092] |
| 4 Supplies | ||
| TE | .027 | [.012, .048] |
| DE | — | — |
| IE | .027 | [.012, .048] |
Notes: All the estimates provided in the table are standardized estimates. TE = total effect; DE = direct effect; IE = indirect effect; CI = confidence interval.
*p < .05; **p < .01; ***p < .001.
Standardized Indirect Effects and 95% Confidence Intervals
| Model Pathways | β | Bias‐Correlated 95% CI |
|---|---|---|
| Detailed pandemic information → perceived efficacy → protective behaviors | .033 | [.010, .056] |
| Positive risk communication → perceived efficacy → protective behaviors | .021 | [.005, .036] |
| Rumor refutation → perceived efficacy → protective behaviors | .030 | [.009, .051] |
| Supplies → perceived efficacy → protective behaviors | .017 | [.003, .032] |
| Positive risk communication → positive emotions→ protective behaviors | .028 | [.005, .052] |
| Rumor refutation → positive emotions → protective behaviors | .022 | [.002, .042] |
| Supplies → positive emotions → protective behaviors | .008 | [−.002, .017] |
| Positive risk communication → positive emotions → perceived efficacy → protective behaviors | .008 | [.002, .014] |
| Rumor refutation → positive emotions → perceived efficacy → protective behaviors | .006 | [.002, .011] |
| Supplies → positive emotions → perceived efficacy → protective behaviors | .002 | [0, .005] |
| Detailed pandemic information → risk perception → protective behaviors | .033 | [.010, .055] |
| Positive risk communication → risk perception → protective behaviors | .013 | [−.002, .027] |
Note: All the estimates provided in the table are standardized estimates.
*p < .05; **p < .01; ***p < .001.