| Literature DB >> 36083998 |
Nicole J Saam1, Carmen Friedrich2, Henriette Engelhardt2,3.
Abstract
In the name of health security, individual freedoms were constrained in an unprecedented way in many countries, democratic or authoritarian, all over the world during the COVID-19 pandemic. Yet the constraints have not been consistent across countries, which motivates this paper to examine the relevance of value preferences towards freedom or security in the society for COVID-19 policies. Based on data for 40 democratic and authoritarian countries, the analyses show that the variation in the stringency of COVID-19 policies can be explained by value preferences of the population only in autocracies. In democracies, however, we do not find such a relationship. Governments in democratic political systems, we argue, are responsive to their constitutions and face prosecution by the judiciary if they violate the law or provisions of the constitution, limiting their capacity to implement strong COVID-19 policies. Nevertheless, their COVID-19 policies restricted citizens' freedoms and liberties, which means that these policies were rather not responsive to citizens' preferences for freedom, democratic rights and liberties. By highlighting how autocracies respond to their citizens' value preferences for security, this paper contributes to a better understanding of how autocracies might gain legitimacy in times of crises.Entities:
Mesh:
Year: 2022 PMID: 36083998 PMCID: PMC9462556 DOI: 10.1371/journal.pone.0274270
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.752
Descriptive statistics for all variables included in the analysis.
| All countries | Democracies | Autocracies | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N. of time points | Mean | Std. Dev. | Range | N. of time points | Mean | Std. Dev. | Range | N. of time points | Mean | Std. Dev. | Range | |
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| Stringency Index | 6,040 | 56.87 | 32.62 | 0.00;100.00 | 3,020 | 56.32 | 32.20 | 0.00;100.00 | 3,020 | 57.41 | 33.03 | 0.00;100.00 |
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| Infection cases per million | 4,918 | 14.19 | 34.36 | -19.21;351.92 | 2,498 | 20.51 | 45.22 | -19.21;351.92 | 2,420 | 7.66 | 14.30 | 0;87.68 |
| Average stringency index | 6,040 | 53.28 | 27.65 | 6.02;79.65 | 3,020 | 53.28 | 27.65 | 6.02;79.65 | 3,020 | 53.28 | 27.65 | 6.02;79.65 |
| N. of countries | Mean | Std. Dev. | Range | N. of countries | Mean | Std. Dev. | Range | N. of countries | Mean | Std. Dev. | Range | |
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| Freedom vs. security | 40 | 30.86 | 14.35 | 4.20;70.94 | 20 | 33.61 | 15.91 | 4.20;70.94 | 20 | 28.12 | 12.40 | 6.64;55.66 |
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| GDP (logged) | 40 | 9.66 | 0.82 | 7.75;11.09 | 20 | 10.05 | 0.70 | 8.58;11.09 | 20 | 9.28 | 0.75 | 7.75;10.29 |
| Hospital beds per 1000 people | 40 | 3.31 | 2.99 | 0.30;13.05 | 20 | 3.85 | 3.59 | 0.50;13.05 | 20 | 2.77 | 2.19 | 0.30;8.05 |
| Health care expenditures | 40 | 6.63 | 2.88 | 2.27;17.06 | 20 | 7.92 | 3.10 | 2.99;17.06 | 20 | 5.34 | 1.97 | 2.27;8.65 |
| Liberal Democracy Index | 40 | 40.11 | 26.24 | 4.30;84.60 | 20 | 62.81 | 15.96 | 35.90;84.60 | 20 | 17.41 | 8.57 | 4.30;29.10 |
| Old population (% of population) | 40 | 13.06 | 7.12 | 4.47;32.80 | 20 | 16.14 | 7.56 | 4.47;32.80 | 20 | 9.97 | 5.18 | 4.85;24.29 |
| Diabetes prevalence | 40 | 8.60 | 3.60 | 3.10;19.90 | 20 | 7.60 | 2.51 | 3.10;13.50 | 20 | 9.60 | 4.26 | 4.30;19.90 |
| Obesity prevalence | 40 | 19.71 | 10.12 | 2.10;37.30 | 20 | 21.93 | 9.37 | 4.40;37.30 | 20 | 17.50 | 10.59 | 2.10;33.40 |
Fig 1Stringency Index between February 01 to June 30, 2020.
For countries with a high individual appreciation of freedom versus security and countries with a low individual appreciation of freedom versus security (median split: high = at least 31.56%, low = less than 31.56%); for all countries, and separately for democracies and autocracies. Notes: All countries: high: n = 20, low: n = 20; Democracies: high: n = 11, low: n = 9; Autocracies: high: n = 9, low: n = 11.
Fig 2Random effects models for the Stringency Index.
Notes: Coefficients are statistically significant if the 95% confidence intervals do not cover zero. Full regression tables are shown in Tables 2 and 3 (model 5).
Random effects models for the Stringency Index, all countries (n = 40).
| (1) | (2) | (3) | (4) | (5) | (6) | |
|---|---|---|---|---|---|---|
| Freedom vs. security | -0.20 | -0.21 | -0.10 | -0.21 | -0.14 | -0.12 |
| (0.12) | (0.13) | (0.14) | (0.13) | (0.14) | (0.18) | |
| GDP (logged) | 0.46 | 3.31 | 3.93 | |||
| (2.31) | (3.11) | (5.76) | ||||
| Hospital beds per 1000 people | -0.89 | -1.44+ | -0.26 | |||
| (0.70) | (0.78) | (1.19) | ||||
| Health care expenditures | -0.51 | -0.99 | -1.69 | |||
| (0.60) | (0.68) | (1.16) | ||||
| Liberal Democracy Index | 0.01 | 0.06 | 0.09 | |||
| (0.07) | (0.09) | (0.13) | ||||
| Infection cases per million | 0.10 | |||||
| (0.01) | ||||||
| Average Stringency Index | 0.81 | |||||
| (0.01) | ||||||
| Old population (% of population) | -0.70 | |||||
| (0.67) | ||||||
| Diabetes prevalence | -0.66 | |||||
| (0.69) | ||||||
| Obesity prevalence | 0.08 | |||||
| (0.32) | ||||||
| Constant | 62.96 | 58.77 | 67.39 | 62.69 | 39.42 | 3.09 |
| (4.09) | (21.21) | (4.77) | (4.37) | (26.67) | (46.06) | |
| Adj. overall R2 | 0.01 | 0.01 | 0.02 | 0.01 | 0.02 | 0.58 |
| BIC | 59,218.0 | 59,226.0 | 59,183.5 | 59,226.0 | 59,154.7 | 41,773.3 |
| Number of countries | 40 | 40 | 40 | 40 | 40 | 40 |
| Number of observations | 6,040 | 6,040 | 6,040 | 6,040 | 6,040 | 4,918 |
Standard errors in parentheses
*** p < 0.001
** p < 0.01
* p < 0.05
+ p < 0.1
Random effects models for the Stringency Index, democracies (n = 20) and autocracies (n = 20).
| Democracies | Autocracies | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (1) | (2) | (3) | (4) | (5) | (6) | (1) | (2) | (3) | (4) | (5) | (6) | |
| Freedom vs. security | -0.09 | 0.22+ | 0.02 | 0.06 | 0.18 | 0.09 | -0.38 | -0.35 | -0.39 | -0.44 | -0.51 | -0.76 |
| (0.12) | (0.13) | (0.14) | (0.13) | (0.18) | (0.28) | (0.24) | (0.24) | (0.22) | (0.22) | (0.19) | (0.29) | |
| GDP (logged) | -9.93 | -7.53 | -6.97 | 3.56 | -1.08 | -6.02 | ||||||
| (3.01) | (5.63) | (10.36) | (4.06) | (3.75) | (8.24) | |||||||
| Hospital beds per 1000 people | -0.55 | -0.29 | 1.54 | -3.18* | -3.67 | 2.37 | ||||||
| (0.74) | (0.76) | (1.46) | (1.42) | (1.18) | (2.07) | |||||||
| Health care expenditures | -1.12* | -0.44 | -0.78 | 1.04 | 2.22+ | -4.20* | ||||||
| (0.48) | (0.67) | (1.06) | (1.29) | (1.34) | (2.08) | |||||||
| Liberal Democracy Index | -0.26* | 0.02 | -0.06 | 0.69* | 0.90 | 1.25 | ||||||
| (0.13) | (0.17) | (0.26) | (0.32) | (0.29) | (0.39) | |||||||
| Infection cases per million | 0.09 | 0.15 | ||||||||||
| (0.01) | (0.02) | |||||||||||
| Average Stringency Index | 0.80 | 0.82 | ||||||||||
| (0.01) | (0.01) | |||||||||||
| Old population (% of population) | -0.84 | 0.67 | ||||||||||
| (0.80) | (1.07) | |||||||||||
| Diabetes prevalence | -0.47 | -0.41 | ||||||||||
| (1.29) | (0.87) | |||||||||||
| Obesity prevalence | 0.63 | -0.11 | ||||||||||
| (0.50) | (0.45) | |||||||||||
| Constant | 59.21 | 148.74 | 64.44 | 70.77 | 128.52 | 90.28 | 68.11 | 34.30 | 82.53 | 57.82 | 79.46 | 86.08 |
| (4.37) | (27.32) | (4.61) | (7.05) | (45.96) | (79.97) | (7.38) | (39.31) | (10.09) | (8.24) | (35.00) | (70.32) | |
| Adj. overall R2 | 0.00 | 0.02 | 0.02 | 0.01 | 0.02 | 0.68 | 0.02 | 0.02 | 0.05 | 0.05 | 0.10 | 0.65 |
| BIC | 29,558.2 | 29,496.6 | 29,516.5 | 29,532.4 | 29,516.2 | 20,591.7 | 29,658.2 | 29,647.5 | 29,567.1 | 29,571.5 | 29,436.3 | 20,171.8 |
| Number of countries | 20 | 20 | 20 | 20 | 20 | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Number of observations | 3,020 | 3,020 | 3,020 | 3,020 | 3,020 | 2,498 | 3,020 | 3,020 | 3,020 | 3,020 | 3,020 | 2,420 |
Standard errors in parentheses
*** p < 0.001
** p < 0.01
* p < 0.05
+ p < 0.1