scholarly journals Acceptability of App-Based Contact Tracing for COVID-19: Cross-Country Survey Study

10.2196/19857 ◽  
2020 ◽  
Vol 8 (8) ◽  
pp. e19857 ◽  
Author(s):  
Samuel Altmann ◽  
Luke Milsom ◽  
Hannah Zillessen ◽  
Raffaele Blasone ◽  
Frederic Gerdon ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Public Support ◽  
Strong Support ◽  
The United States ◽  
Survey Study ◽  
Contact Tracing ◽  
Health Crisis ◽  
User Acceptability ◽  
The Government ◽  
Viable Approach

Background The COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socioeconomic costs. One exit strategy under consideration is a mobile phone app that traces the close contacts of those infected with COVID-19. Recent research has demonstrated the theoretical effectiveness of this solution in different disease settings. However, concerns have been raised about such apps because of the potential privacy implications. This could limit the acceptability of app-based contact tracing in the general population. As the effectiveness of this approach increases strongly with app uptake, it is crucial to understand public support for this intervention. Objective The objective of this study is to investigate the user acceptability of a contact-tracing app in five countries hit by the pandemic. Methods We conducted a largescale, multicountry study (N=5995) to measure public support for the digital contact tracing of COVID-19 infections. We ran anonymous online surveys in France, Germany, Italy, the United Kingdom, and the United States. We measured intentions to use a contact-tracing app across different installation regimes (voluntary installation vs automatic installation by mobile phone providers) and studied how these intentions vary across individuals and countries. Results We found strong support for the app under both regimes, in all countries, across all subgroups of the population, and irrespective of regional-level COVID-19 mortality rates. We investigated the main factors that may hinder or facilitate uptake and found that concerns about cybersecurity and privacy, together with a lack of trust in the government, are the main barriers to adoption. Conclusions Epidemiological evidence shows that app-based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app and that it can still reduce the number of infections if uptake is moderate. Our findings show that the willingness to install the app is very high. The available evidence suggests that app-based contact tracing may be a viable approach to control the diffusion of COVID-19.

scholarly journals Acceptability of App-Based Contact Tracing for COVID-19: Cross-Country Survey Study (Preprint)

2020 ◽  
Author(s):  
Samuel Altmann ◽  
Luke Milsom ◽  
Hannah Zillessen ◽  
Raffaele Blasone ◽  
Frederic Gerdon ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Public Support ◽  
Strong Support ◽  
The United States ◽  
Survey Study ◽  
Contact Tracing ◽  
Health Crisis ◽  
User Acceptability ◽  
The Government ◽  
Viable Approach

BACKGROUND The COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socioeconomic costs. One exit strategy under consideration is a mobile phone app that traces the close contacts of those infected with COVID-19. Recent research has demonstrated the theoretical effectiveness of this solution in different disease settings. However, concerns have been raised about such apps because of the potential privacy implications. This could limit the acceptability of app-based contact tracing in the general population. As the effectiveness of this approach increases strongly with app uptake, it is crucial to understand public support for this intervention. OBJECTIVE The objective of this study is to investigate the user acceptability of a contact-tracing app in five countries hit by the pandemic. METHODS We conducted a largescale, multicountry study (N=5995) to measure public support for the digital contact tracing of COVID-19 infections. We ran anonymous online surveys in France, Germany, Italy, the United Kingdom, and the United States. We measured intentions to use a contact-tracing app across different installation regimes (voluntary installation vs automatic installation by mobile phone providers) and studied how these intentions vary across individuals and countries. RESULTS We found strong support for the app under both regimes, in all countries, across all subgroups of the population, and irrespective of regional-level COVID-19 mortality rates. We investigated the main factors that may hinder or facilitate uptake and found that concerns about cybersecurity and privacy, together with a lack of trust in the government, are the main barriers to adoption. CONCLUSIONS Epidemiological evidence shows that app-based contact tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app and that it can still reduce the number of infections if uptake is moderate. Our findings show that the willingness to install the app is very high. The available evidence suggests that app-based contact tracing may be a viable approach to control the diffusion of COVID-19.

scholarly journals Acceptability of app-based contact tracing for COVID-19: Cross-country survey evidence

2020 ◽  
Author(s):  
Samuel Altmann ◽  
Luke Milsom ◽  
Hannah Zillessen ◽  
Raffaele Blasone ◽  
Frederic Gerdon ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Cyber Security ◽  
Large Scale ◽  
Public Support ◽  
Strong Support ◽  
Security And Privacy ◽  
Contact Tracing ◽  
Health Crisis ◽  
Viable Approach ◽  
The Uk

AbstractBackgroundThe COVID-19 pandemic is the greatest public health crisis of the last 100 years. Countries have responded with various levels of lockdown to save lives and stop health systems from being overwhelmed. At the same time, lockdowns entail large socio-economic costs. One exit strategy under consideration is a mobile phone app that traces close contacts of those infected with COVID-19. Recent research has demonstrated the theoretical effectiveness of this solution in different disease settings. However, concerns have been raised about such apps because of the potential privacy implications. This could limit the acceptability of app-based contact tracing among the general population. As the effectiveness of this approach increases strongly with app take-up, it is crucial to understand public support for this intervention.ObjectivesThe objective of this study is to investigate user acceptability of a contact-tracing app in five countries hit by the pandemic.MethodsWe conducted a multi-country, large-scale (N = 5995) study to measure public support for digital contact tracing of COVID-19 infections. We ran anonymous online surveys in France, Germany, Italy, the UK and the US. We measured intentions to use a contact-tracing app across different installation regimes (voluntary installation vs. automatic installation by mobile phone providers), and studied how these intentions vary across individuals and countries.ResultsWe found strong support for the app under both regimes, in all countries, across all sub-groups of the population, and irrespective of regional-level COVID-19 mortality rates. We investigated the main factors that may hinder or facilitate take-up and found that concerns about cyber security and privacy, together with lack of trust in government, are the main barriers to adoption.ConclusionsEpidemiological evidence shows that app-based contact-tracing can suppress the spread of COVID-19 if a high enough proportion of the population uses the app and that it can still reduce the number of infections if take-up is moderate. Our findings show that the willingness to install the app is very high. The available evidence suggests that app-based contact tracing may be a viable approach to control the diffusion of COVID-19.

scholarly journals Cyber Terrorism and Public Support for Retaliation – A Multi-Country Survey Experiment

2021 ◽  
pp. 1-19
Author(s):  
Ryan Shandler ◽  
Michael L. Gross ◽  
Sophia Backhaus ◽  
Daphna Canetti
Keyword(s):  
Television News ◽  
Public Support ◽  
Strong Support ◽  
The United States ◽  
Randomized Experiments ◽  
Cyber Terrorism ◽  
News Reports ◽  
Terror Attacks ◽  
Psychological Mechanisms ◽  
Psychological Mechanism

Abstract Does exposure to cyber terrorism prompt calls for retaliatory military strikes? By what psychological mechanism does it do so? Through a series of controlled, randomized experiments, this study exposed respondents (n = 2,028) to television news reports depicting cyber and conventional terror attacks against critical infrastructures in the United States, United Kingdom and Israel. The findings indicate that only lethal cyber terrorism triggers strong support for retaliation. Findings also confirm that anger bridges exposure to cyber terrorism and retaliation, rather than psychological mechanisms such as threat perception or anxiety as other studies propose. These findings extend to the cyber realm a recent trend that views anger as a primary mechanism linking exposure to terrorism with militant preferences. With cyber terrorism a mounting international concern, this study demonstrates how exposure to this threat can generate strong public support for retaliatory policies, depending on the lethality of the attack.

scholarly journals Default options: a powerful behavioral tool to increase COVID-19 contact tracing app acceptance in Latin America?

2021 ◽  
pp. 1-17
Author(s):  
Cynthia Boruchowicz ◽  
Florencia Lopez Boo ◽  
Benjamin Roseth ◽  
Luis Tejerina
Keyword(s):  
Latin America ◽  
The United States ◽  
Contact Tracing ◽  
Phone Survey ◽  
Opt Out ◽  
Default Options ◽  
Nationally Representative ◽  
The Government ◽  
Financial Transactions ◽  
Shed Light

Abstract Given the rates of transmission of COVID-19, relying only on manual contact tracing might be infeasible to control the epidemic without sustained costly lockdowns or rapid vaccination efforts. In the first study of its kind in Latin America, we find through a phone survey of a nationally representative sample of ten countries that an opt-out regime (automatic installation) increases self-reported intention to accept a contact tracing app with exposure notification by 22 percentage points compared to an opt-in regime (voluntary installation). This effect is triple the size and of opposite sign of the effect found in Europe and the United States, potentially due to lower concerns regarding privacy and lower levels of interpersonal trust. We see that an opt-out regime is more effective in increasing willingness to accept for those who do not trust the government or do not use their smartphones for financial transactions. The local severity of the pandemic does not affect our results, but feeling personally at risk increases intent to accept such apps in general. These results can shed light on the use of default options not only for contact tracing apps but in public health overall in the context of a pandemic in Latin America.

The Impact of Economic Coercion on Public Opinion: The Case of US–China Currency Relations

2020 ◽  
Vol 64 (9) ◽  
pp. 1555-1583
Author(s):  
Dimitar Gueorguiev ◽  
Daniel McDowell ◽  
David A. Steinberg
Keyword(s):  
Public Opinion ◽  
Policy Change ◽  
Public Support ◽  
Strong Support ◽  
The United States ◽  
Economic Policies ◽  
Political Consequences ◽  
External Threats ◽  
Economic Coercion ◽  
The Impact

In recent years, the United States has increasingly tried to change other governments’ economic policies by threatening to punish those countries if they do not change course. To better understand the political consequences of these tactics, this paper examines how external threats influence public support for policy change in targeted states. We consider three mechanisms through which economic coercion might alter public opinion: by changing individuals’ interests, by activating their national identities, and by providing them with new information about a policy’s distributive effects. To test these rival explanations, we focus on the case of China–US currency relations. Using data from a survey experiment of Chinese internet users, we find strong support for the informational updating theory. Our evidence suggests that economic coercion can reduce support for policy change because it leads individuals to update their beliefs about who wins and loses from economic policy changes.

Crisis in U.S. Health Care: Corporate Power Still Blocks Reform

2017 ◽  
Vol 48 (1) ◽  
pp. 5-27 ◽  
Author(s):  
John Geyman
Keyword(s):  
Health Care ◽  
Insurance Industry ◽  
Private Insurance ◽  
Insurance Coverage ◽  
Public Support ◽  
Universal Coverage ◽  
The United States ◽  
Industrial Complex ◽  
Current Crisis ◽  
The Government

The corporate, largely privatized market-based U.S. health care system is deteriorating in terms of increasing costs, decreasing access, unacceptable quality of care, inequities, and disparities. Reform efforts to establish universal insurance coverage have failed on six occasions over the last century, largely through opposition of corporate stakeholders in the medical-industrial complex. This article provides historical perspective to previous reform attempts, updates the current battle between Republicans and Democrats over repeal of the 2010 Affordable Care Act (ACA), and compares three financing alternatives—continuation of the ACA; its replacement by a Republican plan (the House’s American Health Care Act or its Senate counterpart, the Better Care Reconciliation Act); and single-payer national health insurance (NHI or Medicare for All). Markers are described that reveal the extent of the current crisis in U.S. health care. Evidence is presented that the private insurance industry, increasingly dependent on bailout by the government, is in a “death spiral.” NHI is gaining increasing public support as the only financing alternative to provide universal coverage. Nine lessons that are still unlearned in the United States concerning health care are discussed, together with future prospects to establish universal coverage in this embattled and changing political environment.

scholarly journals Assessing the South Korean Model of Emergency Management during the COVID-19 Pandemic

2021 ◽  
Author(s):  
MH Kim ◽  
Wonhyuk Cho ◽  
H Choi ◽  
JY Hur
Keyword(s):  
Public Health ◽  
Good Governance ◽  
Diagnostic Testing ◽  
Contact Tracing ◽  
Global Public Health ◽  
Asian Studies ◽  
Health Crisis ◽  
South Korean ◽  
Public Health Professionals ◽  
The Government

© 2020, © 2020 Asian Studies Association of Australia. The COVID-19 pandemic has led to an unprecedented global public health crisis, and governments have implemented various responses with varying degrees of effectiveness. South Korea’s approach, which has involved minimal lockdown in order to “flatten the curve”, and which offers an alternative for many democracies, has attracted much attention. Based on in-depth interviews with public health professionals and policy advisors in government agencies, this article analyses how well South Korea’s response to COVID-19 complies with the expectations of good governance, and assesses the strengths and challenges of the Korean model. Our analysis shows that South Korea has been reactive rather than preventive/passive amid waves of clusters such as outbreaks in nightclubs, e-commerce warehouses, schools, hospitals and religious gatherings. The government has used a range of countermeasures, including contact tracing, diagnostic testing, media briefings and text alerts. At the same time, the challenges for the Korean approach have been concerns about privacy, fatigue over emergency alerts and politicisation.

scholarly journals Attitudes and Perceptions Toward COVID-19 Digital Surveillance: Survey of Young Adults in the United States

10.2196/23000 ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. e23000
Author(s):  
Lauren Maytin ◽  
Jason Maytin ◽  
Priya Agarwal ◽  
Anna Krenitsky ◽  
JoAnn Krenitsky ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Young Adults ◽  
Online Survey ◽  
The United States ◽  
Contact Tracing ◽  
Health Crisis ◽  
Response Options ◽  
Health Technologies ◽  
Digital Surveillance

Background COVID-19 is an international health crisis of particular concern in the United States, which saw surges of infections with the lifting of lockdowns and relaxed social distancing. Young adults have proven to be a critical factor for COVID-19 transmission and are an important target of the efforts to contain the pandemic. Scalable digital public health technologies could be deployed to reduce COVID-19 transmission, but their use depends on the willingness of young adults to participate in surveillance. Objective The aim of this study is to determine the attitudes of young adults regarding COVID-19 digital surveillance, including which aspects they would accept and which they would not, as well as to determine factors that may be associated with their willingness to participate in digital surveillance. Methods We conducted an anonymous online survey of young adults aged 18-24 years throughout the United States in June 2020. The questionnaire contained predominantly closed-ended response options with one open-ended question. Descriptive statistics were applied to the data. Results Of 513 young adult respondents, 383 (74.7%) agreed that COVID-19 represents a public health crisis. However, only 231 (45.1%) agreed to actively share their COVID-19 status or symptoms for monitoring and only 171 (33.4%) reported a willingness to allow access to their cell phone for passive location tracking or contact tracing. Conclusions Despite largely agreeing that COVID-19 represents a serious public health risk, the majority of young adults sampled were reluctant to participate in digital monitoring to manage the pandemic. This was true for both commonly used methods of public health surveillance (such as contact tracing) and novel methods designed to facilitate a return to normal (such as frequent symptom checking through digital apps). This is a potential obstacle to ongoing containment measures (many of which rely on widespread surveillance) and may reflect a need for greater education on the benefits of public health digital surveillance for young adults.

scholarly journals Attitudes and Perceptions Toward COVID-19 Digital Surveillance: Survey of Young Adults in the United States (Preprint)

2020 ◽  
Author(s):  
Lauren Maytin ◽  
Jason Maytin ◽  
Priya Agarwal ◽  
Anna Krenitsky ◽  
JoAnn Krenitsky ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Young Adults ◽  
Online Survey ◽  
The United States ◽  
Contact Tracing ◽  
Health Crisis ◽  
Response Options ◽  
Health Technologies ◽  
Digital Surveillance

BACKGROUND COVID-19 is an international health crisis of particular concern in the United States, which saw surges of infections with the lifting of lockdowns and relaxed social distancing. Young adults have proven to be a critical factor for COVID-19 transmission and are an important target of the efforts to contain the pandemic. Scalable digital public health technologies could be deployed to reduce COVID-19 transmission, but their use depends on the willingness of young adults to participate in surveillance. OBJECTIVE The aim of this study is to determine the attitudes of young adults regarding COVID-19 digital surveillance, including which aspects they would accept and which they would not, as well as to determine factors that may be associated with their willingness to participate in digital surveillance. METHODS We conducted an anonymous online survey of young adults aged 18-24 years throughout the United States in June 2020. The questionnaire contained predominantly closed-ended response options with one open-ended question. Descriptive statistics were applied to the data. RESULTS Of 513 young adult respondents, 383 (74.7%) agreed that COVID-19 represents a public health crisis. However, only 231 (45.1%) agreed to actively share their COVID-19 status or symptoms for monitoring and only 171 (33.4%) reported a willingness to allow access to their cell phone for passive location tracking or contact tracing. CONCLUSIONS Despite largely agreeing that COVID-19 represents a serious public health risk, the majority of young adults sampled were reluctant to participate in digital monitoring to manage the pandemic. This was true for both commonly used methods of public health surveillance (such as contact tracing) and novel methods designed to facilitate a return to normal (such as frequent symptom checking through digital apps). This is a potential obstacle to ongoing containment measures (many of which rely on widespread surveillance) and may reflect a need for greater education on the benefits of public health digital surveillance for young adults.

scholarly journals Assessing the South Korean Model of Emergency Management during the COVID-19 Pandemic

2021 ◽  
Author(s):  
MH Kim ◽  
Wonhyuk Cho ◽  
H Choi ◽  
JY Hur
Keyword(s):  
Public Health ◽  
Good Governance ◽  
Diagnostic Testing ◽  
Contact Tracing ◽  
Global Public Health ◽  
Asian Studies ◽  
Health Crisis ◽  
South Korean ◽  
Public Health Professionals ◽  
The Government

© 2020, © 2020 Asian Studies Association of Australia. The COVID-19 pandemic has led to an unprecedented global public health crisis, and governments have implemented various responses with varying degrees of effectiveness. South Korea’s approach, which has involved minimal lockdown in order to “flatten the curve”, and which offers an alternative for many democracies, has attracted much attention. Based on in-depth interviews with public health professionals and policy advisors in government agencies, this article analyses how well South Korea’s response to COVID-19 complies with the expectations of good governance, and assesses the strengths and challenges of the Korean model. Our analysis shows that South Korea has been reactive rather than preventive/passive amid waves of clusters such as outbreaks in nightclubs, e-commerce warehouses, schools, hospitals and religious gatherings. The government has used a range of countermeasures, including contact tracing, diagnostic testing, media briefings and text alerts. At the same time, the challenges for the Korean approach have been concerns about privacy, fatigue over emergency alerts and politicisation.

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