scholarly journals The pathway from distrusting Western actors to non-compliance with public health guidance during the COVID-19 crisis in Romania

2020 ◽  
Author(s):  
Vlad Achimescu ◽  
Dan Sultanescu ◽  
Dana Sultanescu
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Health Policies ◽  
Equation Modeling ◽  
Public Health Policies ◽  
Conspiracy Beliefs ◽  
Unsafe Behaviors ◽  
Conspiracy Narratives ◽  
Web Building ◽  
Health Guidance

Global crises provide a fertile environment for the proliferation of disinformation, rumors, and conspiracy narratives. We investigate people's perceptions and beliefs related to COVID-19 in Romania, during the lockdown period (April 2020) and during the state of alert period (July 2020), by fielding two surveys with different modes of collection (CATI and web). Building on measures tested in other countries, we identify the public’s vulnerability to conspiracy narratives and its willingness to comply with public health guidance. Using Structural Equation Modeling, we check if individuals exhibiting pro-Russian or anti-Western attitudes believe more strongly in COVID-19 conspiracy narratives compared to the rest of the population. Then, we check if those believing conspiracy narratives are less susceptible to comply with public health recommendations.We find in both surveys that holding conspiracy beliefs is a mediator between distrusting Western actors and noncompliance with COVID-19 guidelines. Thus, pro-Russian and anti-EU, U.S. and NATO attitudes are linked to stronger conspiracy beliefs, which relate to lower levels of concern and knowledge regarding the virus, which in turn can reduce compliance with guidelines. This suggests that openness to anti-Western narratives may have behavioral consequences. These findings highlight the potential sources of unsafe behaviors during the pandemic and can inform official communication strategies meant to counter both disinformation and non-compliance with public health policies.

Morality in the echo chamber: The relationship between belief in conspiracy theories, morality and support for COVID-19 public health policies

2021 ◽  
Author(s):  
Theofilos Gkinopoulos ◽  
Christian T. Elbaek ◽  
Panagiotis Mitkidis
Keyword(s):  
Public Health ◽  
Cognitive Biases ◽  
Political Support ◽  
Policy Support ◽  
Health Policies ◽  
Conspiracy Theories ◽  
Public Health Policies ◽  
Mediating Role ◽  
Health Related ◽  
Conspiracy Beliefs

Beliefs in conspiracy theories are a major problem, especially in the face of a pandemic, as these constitute a significant obstacle to public health policies, like the use of masks and vaccination. Indeed, during the COVID-19 pandemic, several ungrounded explanations regarding the origin of the virus or the effects of vaccinations have been rising, leading to vaccination hesitancy or refusal which poses as a threat to public health. Recent studies have shown that in the core of conspiracy theories lies a moral evaluation component; one that triggers a moral reasoning which reinforces the conspiracy itself. To gain a better understanding of how conspiracy beliefs about COVID-19 affect public health containment behaviours and policy support, we analysed comprehensive data from the International Collaboration on the Social & Moral Psychology (ICSMP) of COVID-19, consisting of more than 50.000 participants across 67 countries. We particularly explored the mediating role of two levels of morality: individual and group-based morality. Results show that believing in conspiracy theories reduces adoption of containment health-related behaviors and political support of public health measures and that this relationship is mediated by the two levels of morality. This means that beliefs in conspiracy theories do not simply constitute antecedents of cognitive biases or failures, nor maladaptive behaviors based on personality traits, but are morally infused and should be dealt as such. Based on our findings, we further discuss the psychological, moral, and political implications of endorsement of conspiracy theories in the era of the pandemic.

scholarly journals COVID-19 conspiracy beliefs, health behaviors, and policy support

2020 ◽  
Vol 10 (4) ◽  
pp. 850-856 ◽  
Author(s):  
Valerie A Earnshaw ◽  
Lisa A Eaton ◽  
Seth C Kalichman ◽  
Natalie M Brousseau ◽  
E Carly Hill ◽  
...  
Keyword(s):  
Public Health ◽  
Health Behaviors ◽  
Online Survey ◽  
Policy Support ◽  
Health Policies ◽  
Cross Sectional ◽  
Conspiracy Theories ◽  
Public Health Policies ◽  
Conspiracy Beliefs ◽  
Multivariable Regression

Abstract Conspiracy theories have been proliferating during the COVID-19 pandemic. Evidence suggests that belief in conspiracy theories undermines engagement in pro-health behaviors and support for public health policies. Moreover, previous work suggests that inoculating messages from opinion leaders that expose conspiracy theories as false before people are exposed to them can help to prevent belief in new conspiracies. Goals of this study were to: (a) explore associations between COVID-19 conspiracy beliefs with SARS-CoV-2 vaccine intentions, cooperation with public health recommendations, and support for public health policies among U.S. adults and (b) investigate trusted sources of COVID-19 information to inform strategies to address conspiracy beliefs. A cross-sectional, online survey was conducted with 845 U.S. adults in April 2020. Data were analyzed using analyses of variance and multivariable regressions. One-third (33%) of participants believed one or more conspiracies about COVID-19. Participants who believed conspiracies reported that their intentions to vaccinate were 3.9 times lower and indicated less support for COVID-19 public health policies than participants who disbelieved conspiracies. There were no differences in cooperation with public health recommendations by conspiracy belief endorsement in the multivariable regression analysis. Although there were some key differences in trusted sources of COVID-19 information, doctor(s) were the most trusted source of information about COVID-19 overall with 90% of participants trusting doctor(s). Doctor(s) may play a role in addressing COVID-19 conspiracy theories before people are exposed to them to promote COVID-19 prevention efforts.

scholarly journals It runs in the family: parental influence on adolescents’ compliance with social distancing measures during Covid-19 lockdowns

2022 ◽  
Author(s):  
Ozan Aksoy
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Parental Influence ◽  
Health Policies ◽  
Public Health Policies ◽  
Social Distancing ◽  
Health Measures ◽  
The Family ◽  
Nationally Representative ◽  
The Uk

Compliance with public health measures of adolescents who are often unfairly portrayed as spreaders of the Coronavirus is essential for controlling the pandemic. But does adolescents’ compliance develop independently from their parents? Using nationally representative longitudinal data and cross-lagged Structural Equation Panel Models I study compliance with social distancing measures of 6,754 triplets that comprise the adolescent child (age 19), their mother, and father during two national lockdowns in the UK. Results show that adolescents have the lowest and their mothers have the highest levels of compliance, and compliance generally drops over time. Moreover, parents, particularly mothers have significant influence on their adolescent child’s compliance. The child also has, albeit smaller effects on their parents’ compliance. Parental influence on adolescents’ compliance documented here thus redistributes some of the responsibility off adolescents towards all generations and calls for public health policies and campaigns that consider these family dynamics.

scholarly journals ‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

Societies ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
Tor-Ivar Karlsen ◽  
Charlotte Kiland ◽  
Gro Kvåle ◽  
Dag Olaf Torjesen
Keyword(s):  
Public Health ◽  
Structural Equation ◽  
Social Inequalities ◽  
Individual Characteristics ◽  
Health Policies ◽  
Policy Outcomes ◽  
Health In All Policies ◽  
Local Public Health ◽  
Public Health Policies ◽  
Organisational Factors

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.

scholarly journals Population simulations of COVID-19 outbreaks provide tools for risk assessment and continuity planning

JAMIA Open ◽  
2021 ◽  
Author(s):  
Bo Peng ◽  
Rowland W Pettit ◽  
Christopher I Amos
Keyword(s):  
Public Health ◽  
Risk Assessment ◽  
Emergency Response ◽  
Robustness Analysis ◽  
Health Policies ◽  
Command Line ◽  
Public Health Policies ◽  
Continuity Planning ◽  
Quantitative Estimates ◽  
Community Infection

Abstract Objectives We developed COVID-19 Outbreak Simulator (https://ictr.github.io/covid19-outbreak-simulator/) to quantitatively estimate the effectiveness of preventative and interventive measures to prevent and battle COVID-19 outbreaks for specific populations. Materials and methods Our simulator simulates the entire course of infection and transmission of the virus among individuals in heterogeneous populations, subject to operations and influences, such as quarantine, testing, social distancing, and community infection. It provides command-line and Jupyter notebook interfaces and a plugin system for user-defined operations. Results The simulator provides quantitative estimates for COVID-19 outbreaks in a variety of scenarios and assists the development of public health policies, risk-reduction operations, and emergency response plans. Discussion Our simulator is powerful, flexible, and customizable, although successful applications require realistic estimation and robustness analysis of population-specific parameters. Conclusion Risk assessment and continuity planning for COVID-19 outbreaks are crucial for the continued operation of many organizations. Our simulator will be continuously expanded to meet this need.

scholarly journals Characterization of death from colorectal cancer in Mato Grosso State/Legal Amazon/Brazil, 2000-2016

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R S Caló ◽  
B S N Souza ◽  
N D Galvão ◽  
R A G Souza ◽  
J C S Oliveira ◽  
...  
Keyword(s):  
Public Health ◽  
Colorectal Cancer ◽  
International Classification Of Diseases ◽  
Health Policies ◽  
Rectosigmoid Junction ◽  
Mato Grosso ◽  
Public Health Policies ◽  
Goods And Services ◽  
Classification Of Diseases ◽  
Using Data

Abstract Background Colorectal cancer has been one of the cancers that most contributed to mortality, in both sexes in the world. In Brazil, cancer is among the top five causes of death and colorectal cancer is ranked on the fifth position. Of the Federative Units belonging to the Legal Amazon, Mato Grosso stands out for the higher adjusted incidence of colorectal cancer for both sexes. Thus, the objective is to characterize deaths from colorectal cancer, according to sociodemographic variables in Mato Grosso from 2000 to 2016. Methods A descriptive study was carried out, using data from the Mortality Information System, made available by the Department of Health of the Mato Grosso State. Deaths of all ages were selected, whose basic cause was identified by the codes from the International Classification of Diseases: (C.18) colon cancer, (C.19) rectosigmoid junction cancer, (C.20) rectal cancer or (C.21) anus cancer. Results Between 2000 and 2016, 31,607 deaths from cancer were registered. Of these, 1,750 (5.6%) were due to colorectal cancer. An increased number of deaths was observed at the end of the period, with a variation from 46 deaths in 2000 from 173 in 2016. Highest frequency was verified in men (51.3%), people aged 60 years or older (59.7%), black (54.6%), married (52.3%) and those with primary education (55.2%). According to Brazilian occupation classification options or those answers filled out on the death certificate, highest frequency were for “Retired” (26.2%), “Housewife” (23.1%), Agricultural/Forestry and Fisheries” (11.3%) and “Production of Industrial Goods and Services” (10.3%). Conclusions This study evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State, and identified priority groups for interventions through public health policies which should include screening and early diagnosis to cope with the disease. Key messages Evidenced the increased number of deaths due to colorectal cancer in Mato Grosso State. Identified priority groups for interventions through public health policies.

Epidemiological surveillance and performance assessment: the two roles of health indicators during the COVID-19 pandemic

2021 ◽  
Vol 17 (2) ◽  
pp. 186-203
Author(s):  
Nathan Genicot
Keyword(s):  
Public Health ◽  
Performance Assessment ◽  
Health Indicators ◽  
Health Policies ◽  
Epidemiological Surveillance ◽  
Public Health Policies ◽  
History Of ◽  
And Performance ◽  
The One ◽  
Massive Development

AbstractThe COVID-19 pandemic has given rise to the massive development and use of health indicators. Drawing on the history of international public health and of the management of infectious disease, this paper attempts to show that the normative power acquired by metrics during the pandemic can be understood in light of two rationales: epidemiological surveillance and performance assessment. On the one hand, indicators are established to evaluate and rank countries’ responses to the outbreak; on the other, the evolution of indicators has a direct influence on the content of public health policies. Although quantitative data are an absolute necessity for coping with such disasters, it is critical to bear in mind the inherent partiality and precarity of the information provided by health indicators. Given the growing importance of normative quantitative devices during the pandemic, and assuming that their influence is unlikely to decrease in the future, they call for close scrutiny.

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