How COVID-19 illness perceptions and individual shocks are associated with trust during the COVID-19 pandemic in Australia, France, Germany, and South Africa.

IF 3.6 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2025-01-01 Epub Date: 2024-09-30 DOI:10.1016/j.healthpol.2024.105178
Marie-Hélène Broihanne, Daria Plotkina, Stefanie Kleimeier, Anja S Göritz, Arvid O I Hoffmann
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Abstract

The COVID-19 pandemic jeopardized individuals' health and economic stability, and the associated shocks might have decreased individuals' trust. In this paper, we study the relationship between subjective perceptions of the pandemic and individuals' institutional and interpersonal trust (e.g., trust towards the government or health representatives), while considering objective health and economic shocks due to the pandemic as drivers. We collected data across Australia, France, Germany, and South Africa during a later stage of the COVID-19 pandemic (i.e., from mid-April to early-June 2021) when individuals had time to personally experience the pandemic and its effects. COVID-19 illness perception was associated with lower institutional and interpersonal trust. The health shock of having experienced COVID-19 was associated with higher interpersonal trust, while economic shocks were associated with lower institutional trust when they were due to the pandemic. The results suggest that public policy interventions in a later stage of a pandemic should consider objective economic and health outcomes as well as subjective ones, such as individual's perceptions. Authorities should communicate in a way that helps concerned people understand that they can take control of their health and the possibility of infection, and reassure them that health measures such as vaccination can help prevent the spread of the virus.

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在澳大利亚、法国、德国和南非 COVID-19 大流行期间,COVID-19 疾病认知和个人冲击如何与信任相关联。
COVID-19 大流行危害了个人的健康和经济稳定,相关的冲击可能会降低个人的信任度。在本文中,我们研究了对大流行病的主观看法与个人的机构信任和人际信任(如对政府或卫生代表的信任)之间的关系,同时考虑了大流行病造成的客观健康和经济冲击作为驱动因素。我们在 COVID-19 大流行的后期(即 2021 年 4 月中旬至 6 月初)收集了澳大利亚、法国、德国和南非的数据,当时个人有时间亲身经历大流行及其影响。COVID-19 疾病感知与较低的机构信任和人际信任有关。经历过 COVID-19 带来的健康冲击与较高的人际信任相关,而当经济冲击是由大流行病引起时,则与较低的机构信任相关。研究结果表明,在大流行病的后期阶段,公共政策干预应考虑客观的经济和健康结果以及主观结果,如个人的看法。当局应通过沟通帮助相关人员了解他们可以控制自己的健康和感染的可能性,并向他们保证疫苗接种等健康措施有助于防止病毒传播。
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来源期刊
Health Policy
Health Policy 医学-卫生保健
CiteScore
6.40
自引率
6.10%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.
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