The impact of social distancing on community case count in the United States: Testing the efficacy of protection motivation theory during early stages of the COVID-19 pandemic.

IF 1.9 Q3 PUBLIC ADMINISTRATION Risk, Hazards & Crisis in Public Policy Pub Date : 2021-09-01 Epub Date: 2021-09-13 DOI:10.1002/rhc3.12232
Minkyu Yeom, Fran Stewart, Alice Stewart
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Abstract

Centuries of practice and an array of public health literature support social distancing (SD), or self-quarantine, as a valuable nonpharmaceutical intervention. To convince individuals to engage in behaviors that limit infection, public health professionals communicate risk and hazard based on application of protection motivation theory (PMT). The COVID-19 pandemic presents an opportunity to explore the efficacy of PMT in the context of a novel coronavirus with unique public health implications. We test an integrative conceptual model of social distancing compliance in U.S. counties and examine the mediating impact of SD on community spread of infection. We find that PMT does impact individual behavior, observing that the proportion of vulnerable populations affects social distancing compliance. However, actions to protect individual health are made within the context of economic concerns and priorities. While results indicate that PMT influences behavior, the expected relationship between that behavior and spread of disease in the community is not found. We do not repudiate SD or the value of PMT, but we suggest that these results may indicate that communication of risk in the context of COVID-19 may need community, as well as individual, framing.

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美国社会距离对社区病例数的影响:在 COVID-19 大流行初期测试保护动机理论的有效性。
数百年的实践和大量的公共卫生文献都支持社会疏导(SD)或自我隔离,认为这是一种有价值的非药物干预措施。为了说服个人采取限制感染的行为,公共卫生专业人员在应用保护动机理论(PMT)的基础上传播风险和危害。COVID-19 大流行为我们提供了一个机会,在具有独特公共卫生影响的新型冠状病毒背景下探索保护动机理论的有效性。我们测试了美国各县遵守社会距离的综合概念模型,并研究了 SD 对社区感染传播的中介影响。我们发现,PMT 确实会影响个人行为,易感人群的比例会影响社会疏远遵从性。然而,保护个人健康的行动是在经济考量和优先事项的背景下做出的。虽然结果表明 PMT 会影响行为,但并未发现该行为与疾病在社区传播之间的预期关系。我们并不否认 SD 或 PMT 的价值,但我们认为,这些结果可能表明,在 COVID-19 的背景下,风险交流可能需要社区和个人的共同参与。
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来源期刊
CiteScore
7.50
自引率
8.60%
发文量
20
期刊介绍: Scholarship on risk, hazards, and crises (emergencies, disasters, or public policy/organizational crises) has developed into mature and distinct fields of inquiry. Risk, Hazards & Crisis in Public Policy (RHCPP) addresses the governance implications of the important questions raised for the respective fields. The relationships between risk, hazards, and crisis raise fundamental questions with broad social science and policy implications. During unstable situations of acute or chronic danger and substantial uncertainty (i.e. a crisis), important and deeply rooted societal institutions, norms, and values come into play. The purpose of RHCPP is to provide a forum for research and commentary that examines societies’ understanding of and measures to address risk,hazards, and crises, how public policies do and should address these concerns, and to what effect. The journal is explicitly designed to encourage a broad range of perspectives by integrating work from a variety of disciplines. The journal will look at social science theory and policy design across the spectrum of risks and crises — including natural and technological hazards, public health crises, terrorism, and societal and environmental disasters. Papers will analyze the ways societies deal with both unpredictable and predictable events as public policy questions, which include topics such as crisis governance, loss and liability, emergency response, agenda setting, and the social and cultural contexts in which hazards, risks and crises are perceived and defined. Risk, Hazards & Crisis in Public Policy invites dialogue and is open to new approaches. We seek scholarly work that combines academic quality with practical relevance. We especially welcome authors writing on the governance of risk and crises to submit their manuscripts.
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