Welcome to Francis Academic Press

The Frontiers of Society, Science and Technology, 2021, 3(2); doi: 10.25236/FSST.2021.030212.

COVID-19 Information trust, Situation Awareness and Adoption of Health Protective Behaviors in China

Author(s)

Jiadong Yu

Corresponding Author:
Jiadong Yu
Affiliation(s)

School of Psychology, Adelphi University, Garden City, New York, 11530, The United States of America

Abstract

COVID-19 spreads across China and other countries in a matter of weeks. It is uncertain how people response towards health-protective behaviors in this pandemic. This study aims to evaluate the influence of information sources on situation awareness to adopt health-protective behaviors such as hand hygiene, face-mask use, and social distancing. In total, 288 Chinese completed a questionnaire in July 2020. Data on health-protective behaviors, trust in (formal/informal) information, understanding, perceived susceptibility, and worry were collected. Structural equation model (SEM) was used to identify associations between trust in different information sources, situation awareness and health-protective behaviors. Results suggest that trust in formal information was associated with greater reported understanding of COVID-19 (β=0.33), which in turn was associated with more social distancing (β=0.10). Trust in formal information was inversely associated with perceived susceptibility (β=-0.29), which in turn was negatively associated with social distancing (β=-0.24). Trust in informal information has a positive association with worry (β=0.12), which was positively associated with face-mask use (β=0.22).Trust in informal information was inversely associated with understanding of COVID-19 (β=-0.27), which was positively associated with hand hygiene (β=0.15). Therefore, it can be concluded that trust in formal information was more strongly associated with greater understanding of COVID-19 and social distancing, whereas trust in informal information was strongly associated with worry and face-mask use. Trust in formal information was also associated with less perceived susceptibility and less social distancing.

Keywords

COVID-19, information trust, situation awareness, health-protective behaviors

Cite This Paper

Jiadong Yu. COVID-19 Information trust, Situation Awareness and Adoption of Health Protective Behaviors in China. The Frontiers of Society, Science and Technology (2021) Vol. 3, Issue 2: 84-90. https://doi.org/10.25236/FSST.2021.030212.

References

[1] Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y.,...& Cheng, Z. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The lancet, 395(10223), 497-506.

[2] World Health Organization. Statement on the second meeting of the International Health Regulations Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov)

[3] World Health Organization. WHO Director-General’s remarks at the media briefing on 2019-nCoV on February 11, 2020. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200219-sitrep-30-covid-19.pdf?sfvrsn=6e50645_2

[4] World Health Organization. WHO Director-General’s remarks at the media briefing on 2019-nCoV on March 11, 2020. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020

[5] Greenhalgh, T., Schmid, M. B., Czypionka, T., Bassler, D., & Gruer, L. (2020). Face masks for the public during the covid-19 crisis. Bmj, 369.

[6] Centers for Disease Control and Prevention (2020) How to Protect Yourself & Others. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html

[7] Tang, C. S., & Wong, C. Y. (2003). An outbreak of the severe acute respiratory syndrome: predictors of health behaviors and effect of community prevention measures in Hong Kong, China. American Journal of Public Health, 93(11), 1887-1888.

[8] Godin, G., & Kok, G. (1996). The theory of planned behavior: a review of its applications to health-related behaviors. American journal of health promotion, 11(2), 87-98.

[9] Voeten, H. A., De Zwart, O., Veldhuijzen, I. K., Yuen, C., Jiang, X., Elam, G., ... & Brug, J. (2009). Sources of information and health beliefs related to SARS and avian influenza among Chinese communities in the United Kingdom and The Netherlands, compared to the general population in these countries. International Journal of Behavioral Medicine, 16(1), 49-57.

[10] Calman KC (2002) Communication of risk: choice, consent, and trust. Lancet 360: 166-168.

[11] Slaughter L, Keselman A, Kushniruk A, Patel VL (2005) A framework for capturing the interactions between laypersons’ understanding of disease, information gathering behaviors, and actions taken during an epidemic. J Biomed Inform 2005: 298–313.

[12] Endsley MR (1997) Toward a theory of situation awareness in dynamic systems. Hum Factors 37: 32–64.

[13] Rubin GJ, Amlot R, Page L, Wessely S (2009) Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ 339: b2651

[14] Slovic P (1999) Trust, emotion, sex, politics, and science: surveying the risk assessment battlefield. Risk Anal 19: 689–701.

[15] Nunnally J, Berstein I (1994) Psychometric Theory. McGraw-Hill, New York

[16] Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. (2006). Multivariate data analysis. Uppersaddle River.

[17] Kline, R. B. (2015). Principles and practice of structural equation modeling. Guilford publications. 

[18] Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50.

[19] Fishbein, M., & Ajzen, I. (1974). Attitudes towards objects as predictors of single and multiple behavioral criteria. Psychological review, 81(1), 59.

[20] Hooper, D., Coughlan, J., & Mullen, M. (2008, September). Evaluating model fit: a synthesis of the structural equation modelling literature. In 7th European Conference on research methodology for business and management studies (pp. 195-200).

[21] Rubin GJ, Potts HWW, Michie S (2010) The impact of communications about swine flu (influenza A H1N1v) on public responses to the outbreak: results from 36 national telephone surveys in the UK. Health Technol Assess 14: 183–266

[22] Liao Q, Cowling B, Lam WT, Ng MW, Fielding R (2010) Situational Awareness and Health Protective Responses to Pandemic Influenza A (H1N1) in Hong Kong: A Cross-Sectional Study. PLoS ONE 5(10): e13350. doi:10.1371/journal.pone.0013350

[23] Brug J, Aro AR, Oenema A, De Zwart O, Richardus JH, Bishop GD. SARS risk perception, knowledge, precautions, and information sources, the Netherlands. Emerging Infect Dis. 2004;10(8):1486.

[24] Helweg-Larsen M, Shepperd JA (2001) Do moderators of the optimistic bias affect personal or target risk estimates? A review of the literature. Pers Soc Psychol Rev 5: 74–95.

[25] Bandura A (1986) Social Foundataions of Thought and Action: a Social Cognitive Theory. Englewood Cliffs, New Jersey: Prentice-Hall, Inc.

[26] Brewer NT, Weinstein ND, Cuite CL (2004) Risk perception and their relation to risk behavior. Ann Behav Med 27: 125–130