People possess psychological processes that help them avoid pathogens, which is particularly important when novel infectious diseases (e.g., COVID-19) spread through the population. Across two studies we examined whether trait pathogen avoidance (operationalized as perceived vulnerability to disease; PVD) was linked with responses to COVID-19 and preventative behaviors. In Study 1, PVD was positively associated with stronger reactions to the threat of COVID-19, including increased anxiety, perceptions that people should alter their typical behavior, as well as reported importance of engaging in proactive and social distancing behaviors. In Study 2, PVD was again associated with increased anxiety, as well as more vigilant behavior when grocery shopping, fewer trips to the store, and fewer face-to-face interactions. These associations remained significant when controlling for the Big-5 personality traits. Although the two subscales of PVD (germ aversion and perceived infectability) were often parallel predictors, several differences between the subscales emerged. Germ aversion may be more associated with behaviors whereas perceived infectability with vigilance.

Objective Perceived barriers are one of the strongest determinants of health behavior. The current study presents a novel conceptualization of perceived barriers by testing the following hypotheses: (a) perceived barriers are multidimensional and thus should cluster into distinct factors; (b) practical barriers should be salient for individuals intending to engage in a particular health behavior, whereas global barriers should be salient for individuals not intending to enact the behavior; and (c) whereas global barriers should be negatively associated with behavioral intentions, practical barriers should be positively related to intentions. Methods The context for this investigation was young adult women’s perceived barriers to human papillomavirus (HPV) vaccination. Two months after viewing an educational video about HPV vaccination, women (aged 18-26) who had not initiated the series (n = 703) reported their perceived barriers to HPV vaccination and intentions to receive the vaccine. Results Relative to the conventional single factor approach, a five-factor model provided better fit to the data and accounted for a larger proportion of variance in vaccination intentions. The relative salience of different perceived barriers varied as a function of women’s intentions. Participants who were not intending to get vaccinated cited global concerns about vaccine safety and low perceived need for the vaccine. In contrast, participants intending to get vaccinated cited practical concerns (cost, logistical barriers) related to carrying out their intentions. Moreover, whereas global perceived barriers were associated with lower intentions, practical barriers were associated with higher intentions. Conclusions Perceived barriers are multidimensional and vary systematically as a function of people’s behavioral intentions.

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This two-study paper examined stigma toward women with cervical cancer. Cervical cancer is caused by human papillomavirus (HPV), a sexually transmitted infection (STI). For Study 1, participants (N = 352) were randomly assigned to one of four conditions in which they read a brief description of a patient with either cervical or ovarian cancer in which the cause of the patient's cancer was either specified (cervical: HPV, a STI vs. ovarian: family history) or unspecified. Participants in the cervical cancer/cause-specified condition rated the patient as more dirty, dishonest and unwise, and reported feeling more moral disgust and 'grossed out' than participants in the cervical cancer/cause-unspecified condition. For Study 2, participants (N = 126) were randomly assigned to read a vignette about a patient with cervical cancer in which the cause of cancer was either specified or unspecified. Consistent with Study 1, participants in the cause-specified condition rated the patient as more unwise, and reported feeling more moral disgust and 'grossed out' than participants in the cause-unspecified condition. These effects were mediated by attributions of blame toward the patient. Findings suggest that women with cervical cancer may be stigmatised and blame may play a role in this process.

Findings suggest that tailoring intervention materials to women's individual barriers is a potentially promising strategy for increasing HPV vaccination among young adult women.