A matter of trust? Political trust and the COVID-19 pandemic

Farzanegan, Mohammad Reza; Hofmann, Hans Philipp

doi:10.1080/00207659.2022.2086729

Cited by 16 publications

(14 citation statements)

References 51 publications

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“…While our findings confirm the expected relationships between many pandemic preparedness capacities and COVID-19 outcomes, we identified a few capacities that were not associated with excess deaths. For example, previous studies have identified that greater levels are trust are associated with reduced COVID-19 burden,23 87–89 but we did not observe this relationship. However, we did find a relationship for public confidence in government, an analogous form of intuitional support and cooperation but confidence differs from trust in that it is built off previous evidence and experience 87.…”

Section: Discussioncontrasting

confidence: 98%

Evaluation of the Global Health Security Index as a predictor of COVID-19 excess mortality standardised for under-reporting and age structure

Ledesma¹,

Isaac²,

Dowell³

et al. 2023

BMJ Glob Health

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BackgroundPrevious studies have observed that countries with the strongest levels of pandemic preparedness capacities experience the greatest levels of COVID-19 burden. However, these analyses have been limited by cross-country differentials in surveillance system quality and demographics. Here, we address limitations of previous comparisons by exploring country-level relationships between pandemic preparedness measures and comparative mortality ratios (CMRs), a form of indirect age standardisation, of excess COVID-19 mortality.MethodsWe indirectly age standardised excess COVID-19 mortality, from the Institute for Health Metrics and Evaluation modelling database, by comparing observed total excess mortality to an expected age-specific COVID-19 mortality rate from a reference country to derive CMRs. We then linked CMRs with data on country-level measures of pandemic preparedness from the Global Health Security (GHS) Index. These data were used as input into multivariable linear regression analyses that included income as a covariate and adjusted for multiple comparisons. We conducted a sensitivity analysis using excess mortality estimates from WHO and The Economist.ResultsThe GHS Index was negatively associated with excess COVID-19 CMRs (table 2; β= −0.21, 95% CI= −0.35 to −0.08). Greater capacities related to prevention (β= −0.11, 95% CI= −0.22 to −0.00), detection (β= −0.09, 95% CI= −0.19 to −0.00), response (β = −0.19, 95% CI= −0.36 to −0.01), international commitments (β= −0.17, 95% CI= −0.33 to −0.01) and risk environments (β= −0.30, 95% CI= −0.46 to −0.15) were each associated with lower CMRs. Results were not replicated using excess mortality models that rely more heavily on reported COVID-19 deaths (eg, WHO and The Economist).ConclusionThe first direct comparison of COVID-19 excess mortality rates across countries accounting for under-reporting and age structure confirms that greater levels of preparedness were associated with lower excess COVID-19 mortality. Additional research is needed to confirm these relationships as more robust national-level data on COVID-19 impact become available.

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Section: Discussioncontrasting

confidence: 98%

Evaluation of the Global Health Security Index as a predictor of COVID-19 excess mortality standardised for under-reporting and age structure

Ledesma¹,

Isaac²,

Dowell³

et al. 2023

BMJ Glob Health

View full text Add to dashboard Cite

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“…Others have found the same association at the regional or country level (Bargain & Aminjonov, 2020 ; Kestilä‐Kekkonen et al, 2022 ; but see Woelfert & Kunst, 2020 ). Probably as a consequence of this increased compliance, higher trust was also associated with a lower excess mortality rate during the pandemic across 113 countries (Farzanegan & Hofmann, 2022 ). Interestingly, the potential influence of trust is especially apparent when citizens do not perceive the regulation as directly benefiting their self‐interest.…”

Section: The Role Of Political Trustmentioning

confidence: 99%

Distrustful Complacency and the COVID‐19 Vaccine: How Concern and Political Trust Interact to Affect Vaccine Hesitancy

Lalot

Abrams

Heering

et al. 2022

Political Psychology

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We test the hypothesis that COVID-19 vaccine hesitancy is attributable to 'distrustful complacency'an interactive and not just additive combination of concern and distrust.Across two studies, 9695 respondents across 13 different parts of Britain reported their level of concern about COVID-19, trust in the UK government, and intention to accept or refuse the vaccine. Multilevel regression analysis, controlling for geographic area and relevant demographics, confirmed the predicted interactive effect of concern and trust. Respondents with both low trust and low concern were 10%-22% more vaccine hesitant than respondents with either high trust or high concern, and 20%-29% more hesitant than respondents with both high trust and high concern. Results hold equally among White, Black, and Muslim respondents, consistent with the view that, regardless of mean level differences, a common process underlies vaccine hesitancy, underlining the importance of tackling distrustful complacency both generally and specifically amongst unvaccinated individuals and populations.

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“…Prior studies have investigated the impact of political trust on the social behaviour of the public during the Covid-19 pandemic and have shown that the political trust was associated with public adherence to the required social behaviours during the pandemic, especially in non-pharmaceutical interventions [9,16,17]. Low public trust leads to people's violations of quarantine rules and regulations [18,23]. It is also true about the coronavirus vaccination, as evidence suggests that lack of trust in vaccines' safety and efficacy has caused hesitancy among the public and health professionals [24].…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, public trust during the outbreak of Covid-19 is as important as clinical, epidemiological, and genomic studies. Most studies on trust during COVID-19 have examined political, organizational, information or individual trust related to Covid-19 disease [11,[16][17][18][19]. Farzanegan et al (2022) concluded that the high mortality rate due to COVID-19 was negatively associated with public trust in government [18].…”

Section: Introductionmentioning

confidence: 99%

“…Most studies on trust during COVID-19 have examined political, organizational, information or individual trust related to Covid-19 disease [11,[16][17][18][19]. Farzanegan et al (2022) concluded that the high mortality rate due to COVID-19 was negatively associated with public trust in government [18]. COVID-19 is slightly different from infectious diseases as it is a prolonged disease with various types of variants that may need different policies to be well controlled.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of public trust in Covid-19 control and prevention policies questionnaire

et al. 2022

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Background Public trust is a crucial concept in the COVID-19 pandemic, which determines public adherence with preventive rules as a success factor for disease management. This study aimed to develop and validate a tool to measure public trust in COVID-19 control and prevention policies (COV-Trust tool). Methods This is a psychometric study that was conducted in 2020 (March-August). A primary tool was developed through literature review, in-depth interviews with experts and expert panel meetings. Content and construct validity was evaluated using content validity index (CVI) and content validity ratio (CVR) indexes and exploratory and confirmatory factor analysis, respectively. Cronbach α coefficient was calculated to determine the internal consistency. Results A 28-item questionnaire with seven factors was developed. Factors included macro policy-making and management of pandemic, pandemic control policies implementing at all levels and their effectiveness, providing protective equipment and medicine for hospitals and public, prevention of negative socio-economic consequences of the pandemic, public participation, informing and public education and public behavior. The questionnaire reliability was calculated to be α = 0.959. Based on the experts’ opinion, tool content validity was estimated to be CVR = 0.73, CVI = 0.89. RMSEA = 0.07 revealed a good model fit as the confirmatory factor analysis results for the tool. Conclusion COV-Trust tool is a well-fit tool to be used during this pandemic for improving policies effectiveness and could be used in similar situations as it determines the success of public health interventions.

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A matter of trust? Political trust and the COVID-19 pandemic

Cited by 16 publications

References 51 publications

Evaluation of the Global Health Security Index as a predictor of COVID-19 excess mortality standardised for under-reporting and age structure

Evaluation of the Global Health Security Index as a predictor of COVID-19 excess mortality standardised for under-reporting and age structure

Distrustful Complacency and the COVID‐19 Vaccine: How Concern and Political Trust Interact to Affect Vaccine Hesitancy

Psychometric properties of public trust in Covid-19 control and prevention policies questionnaire

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