Anticipating Greater Impact of the COVID-19 Pandemic on Social Life Is Associated With Reduced Adherence to Disease-Mitigating Guidelines

Abstract

People regularly make decisions about how often and with whom to interact. During an epidemic of communicable disease, these decisions gain new weight, as individual choices exert more direct influence on collective health and wellbeing. While much attention has been paid to how people’s concerns about the health impact of the COVID-19 pandemic affect their engagement in behaviors that could curb (or accelerate) the spread of the disease, less is understood about how people’s concerns about the pandemic’s impact on their social lives affect these outcomes. Across three studies (total N = 654), we find that individuals’ estimates of the pandemic’s social (vs. health) impact are associated with an unwillingness to curtail social interaction and follow other Centers for Disease Control guidelines as the pandemic spreads. First, these associations are present in self-report data of participants’ own behaviors and behavior across hypothetical scenarios; second, participants’ estimates of the pandemic’s impact on social life in their location of residence are associated with movement data collected unobtrusively from mobile phones in those locations. We suggest that perceptions of social impact could be a potential mechanism underlying, and therefore potential intervention target for addressing, disease-preventing behavior during a pandemic.

Differences in Stakeholders’ Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

“…The dissociation of patients’ and professionals’ perception of impaired pandemic preparedness and their concerns about its impact on healthcare appears to be of high importance. It likely affects individual decisional behavior of professionals that can result in reduced adherence to clinical guidelines [ 20 ]. During a crisis, sufficient SDM that is based on stakeholders’ perspectives of pandemic impact seems to be important as negotiation between societal responsibility, perceived infection risks, and individual decisional burden [ 21 ].…”