Go for zero tolerance: Cultural values, trust, and acceptance of zero-COVID policy in two Chinese societies

Huang, Yi‐Hui Christine; Li, Jun; Liu, Ruoheng; Liu, Yinuo

doi:10.3389/fpsyg.2022.1047486

Cited by 4 publications

(1 citation statement)

References 93 publications

(121 reference statements)

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“…At this stage, strict restrictive measures were adopted in line with the zero-COVID policy ( 33 ). Health professionals experienced acute staffing shortages due to the huge efforts on the citywide test-trace-isolate, and following energy-exhausting protocols intended to keep everyone safe ( 34 ). In addition, people's daily lives had been disrupted by the long-term control measures against virus spreading, health professionals who had endured emotional and physical exhaustion for more than 2 years, and pandemic fatigue arose at this stage ( 35 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Qin

Yang

et al. 2023

Front. Psychiatry

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BackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repeated online studies were conducted in different stages of the COVID-19 pandemic: wave 1: after the first peak of the pandemic, wave 2: the early period of the zero-COVID policy, and wave 3: the second peak of the pandemic in China. Two dimensions of burnout, emotional exhaustion (EE) and declined personal accomplishment (DPA), were assessed using Human Services Survey for Medical Personnel (MBI-HSMP), a 9-item Patient Health Questionnaire (PHQ-9), and a 7-item Generalized Anxiety Disorder (GAD-7) to assess mental health conditions. An unconditional logistic regression model was employed to discern the correlators.ResultsThere was an overall prevalence of depression (34.9%), anxiety (22.5%), EE (44.6%), and DPA (36.5%) in the participants; the highest prevalence of EE and DPA was discovered in the first wave (47.4% and 36.5%, respectively), then the second wave (44.9% and 34.0%), and the third wave had the lowest prevalence of 42.3% and 32.2%. Depressive symptoms and anxiety were persistently correlated with a higher prevalence risk of both EE and DPA. Workplace violence led to a higher prevalence risk of EE (wave 1: OR = 1.37, 95% CI: 1.16–1.63), and women (wave 1: OR = 1.19, 95% CI: 1.00–1.42; wave 3: OR =1.20, 95% CI:1.01–1.44) and those living in a central area (wave 2: OR = 1.66, 95% CI: 1.20–2.31) or west area (wave 2: OR = 1.54, 95% CI: 1.26–1.87) also had a higher prevalence risk of EE. In contrast, those over 50 years of age (wave 1: OR = 0.61, 95% CI: 0.39–0.96; wave 3: OR = 0.60, 95% CI: 0.38–0.95) and who provided care to patients with COVID-19 (wave 2: OR = 0.73, 95% CI: 0.57–0.92) had a lower risk of EE. Working in the psychiatry section (wave 1: OR = 1.38, 95% CI: 1.01–1.89) and being minorities (wave 2: OR = 1.28, 95% CI: 1.04–1.58) had a higher risk of DPA, while those over 50 years of age had a lower risk of DPA (wave 3: OR = 0.56, 95% CI: 0.36–0.88).ConclusionThis three-wave cross-sectional study revealed that the prevalence of burnout among health professionals was at a high level persistently during the different stages of the pandemic. The results suggest that functional impairment prevention resources and programs may be inadequate and, as such, continuous monitoring of these variables could provide evidence for developing optimal strategies for saving human resources in the coming post-pandemic era.

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Section: Discussionmentioning

confidence: 99%

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Qin

Yang

et al. 2023

Front. Psychiatry

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A context‐sensitive collectivism during the COVID‐19 pandemic: Effect on the adoption of containment measures in China and the US

Huang,

Liu,

Liu

2024

Int J Psychol

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This study investigates individuals' adoption of containment measures (e.g., wearing masks) from the perspectives of cultural values and trust in two countries—China and the US. Distinguished from previous definitions that characterise cultural values as rigid and fixed concepts, this study reconceptualizes collectivism to be a context‐sensitive construct. With survey data from a collectivism‐prevalent culture (China, n = 1578) and an individualism‐prevalent culture (the US, n = 1510), it unfolds the underlying mechanism by which collectivism influences people's adoption of containment measures in both countries. Results indicate that institutional trust serves as a significant mediator in this relationship. In both countries, individuals who hold a collectivistic value on the pandemic are more likely to endorse the adoption of containment measures. This endorsement is driven by their trust in public institutions, which stems from their collectivistic values. Additionally, slight distinctions emerge, revealing that collectivistic values directly predict the behaviours among Chinese individuals, whereas such a direct effect is not observed in the US. Practical implications will be offered.

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The Media-Mediated Model of Information Seeking Behavior: A Proposed Framework in the Chinese Culture During the COVID Pandemic

Liu,

Huang,

Sun

2024

Health Communication

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Go for zero tolerance: Cultural values, trust, and acceptance of zero-COVID policy in two Chinese societies

Cited by 4 publications

References 93 publications

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

A context‐sensitive collectivism during the COVID‐19 pandemic: Effect on the adoption of containment measures in China and the US

The Media-Mediated Model of Information Seeking Behavior: A Proposed Framework in the Chinese Culture During the COVID Pandemic

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