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[拒绝官方关于预防新型冠状病毒肺炎的建议和措施的原因——一项关于社交媒体帖子的定性研究]

[Reasons for rejecting official recommendations and measures concerning protection against SARS-CoV-2-a qualitative study of social media posts].

作者信息

Wahidie Diana, Yılmaz-Aslan Yüce, Ölcer Sabahat, Aksakal Tuğba, Brzoska Patrick

机构信息

Lehrstuhl für Versorgungsforschung, Fakultät für Gesundheit/Department für Humanmedizin, Universität Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Deutschland.

Fakultät für Gesundheitswissenschaften, AG3 Epidemiologie & International Public Health, Universität Bielefeld, Bielefeld, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 May;64(5):616-624. doi: 10.1007/s00103-021-03315-y. Epub 2021 Apr 14.

Abstract

BACKGROUND

In order to slow down the spread of SARS-CoV‑2 (severe acute respiratory syndrome coronavirus type 2) the federal states and the government in Germany have implemented protective measures with far-reaching consequences for the population and the economy. Amongst others, these measures include the temporary restriction of the operation of leisure facilities as well as contact and travel restrictions. These government regulations and recommendations have provoked mixed reactions, with some parts of the population not complying accordingly.

OBJECTIVES

The aim of the present study is to explore reasons for the noncompliance with protective measures on the basis of social media posts.

MATERIALS AND METHODS

Three social networks (Facebook, Twitter, and YouTube comments) were systematically investigated for the period 2 March to 18 April 2020 with regard to attitudes and beliefs about "social distancing" and other protective measures by means of qualitative document and content analysis. A total of 119 postings were included in the analysis and interpreted.

RESULTS

Six main categories and four subcategories were identified in terms of the rejection of protective measures: misinformation of social media (trivialization and doubts about the effectiveness of protective measures), mistrust of the established public media, knowledge deficits and uncertainty, restriction of basic rights, the role of authorities (population control and poor trust in the Robert Koch Institute), and economic consequences of the pandemic.

CONCLUSION

Misinformation in social media and knowledge deficits may contribute to underestimating the pandemic. In addition, economic pressures may contribute to rejecting protective measures. To increase the acceptance of implemented protective measures, health education and transparent and evidence-based communication represent relevant determinants.

摘要

背景

为减缓严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的传播,德国联邦各州和政府实施了保护措施,给民众和经济带来了深远影响。这些措施包括临时限制休闲设施运营以及限制接触和出行。这些政府规定和建议引发了不同反应,部分民众并未相应遵守。

目的

本研究旨在基于社交媒体帖子探究不遵守保护措施的原因。

材料与方法

通过定性文献和内容分析,对2020年3月2日至4月18日期间的三个社交网络(脸书、推特和优兔评论)进行系统调查,了解关于“社交距离”和其他保护措施的态度和信念。共119条帖子纳入分析并进行解读。

结果

在拒绝保护措施方面确定了六个主要类别和四个子类别:社交媒体错误信息(将保护措施不当化及对其有效性存疑)、对既定公共媒体不信任、知识欠缺与不确定性、基本权利受限、当局角色(人口控制及对罗伯特·科赫研究所信任度低)以及疫情的经济后果。

结论

社交媒体中的错误信息和知识欠缺可能导致低估疫情。此外,经济压力可能促使人们拒绝保护措施。为提高对已实施保护措施的接受度,健康教育以及透明且基于证据的沟通是相关决定因素。

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