Barcelona Institute for Global Health (ISGlobal), Hospital Clinic, University of Barcelona, Barcelona, Spain.
Department of Preventive Medicine and INCLIVA, University of Valencia, Valencia, Spain.
Eur J Public Health. 2021 Oct 26;31(5):1095-1102. doi: 10.1093/eurpub/ckab066.
Spain was initially one of the countries most affected by the coronavirus disease 2019 (COVID-19) pandemic. In June 2020, the COVID-SCORE-10 study reported that the Spanish public's perception of their government's response to the pandemic was low. This study examines these perceptions in greater detail.
We employed an ordered logistic regression analysis using COVID-SCORE-10 data to examine the Spanish public's perception of 10 key aspects of their government's COVID-19 control measures. These included support for daily needs, mental and general health services, communication, information and coordination, which were examined by gender, age, education level, having been affected by COVID-19 and trust in government's success in addressing unexpected health threats.
'Trust in the government' showed the greatest odds of positive perception for the 10 measures studied. Odds of positive perception of communication significantly varied by gender, education level and having been affected by COVID-19, whereas for information and coordination of disease control, odds significantly varied by gender and having been affected by COVID-19. Odds of positive perception for access to mental health services significantly varied by gender and education level. Age was not significant.
Public perception of the government's pandemic response in Spain varied by socio-demographic and individual variables, particularly by reported trust in the government. Fostering public trust during health threats may improve perception of response efforts. Future efforts should tailor interventions that consider gender, education level and whether people have been affected by COVID-19.
西班牙最初是受 2019 年冠状病毒病（COVID-19）大流行影响最严重的国家之一。2020 年 6 月，COVID-SCORE-10 研究报告称，西班牙公众对政府应对大流行的看法较低。本研究更详细地探讨了这些看法。
我们使用 COVID-SCORE-10 数据进行有序逻辑回归分析，以检查西班牙公众对政府 COVID-19 控制措施的 10 个关键方面的看法。这些方面包括对日常需求、心理健康和一般健康服务、沟通、信息和协调的支持，这些方面按性别、年龄、教育水平、是否受到 COVID-19 的影响以及对政府应对意外健康威胁的成功的信任进行了检查。
“对政府的信任”对研究的 10 项措施表现出最大的正面看法几率。对沟通的正面看法的几率因性别、教育水平和是否受到 COVID-19 的影响而有显著差异，而对疾病控制的信息和协调，几率则因性别和是否受到 COVID-19 的影响而有显著差异。获得心理健康服务的正面看法的几率因性别和教育水平而有显著差异。年龄没有显著差异。
西班牙公众对政府大流行应对措施的看法因社会人口统计学和个体变量而异，特别是对政府信任的报告。在健康威胁期间培养公众信任可能会改善对应对工作的看法。未来的工作应根据性别、教育水平以及人们是否受到 COVID-19 的影响来调整干预措施。
